Issues

An intensified, multimodal treatment reduces the osteoporosis-associated hospitalization rate significantly – results from the Integrated Health Care Network Osteoporosis 2005–2007 in the region of Aachen

Journal: Osteologie
ISSN: 1019-1291
Topic:

Morbus Paget des Skeletts

Issue: Issues of 2011 (Vol. 20): Issue 2 2011 (105-192)
Pages: 143-148

An intensified, multimodal treatment reduces the osteoporosis-associated hospitalization rate significantly – results from the Integrated Health Care Network Osteoporosis 2005–2007 in the region of Aachen

Ch. Eichhorn (1), Ch. Münscher (2), P. Bartz-Bazanella (3), Ch. Niedhart (4)

(1) Osteologisches Schwerpunktzentrum, Aachen; (2) MNC-Medical Netcare GmbH, Münster; (3) Klinik für Internistische Rheumatologie, Medizinisches Zentrum der Städteregion Aachen GmbH; (4) Osteologisches Schwerpunktzentrum Heinsberg

Keywords

Health Services Research, Osteoporosis, multimodal treatment, integrated health care network

Summary

Introduction: Osteoporosis is known as undertreated in Germany. Aim of the integrated health care model „osteoporosis“ was the improvement of patient care by multimodal treatment within an integrated health care network. This paper shows the results of the accompanying evaluation. Methods: Using the pseudonymous data from the AOK Rheinland/Hamburg for the years 2005 to 2007 treatment expenses and hospitalization rate of patients enrolled in the integrated health care model „osteoporosis“ in the region Aachen were compared to a control group. The diagnosis osteoporosis and at least four prescriptions of a specific antiosteoporotic therapy were documented. Results: From 2005 to 2007, the absolute risk of an osteoporosis-associated hospitalization was significantly reduced from 7.01% to 2.43% in the integrated health care group (RRR –66.67%, p<0.05), while unchanged in the control group. Despite higher costs for medication, there was a saving of 771Euro in 2006 and of 1043Euro in 2007 per patient in the integrated health care group compared to the control group. Discussion: This observational, cross-sectional study shows, that an intensified, multimodal treatment of osteoporosis within an integrated health care network of highly qualified physicians can reduce the hospitalisation rate due to osteoporosis-associated fractures and simultaneously reduces direct costs even in the short run.

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