The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes

Background: Acute care services are currently overstretched in many high income countries. Overcrowding also plays a major role in acute care in the Netherlands. In a region of the Netherlands, the general practice cooperative (GPC) and ambulance service have begun to integrate their care, and the r...

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Autores principales:	Rosa Naomi Minderhout, Hedwig M. M. Vos, Pierre M. van Grunsven, Isabel de la Torre y Rivas, Sevde Alkir-Yurt, Mattijs E. Numans, Marc A. Bruijnzeels
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	merging medical data triple aim crowding ambulance service general practice cooperative Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/80c45913fc5e401a80ea76c5d2c13754
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spelling	oai:doaj.org-article:80c45913fc5e401a80ea76c5d2c137542021-11-08T08:08:08ZThe Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes1568-415610.5334/ijic.5711https://doaj.org/article/80c45913fc5e401a80ea76c5d2c137542021-10-01T00:00:00Zhttps://www.ijic.org/articles/5711https://doaj.org/toc/1568-4156Background: Acute care services are currently overstretched in many high income countries. Overcrowding also plays a major role in acute care in the Netherlands. In a region of the Netherlands, the general practice cooperative (GPC) and ambulance service have begun to integrate their care, and the rapid and complete transfer of information between these two care organisations is now the basis for delivering appropriate care. The primary aim of this mixed-methods study is to evaluate the Netherlands Triage System (NTS) merger project and answering the question: What is the added value of implementing a digital NTS merger in terms of healthcare use and healthcare costs? A secondary question is: What are the experiences of patients and care professionals in different acute healthcare organisations following implementation of the digital NTS merger? Methods: Patients who made an acute care request during the 12 months before the NTS merge intervention (control period) were compared with matched patients in the 12 months following the start of the NTS merge. Outcomes included difference in healthcare use 30 days after an acute event and patient’ and care professional’ experiences during the intervention period. To assess healthcare costs, we used reference prices updated to 2021. Results: Compared to patients in the control period, patients in the intervention period were hospitalized less often (52.9% vs 64.4%, p = 0.061) and had fewer emergency department (ED) visits (58.7% vs 69.3%, p = 0.074) in the 30 days following the acute care request. The ED costs were significantly lower during the intervention period compared to the control period (p = 0.042). Furthermore, patients in the intervention period were very satisfied overall with the acute care network (4.63 of 5) and care professionals were fairly satisfied with the cooperation to date (2.73 of 4). Conclusion: The Triple Aim for acute care can be met using relatively simple interventions, but medical data merging is a prerequisite for achieving more robust results covering on the various aspects of the Triple Aim. These successes should be communicated so that a common language can be developed that will support the successful further implementation of larger scale initiatives.Rosa Naomi MinderhoutHedwig M. M. VosPierre M. van GrunsvenIsabel de la Torre y RivasSevde Alkir-YurtMattijs E. NumansMarc A. BruijnzeelsUbiquity Pressarticlemerging medical datatriple aimcrowdingambulance servicegeneral practice cooperativeMedicine (General)R5-920ENInternational Journal of Integrated Care, Vol 21, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	merging medical data triple aim crowding ambulance service general practice cooperative Medicine (General) R5-920
spellingShingle	merging medical data triple aim crowding ambulance service general practice cooperative Medicine (General) R5-920 Rosa Naomi Minderhout Hedwig M. M. Vos Pierre M. van Grunsven Isabel de la Torre y Rivas Sevde Alkir-Yurt Mattijs E. Numans Marc A. Bruijnzeels The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes
description	Background: Acute care services are currently overstretched in many high income countries. Overcrowding also plays a major role in acute care in the Netherlands. In a region of the Netherlands, the general practice cooperative (GPC) and ambulance service have begun to integrate their care, and the rapid and complete transfer of information between these two care organisations is now the basis for delivering appropriate care. The primary aim of this mixed-methods study is to evaluate the Netherlands Triage System (NTS) merger project and answering the question: What is the added value of implementing a digital NTS merger in terms of healthcare use and healthcare costs? A secondary question is: What are the experiences of patients and care professionals in different acute healthcare organisations following implementation of the digital NTS merger? Methods: Patients who made an acute care request during the 12 months before the NTS merge intervention (control period) were compared with matched patients in the 12 months following the start of the NTS merge. Outcomes included difference in healthcare use 30 days after an acute event and patient’ and care professional’ experiences during the intervention period. To assess healthcare costs, we used reference prices updated to 2021. Results: Compared to patients in the control period, patients in the intervention period were hospitalized less often (52.9% vs 64.4%, p = 0.061) and had fewer emergency department (ED) visits (58.7% vs 69.3%, p = 0.074) in the 30 days following the acute care request. The ED costs were significantly lower during the intervention period compared to the control period (p = 0.042). Furthermore, patients in the intervention period were very satisfied overall with the acute care network (4.63 of 5) and care professionals were fairly satisfied with the cooperation to date (2.73 of 4). Conclusion: The Triple Aim for acute care can be met using relatively simple interventions, but medical data merging is a prerequisite for achieving more robust results covering on the various aspects of the Triple Aim. These successes should be communicated so that a common language can be developed that will support the successful further implementation of larger scale initiatives.
format	article
author	Rosa Naomi Minderhout Hedwig M. M. Vos Pierre M. van Grunsven Isabel de la Torre y Rivas Sevde Alkir-Yurt Mattijs E. Numans Marc A. Bruijnzeels
author_facet	Rosa Naomi Minderhout Hedwig M. M. Vos Pierre M. van Grunsven Isabel de la Torre y Rivas Sevde Alkir-Yurt Mattijs E. Numans Marc A. Bruijnzeels
author_sort	Rosa Naomi Minderhout
title	The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes
title_short	The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes
title_full	The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes
title_fullStr	The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes
title_full_unstemmed	The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes
title_sort	value of merging medical data from ambulance services and general practice cooperatives using triple aim outcomes
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/80c45913fc5e401a80ea76c5d2c13754
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The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes

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