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Patients pathways before and after treatments in emergency departments: A retrospective analysis of secondary data in Germany

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  • Dröge, Patrik
  • Ruhnke, Thomas
  • Fischer-Rosinsky, Antje
  • Henschke, Cornelia
  • Keil, Thomas
  • Möckel, Martin
  • Günster, Christian
  • Slagman, Anna

Abstract

Increasing emergency department (ED) utilization induces considerable pressure on ED staff and organization in Germany. Reasons for certain ED attendances are seen partly in insufficient continuity of care outside of hospitals. To explore the health care patterns before and after an ED attendance in Germany, we used claims data from nine statutory health insurance funds, covering around 25 % of statutory health insurees (1). We descriptively analyzed ED attendances for adult patients in 2016 according to their sociodemographic characteristics and diagnoses (2). Based on the ED attendance as initial event, we investigated health care provider utilization 180 days before and after the respective ED treatment and are presented by means of Sankey diagrams. In total, 4,757,536 ED cases of 3,164,343 insured individuals were analyzed.

Suggested Citation

  • Dröge, Patrik & Ruhnke, Thomas & Fischer-Rosinsky, Antje & Henschke, Cornelia & Keil, Thomas & Möckel, Martin & Günster, Christian & Slagman, Anna, 2023. "Patients pathways before and after treatments in emergency departments: A retrospective analysis of secondary data in Germany," Health Policy, Elsevier, vol. 138(C).
    • Handle: RePEc:eee:hepoli:v:138:y:2023:i:c:s0168851023002294
    DOI: 10.1016/j.healthpol.2023.104944
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    References listed on IDEAS

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    1. Van den Heede, Koen & Van de Voorde, Carine, 2016. "Interventions to reduce emergency department utilisation: A review of reviews," Health Policy, Elsevier, vol. 120(12), pages 1337-1349.
    2. Baier, Natalie & Geissler, Alexander & Bech, Mickael & Bernstein, David & Cowling, Thomas E. & Jackson, Terri & van Manen, Johan & Rudkjøbing, Andreas & Quentin, Wilm, 2019. "Emergency and urgent care systems in Australia, Denmark, England, France, Germany and the Netherlands – Analyzing organization, payment and reforms," Health Policy, Elsevier, vol. 123(1), pages 1-10.
    3. Martina Schmiedhofer & Anna Slagman & Stella Linea Kuhlmann & Andrea Figura & Sarah Oslislo & Anna Schneider & Liane Schenk & Matthias Rose & Martin Möckel, 2022. "Emergency Departments as Care Providers for Patients with Cardiac Ambulatory Care Sensitive and Mental Health Conditions: Qualitative Interview and Focus Group Study with Patients and Physicians," IJERPH, MDPI, vol. 19(10), pages 1-17, May.
    4. Florian Kirsch & Christian Becker & Anja Schramm & Werner Maier & Reiner Leidl, 2020. "Patients with coronary artery disease after acute myocardial infarction: effects of continuous enrollment in a structured Disease Management Program on adherence to guideline-recommended medication, h," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(4), pages 607-619, June.
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