Outcome-Messung familienintegrierender Versorgungsmodelle für Frühgeborene: Ein Scoping-Review

Zusammenfassung

Zielsetzung Dieser Scoping-Review soll einen Überblick über die gesundheitsökonomische Bewertung von Behandlungseffekten familienintegrierter/familienzentrierter Versorgungsmodelle von Frühgeborenen geben. Kern der Arbeit bildet die Analyse der Verweildauer, deren Auswertungsmethoden sowie deren Beeinflussung durch Stichprobeneigenschaften. Ebenso wurden Rehospitalisierungsraten und Kostenanalysen berücksichtigt.

Methodik In einer Literaturrecherche gemäß Scoping-Review-Methodik und vordefinierten Kriterien wurden 14 Studien eingeschlossen.

Ergebnisse Mittelmaßdifferenzen und Adjustierungsverfahren zählten zu den häufigsten Analyseverfahren. Fünf Studien berichteten zudem die Rehospitalisierungsraten. Eine Beeinflussung der Effekte durch Stichprobeneigenschaften zeigte sich nicht.

Schlussfolgerung Familienintegrierte/familienzentrierte Konzepte sind vielversprechende Versorgungsansätze für Frühgeborene. Weitere gesundheitsökonomische Analysen sind notwendig, um die gesamtgesellschaftlichen Auswirkungen beurteilen zu können.

Abstract

Aim This scoping review aims to provide a comprehensive health economic evaluation of treatment effects of Family-integrated and Family-centered care models for preterm infants. The most frequently examined outcome length of stay, its evaluation methods and the influence of the sample’s baseline conditions form the core of this paper. In particular, its evaluation methods and the influence of the sample’s baseline conditions are elaborated. Rehospitalisation rates and cost calculations were also considered.

Methods After conducting a literature research according to the scoping review methodology using predefined criteria and databases, 14 studies were included and analysed.

Results Mean differences and adjustment procedures were the most frequently used calculations. Five studies also reported rehospitalisation rates. Baseline conditions did not influence the results.

Conclusion Family-integrated care and Family-centered care seem promising approaches. However, further health economic analyses are needed to assess the societal impact.

Schlüsselwörter

Gesundheitsökonomische Evaluation - Frühgeborene - Verweildauer - familienintegrierte Konzepte - familienzentrierte Versorgung

Key words

health economic evaluation - preterm infants - length of stay - family-integrated care - family-centered care

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