Data linkage of German statutory health insurance claims data and care needs assessments preceding a population-based cohort study on nursing home admission.

Objectives: We perform and evaluate record linkage of German Care Needs Assessment (CNA) data to Statutory Health Insurance (SHI) claims data. The resulting dataset should enable the identification of factors in healthcare predicting the time between the onset of long-term care dependency and the admission to a nursing home in Germany in subsequent analyses.

Design: A deterministic record linkage was conducted using the key variables region, sex, date of birth and care level.

[Reasons for hospitalization of people with dementia-A scoping review].

Background: Hospitalization represents a high burden for people with dementia, which can accelerate the decline of cognitive and motor skills. Behavioral changes and orientation problems may be increased in people with dementia during hospitalization. Some hospitalizations are potentially preventable by improved outpatient care.

The influence of primary care quality on nursing home admissions in a multimorbid population with and without dementia in Germany: a retrospective cohort study using health insurance claims data.

Background: Multimorbidity poses a challenge for high quality primary care provision for nursing care-dependent people with (PWD) and without (PWOD) dementia. Evidence on the association of primary care quality of multimorbid PWD and PWOD with the event of a nursing home admission (NHA) is missing. This study aimed to investigate the contribution of individual quality of primary care for chronic diseases in multimorbid care-dependent PWD and PWOD on the duration of ongoing residence at home before the occurrence of NHA.

[Predictors of Admission to Nursing Home in Care-Dependent People - A Longitudinal Secondary Data Analysis].

Objective: To determine predictors of admission to nursing home by means of secondary data analysis of German statutory health insurance claims data and care needs assessments.

Materials And Methods: A retrospective longitudinal analysis was conducted covering the period 2006-2016 and using routine data. Health insurance data and care needs assessment data for people who became care dependent in 2006 and who lived in their own homes were merged.

Differences in nursing home admission between functionally defined populations in Germany and the association with quality of health care.

Background: People prefer to age in place and not move into a nursing home as long as possible. The prevention of cognitive and functional impairments is feasible to support this goal. Health services play a key role in providing support for underlying medical conditions.

[Quality of ambulatory medical care in the context of age and care-dependency: Results of a cross-sectional analysis of German health claims data].

Background And Aim: Care-dependent community dwelling people are vulnerable to deficits in medical care provided by the German statutory health insurance (GKV). Quality of care indicators (QIs) contribute to the identification of deficits and of potential for the optimization of care. To investigate the discriminatory ability of QIs in a population of elderly people with and without care dependency and different age structures, insights into the feasibility of such QIs based on health claims data are of interest.

[Influencing factors for nursing home admission in case of pre-existing need of care - a systematic review].

Introduction: Knowledge about predictors of nursing home placement is highly relevant. If they are known, targeted interventions such as counselling can help prevent or delay relocation to a nursing home. Above all, preventive and structural measures can target influenceable predictors.

[Health-related outcomes in shared-housing arrangements-results of a rapid review].

Background: Shared-housing arrangements are relevant as a possible living arrangement alternative to living in a nursing home or residing in their own home for people in need of care. The aim was to record demonstrable differences in health-related outcomes between residents of shared-housing arrangements and residents of nursing homes.

Materials And Methods: A rapid review was conducted to identify health-related outcomes in shared-housing arrangements.

[A systematic review on population-based indicators of the quality of care in formal and informal provider networks and their application in health economic evaluations].

Background: Provider networks in healthcare can emerge as either formal or informal networks. For sector-encompassing population-based quality measurement in informal networks, which allows for conclusions about the cost-effectiveness of care for home-dwelling persons in need of care, a comprehensive review on suitable quality indicators that can be derived from German social health insurance claims data is still lacking.

Objective: Primary review questions: Which population-based indicators of quality of care in formal and informal provider networks are described in the international literature? Which of these indicators are used as outcome parameters in health economic evaluations, and what are the methodological approaches in these evaluations? Rating approaches and methods for establishing thresholds as well as the validity and suitability of quality indicators to predict quality of care as well as the potential for the calculation of quality indicators based on German social health insurance claims data are included in the secondary review questions.