Evidence map›Paper›PMID 40933718›Full record

ArticleFrontiers in health services2025

Patient navigation in German emergency care (NODE). Study protocol of a multi-center mixed-methods trial.

Daniela Krüger, Maria Altendorf, Felix Holzinger, Cornelia Wäscher, Hanna Winkler, Martin Möckel, Christoph Heintze, Judith Stumm, Konrad Schmidt, Anna Slagman

Abstract read
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Article in Frontiers in health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Daniela KrügerDepartment of Emergency and Acute Medicine (CVK, CCM), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Maria AltendorfDepartment of Emergency and Acute Medicine (CVK, CCM), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Felix HolzingerInstitute of General Practice and Family Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Cornelia WäscherInstitute of General Practice and Family Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Hanna WinklerInstitute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Martin MöckelDepartment of Emergency and Acute Medicine (CVK, CCM), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Christoph HeintzeInstitute of General Practice and Family Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Judith StummInstitute of Medical Sociology and Rehabilitation Science, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Konrad SchmidtInstitute of General Practice and Family Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Anna SlagmanDepartment of Emergency and Acute Medicine (CVK, CCM), Charité - Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & objective: The objective of the study is to explore and to evaluate existing patient navigation models between emergency departments (ED) and alternative outpatient emergency care providers. Therefore, three different patient navigation models in emergency care in Berlin, Germany will be evaluated regarding their efficiency, quality of care, patient safety, patient satisfaction, costs and cost-effectiveness: (1) a hospital-owned separate outpatient care model within the ED premises or on the hospital grounds, (2) an urgent care practice of the Regional Association of Statutory Health Insurance (SHI) Physicians at the ED location, and (3) a standard care ED with prospective assessment of patient-care and urgency levels by ED doctors. Methods: In a convergent, parallel, mixed-methods, multi-center study design, patients' and health care providers' perspectives assessed by qualitative methods will be triangulated with the results of a quantitative prospective cohort study at six EDs in Berlin, Germany. This study includes four working modules: (1) a systematic literature review; (2) qualitative semi-structured interviews with patients ( Discussion: This is the first study to compare different patient navigation and cooperation models to standard ED care in Germany and evaluate their effectiveness. Results will provide deep insights into the efficiency, patient satisfaction, quality of care, patient safety and cost-effectiveness. This will help providers and policymakers organise future emergency care in Germany. The study is expected to contribute to health services and systems research. Trial registration: DRKS00030398.

Indexed as

cross-sector cooperationemergency careemergency department (ED)health care reformlow-acuitymixed-methodsoutpatient carepatient navigation

Identifiers

PMID40933718
PMCPMC12417391

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.