AGnES

N, van den Berg; Meinke, Claudia; Heymann, Romy; Fiß, Thomas; Suckert, E; Pöller, C; Dreier, Adina; Hoffmann, Wolfgang; Rogalski, Hagen; Oppermann, Roman F.; Karopka, Thomas

doi:10.3238/arztebl.2009.0003

Cited by 14 publications

(21 citation statements)

References 3 publications

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“…All participating GPs found that the quality of care within the AGnES-concept was comparable to usual care for the majority of the participating patients [5]. …”

Section: Introductionmentioning

confidence: 99%

Delegation of GP-home visits to qualified practice assistants: assessment of economic effects in an ambulatory healthcare centre

Berg

Meinke

Matzke

et al. 2010

BMC Health Serv Res

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BackgroundAgainst the background of a decreasing number of general practitioners (GPs) in rural regions in Germany, the AGnES-concept (AGnES = GP-supporting, community-based, e-health-assisted, systemic intervention) supports the delegation of regular GP-home visits to qualified practice assistants. The concept was implemented and evaluated in different model projects in Germany.To explore the economic effects of this concept, the development of the number of home visits in an ambulatory healthcare centre was analysed and compared with the number of home visits in the surrounding county.MethodsInformation about GP-home visits was derived from reimbursement data of the ambulatory healthcare centre and a statutory health insurance. Information about home visits conducted by AGnES-practice assistants was collected from the project documentation over a time period of 12 consecutive quarter years, four quarter years before the beginning of the project and 8 quarter years while the project was implemented, considering background temporal trends on the population level in the study region.ResultsWithin the ambulatory healthcare centre, the home visits by the GPs significantly decreased, especially the number of medically urgent home visits. However, the overall rate of home visits (conducted by the GPs and the AGnES-practice assistants together) did not change significantly after implementation of the AGnES-concept. In the surrounding county, the home visit rates of the GPs were continuous; the temporal patterns were approximately equal for both usual and urgent home visits.ConclusionThe results of the analyses show that the support by AGnES-practice assistants led to a decrease of GP-home visits rather than an induction of additional home visits by the AGnES-practice assistants. The most extended effect is related to the medically urgent home visits rather than to the usual home visits.

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“…All participating GPs found that the quality of care within the AGnES-concept was comparable to usual care for the majority of the participating patients [5]. …”

Section: Introductionmentioning

confidence: 99%

Delegation of GP-home visits to qualified practice assistants: assessment of economic effects in an ambulatory healthcare centre

Berg

Meinke

Matzke

et al. 2010

BMC Health Serv Res

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“…We examined this question for the AGnES Brandenburg project which was conducted in the ambulatory healthcare centre with six GP-practices [10]. …”

Section: Resultsmentioning

confidence: 99%

“…To examine the option of delegating GP-home visits, we developed and implemented the AGnES concept (AGnES = GP-supporting, community-based, e-health-assisted, systemic intervention) [10,11]. …”

Section: Introductionmentioning

confidence: 99%

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Effect of the delegation of GP-home visits on the development of the number of patients in an ambulatory healthcare centre in Germany

Berg

Heymann

Meinke

et al. 2012

BMC Health Serv Res

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BackgroundThe AGnES-concept (AGnES: GP-supporting, community-based, e-health-assisted, systemic intervention) was developed to support general practitioners (GPs) in undersupplied regions. The project aims to delegate GP-home visits to qualified AGnES-practice assistants, to increase the number of patients for whom medical care can be provided.This paper focuses on the effect of delegating GP-home visits on the total number of patients treated. First, the theoretical number of additional patients treated by delegating home visits to AGnES-practice assistants was calculated. Second, actual changes in the number of patients in participating GP-practices were analyzed.MethodsThe calculation of the theoretical increase in the number of patients was based on project data, data which were provided by the Association of Statutory Health Insurance Physicians, or which came from the literature.Setting of the project was an ambulatory healthcare centre in the rural county Oberspreewald-Lausitz in the Federal State of Brandenburg, which employed six GPs, four of which participated in the AGnES project. The analysis of changes in the number of patients in the participating GP-practices was based on the practices’ reimbursement data.ResultsThe calculated mean capacity of AGnES-practice assistants was 1376.5 home visits/year. GPs perform on average 1200 home visits/year. Since home visits with an urgent medical reason cannot be delegated, we included only half the capacity of the AGnES-practice assistants in the analysis (corresponding to a 20 hour-work week). Considering all parameters in the calculation model, 360.1 GP-working hours/year can be saved. These GP-hours could be used to treat 170 additional patients/quarter year. In the four participating GP-practices the number of patients increased on average by 133 patients/quarter year during the project period, which corresponds to 78% of the theoretically possible number of patients.ConclusionsThe empirical findings on the potential to increase the number of patients in GP-practices through delegation of tasks come close to the theoretical calculations. Differences between the calculated and the real values may be due to differences in the age and mortality distribution of the patients. The results indicate that a support system based on practice assistants can alleviate the consequences of GP-shortages in rural areas.

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“…Die Ableitung der evozierten Potenziale kann unter Anleitung durch eine geschulte medizinisch-technische Angestellte oder sogar durch eine gut geschulte Krankenschwester durchgeführt werden[1]. Die Befunde können über sichere Datenleitungen in Echtzeit transferiert werden, ein erfahrener Neurologe kann die Ableitungen interpretieren und den Befund erstellen[6].Abb.…”

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Telewissenschaft – Telescience

et al. 2017

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Telescience is feasible. Our studies showed that telescience is a very promising option to transfer knowledge, which will help to enable professional expertise to be transferred directly to the region/country without a brain drain. All too often young motivated scientists are enticed to move to well-known institutions, which involves the danger of a brain drain. Brain drain can be avoided in favor of local implementation of scientific projects. Our results illustrate that it is feasible to educate and guide scientists with the help of telematics infrastructures.

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AGnES

Cited by 14 publications

References 3 publications

Delegation of GP-home visits to qualified practice assistants: assessment of economic effects in an ambulatory healthcare centre

Delegation of GP-home visits to qualified practice assistants: assessment of economic effects in an ambulatory healthcare centre

Effect of the delegation of GP-home visits on the development of the number of patients in an ambulatory healthcare centre in Germany

Telewissenschaft – Telescience

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