Evaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in Tübingen, Germany: study protocol (EVA_TIBAS)

Abstract Background Model projects for flexible and integrated treatment (FIT) in Germany aim at advancing the quality of care for people with mental disorders. A new FIT model project was established in 2017 at the Department of child and adolescent psychiatry (KJP) of the University Hospital Tübin...

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Autores principales:	Anne Neumann, Helene Hense, Fabian Baum, Roman Kliemt, Martin Seifert, Lorenz Harst, Denise Kubat, Birgit Maicher, Christopher Schrey, Jochen Schmitt, Andrea Pfennig, Ines Weinhold, Enno Swart, Bettina Soltmann
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Mental health care Department of child and adolescent psychiatry Flexible and integrated treatment Evaluation Cohort study Qualitative and quantitative Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/3e4f42ed075f4493acc6d8ec088ce1cf
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spelling	oai:doaj.org-article:3e4f42ed075f4493acc6d8ec088ce1cf2021-11-28T12:07:53ZEvaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in Tübingen, Germany: study protocol (EVA_TIBAS)10.1186/s12913-021-07226-11472-6963https://doaj.org/article/3e4f42ed075f4493acc6d8ec088ce1cf2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07226-1https://doaj.org/toc/1472-6963Abstract Background Model projects for flexible and integrated treatment (FIT) in Germany aim at advancing the quality of care for people with mental disorders. A new FIT model project was established in 2017 at the Department of child and adolescent psychiatry (KJP) of the University Hospital Tübingen (Universitätsklinikum Tübingen, UKT). The study design of EVA_TIBAS presented here describes the evaluation of the FIT model project at the KJP of the UKT. This evaluation aims at quantifying the anticipated FIT model project changes, which are to improve patients’ cross-sectoral care at the same maximum cost as standard care. Methods EVA_TIBAS is a controlled cohort study using a mix of quantitative and qualitative methods. The FIT evaluation consists of three modules. In Module A, anonymized claims data of a statutory health insurance fund will be used to compare outcomes (duration of inpatient and day care psychiatric treatment, inpatient and day care psychiatric length of stay, outpatient psychiatric treatment in hospital, inpatient hospital readmission, emergency admission rate, direct medical costs) of patients treated in the model hospital with patients treated in structurally comparable control hospitals (estimated sample size = ca. 600 patients). In Module B, patient-reported outcomes (health related quality of life, symptom burden, return to psychosocial relationships (e.g. school, friends, hobbies), treatment satisfaction, societal costs) will be assessed quantitatively using validated questionnaires for the model and two control hospitals (estimated sample size = ca. 300 patients). A subsequent health economic evaluation will be based on cost-effectiveness analyses from both the insurance fund’s and the societal perspective. In Module C, about 30 semi-structured interviews will examine the quality of offer, effects and benefits of the service offered by the social service of the AOK Baden-Württemberg (for stabilizing the overall situation of care in the family) in the model hospital. A focus group discussion will address the quality of cooperation between employees of the university hospital and the social services. Discussion The results of this evaluation will be used to inform policy makers whether this FIT model project or aspects of it should be implemented into standard care. Trial registration This study was registered at ClinicalTrials.gov PRS (ID: NCT04727359 , date: 27 January 2021).Anne NeumannHelene HenseFabian BaumRoman KliemtMartin SeifertLorenz HarstDenise KubatBirgit MaicherChristopher SchreyJochen SchmittAndrea PfennigInes WeinholdEnno SwartBettina SoltmannBMCarticleMental health careDepartment of child and adolescent psychiatryFlexible and integrated treatmentEvaluationCohort studyQualitative and quantitativePublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mental health care Department of child and adolescent psychiatry Flexible and integrated treatment Evaluation Cohort study Qualitative and quantitative Public aspects of medicine RA1-1270
spellingShingle	Mental health care Department of child and adolescent psychiatry Flexible and integrated treatment Evaluation Cohort study Qualitative and quantitative Public aspects of medicine RA1-1270 Anne Neumann Helene Hense Fabian Baum Roman Kliemt Martin Seifert Lorenz Harst Denise Kubat Birgit Maicher Christopher Schrey Jochen Schmitt Andrea Pfennig Ines Weinhold Enno Swart Bettina Soltmann Evaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in Tübingen, Germany: study protocol (EVA_TIBAS)
description	Abstract Background Model projects for flexible and integrated treatment (FIT) in Germany aim at advancing the quality of care for people with mental disorders. A new FIT model project was established in 2017 at the Department of child and adolescent psychiatry (KJP) of the University Hospital Tübingen (Universitätsklinikum Tübingen, UKT). The study design of EVA_TIBAS presented here describes the evaluation of the FIT model project at the KJP of the UKT. This evaluation aims at quantifying the anticipated FIT model project changes, which are to improve patients’ cross-sectoral care at the same maximum cost as standard care. Methods EVA_TIBAS is a controlled cohort study using a mix of quantitative and qualitative methods. The FIT evaluation consists of three modules. In Module A, anonymized claims data of a statutory health insurance fund will be used to compare outcomes (duration of inpatient and day care psychiatric treatment, inpatient and day care psychiatric length of stay, outpatient psychiatric treatment in hospital, inpatient hospital readmission, emergency admission rate, direct medical costs) of patients treated in the model hospital with patients treated in structurally comparable control hospitals (estimated sample size = ca. 600 patients). In Module B, patient-reported outcomes (health related quality of life, symptom burden, return to psychosocial relationships (e.g. school, friends, hobbies), treatment satisfaction, societal costs) will be assessed quantitatively using validated questionnaires for the model and two control hospitals (estimated sample size = ca. 300 patients). A subsequent health economic evaluation will be based on cost-effectiveness analyses from both the insurance fund’s and the societal perspective. In Module C, about 30 semi-structured interviews will examine the quality of offer, effects and benefits of the service offered by the social service of the AOK Baden-Württemberg (for stabilizing the overall situation of care in the family) in the model hospital. A focus group discussion will address the quality of cooperation between employees of the university hospital and the social services. Discussion The results of this evaluation will be used to inform policy makers whether this FIT model project or aspects of it should be implemented into standard care. Trial registration This study was registered at ClinicalTrials.gov PRS (ID: NCT04727359 , date: 27 January 2021).
format	article
author	Anne Neumann Helene Hense Fabian Baum Roman Kliemt Martin Seifert Lorenz Harst Denise Kubat Birgit Maicher Christopher Schrey Jochen Schmitt Andrea Pfennig Ines Weinhold Enno Swart Bettina Soltmann
author_facet	Anne Neumann Helene Hense Fabian Baum Roman Kliemt Martin Seifert Lorenz Harst Denise Kubat Birgit Maicher Christopher Schrey Jochen Schmitt Andrea Pfennig Ines Weinhold Enno Swart Bettina Soltmann
author_sort	Anne Neumann
title	Evaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in Tübingen, Germany: study protocol (EVA_TIBAS)
title_short	Evaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in Tübingen, Germany: study protocol (EVA_TIBAS)
title_full	Evaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in Tübingen, Germany: study protocol (EVA_TIBAS)
title_fullStr	Evaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in Tübingen, Germany: study protocol (EVA_TIBAS)
title_full_unstemmed	Evaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in Tübingen, Germany: study protocol (EVA_TIBAS)
title_sort	evaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in tübingen, germany: study protocol (eva_tibas)
publisher	BMC
publishDate	2021
url	https://doaj.org/article/3e4f42ed075f4493acc6d8ec088ce1cf
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Evaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in Tübingen, Germany: study protocol (EVA_TIBAS)

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