ArticleDeutsches Arzteblatt international2016
The Impact of GP-Centered Healthcare.
Article in Deutsches Arzteblatt international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- The Role of Health Technologies in Multicomponent Primary Care Interventions: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Multicomponent interventions for enhancing primary care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Pooled it
- [A primary care system in Germany: evidence, opportunities, and implementation].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Review
- Article
- Continuity of care in a pandemic: an observational study in GP-centred healthcare in Germany.BMJ open quality · 2025Observational
- Recovery environments in places of daily living: a scoping review and conceptual analysis.BMC public health · 2024Article
- Toward a universal definition of provider-patient attachment in primary care.Canadian family physician Medecin de famille canadien · 2024Review
- [Ensuring primary care in Germany-findings from a quantitative survey of general practitioners].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- The impact of patient registration on utilisation and quality of care: a propensity score matching and staggered difference-in-differences analysis of a cohort of 16,775 people with type 2 diabetes.BMC primary care · 2024Article
- Continuity in general practice and hospitalization patterns: an observational study.BMC family practice · 2021Observational
- Prevalence and predictors of having no general practitioner - analysis of the German health interview and examination survey for adults (DEGS1).BMC family practice · 2019Article
- Determinants of having no general practitioner in Germany and the influence of a migration background: results of the German health interview and examination survey for adults (DEGS1).BMC health services research · 2018Article
- Effects of a program to strengthen general practice care on hospitalisation rates: a comparative observational study.Scandinavian journal of primary health care · 2018Observational
- Does Not Correspond to Everyday Reality.Deutsches Arzteblatt international · 2017Article
- In Reply.Deutsches Arzteblatt international · 2017Article
- How Effective Are Care Plans in Primary Care?Deutsches Arzteblatt international · 2016Article
- Hospital Admission and Discharge: Lessons Learned from a Large Programme in Southwest Germany.International journal of integrated careArticle
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Authors and funding
10 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Germany, enhanced primary care ('GP-centered health care') is being promoted in order to strengthen the role of GPs and improve the quality of primary care. The aim of this study was to evaluate the impact of a GPcentered healthcare program, established in 2011 in the German federal state of Thuringia, on healthcare costs, care coordination, and pharmacotherapy.
methodsWe conducted a retrospective case-control study based on insurance claims data. Participants were followed from 18 months before the start of the program to 18 months after its introduction. The intervention and control groups were matched via propensity scores.
results40 298 participants enrolled in the program for a minimum of 18 months (between July 2011 and December 2012) were included in the intervention arm of the study. The mean age was 64.8 years. There was no significant difference in total direct costs (primary outcome) between cases and controls. Turning to secondary outcomes, the number of GP consultations rose sharply (+47%; p<0.001), there were less patients who consulted more than one GP (-41.4%; p<0.001), and less specialist consultations without referral (-5.8%; p<0.001) among patients in the intervention group. The number of patients who participated in Disease Management Programs (DMPs) increased (+17.7%; p<0.001), as did the number of GP home visits (+5.0%; p<0.001), specialist consultations (+4.1%; p<0.01), and the number of hospitalizations (+4.3%; p=0.006). The costs for pharmaceuticals were lowered by 3.9% (p<0.001).
conclusionThe study indicates that the GP-centered healthcare program does not lead to lower direct health care costs. However, it may lead to more intense and better coordinated healthcare in older, chronically ill patients with multiple conditions. Further studies are needed on long-term effects and clinical endpoints.
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