Current projects

PrimA-QuO: Primary Care of Children and Adolescents with Psychological Abnormalities and Disorders- Evaluation of Quality and Outcomes 
Team:PD Dr. L. Schwettmann, M. Murawski, P. Marijic, Dr. W. Maier 
Funded by:The project is funded by the Innovation fund of the Federal Joint Committee (G-BA) under the number 01VSF16032.
Co-operation partner:Prof. Dr. E.Grill (LMU München)
BKK Vertragsarbeitsgemeinschaft Bayern
PaedNetz Bayern e.V.
Duration:42 months, until September 2020
Description:The PrimA-QuO study examines the BKK program “STARKE KIDS-Gesundheitscoaching”, a supplementary offer for children and adolescents, which has potential to avoid over-therapy and medication, particularly in the case of minor mental disorders.

The evaluation is based on two work packages: (1) A qualitative and quantitative survey study regarding the theoretical foundation of the program, analysis of acceptance, barriers and promotion factors for stakeholders (LMU). (2) A health economic assessment of cost-effectiveness and effectivity (IGM). 
Aim:The aim of the project is to improve the regular medical care of children and adolescents with mental disorders by standardizing the treatment. The study examines whether the BKK program “STARKE KIDS- Gesundheitscoaching” has the potential to be included in the regular health care of the statutory health insurance.

The aim of the health economic work package (IGM) is the evaluation of effects of the intervention on medical coding behavior of pediatricians and treatment procedures as well as the use of medical services on the basis of claims data from the BKK in Bavaria.
Methods:The analysis considers claims data from 2012 to 2016. Individual periods of 4 quarters before and after the start of the program (pediatrician) or the enrollment into the program (patient) are compared with each other.

On the pediatrician´s level, the study examines whether and how the introduction of the program affects the frequency of diagnoses and the accuracy of coding compared with those from non-participating pediatricians.

On the patient´s level, children and adolescents with the four most frequent indications of mental disorders are divided into four groups, according to the participation or non-participation of the attending pediatrician. Differences in treatment patterns, particularly the frequencies of referral to specialists, in clinics, social pediatric centers and appropriate therapists are examined. Similarly, the use of health services and costs in the individual health care sectors are analyzed over time.