Evidence map›Paper›PMID 41247384›Full record

ArticleDer Nervenarzt2026

[Optimization of the work of outpatient memory clinics under aspects of value-based healthcare-An approach from the Center for Memory Disorders of the University Hospital Cologne].

Anna Schönberger, Ann-Katrin Schild, Annika Steinmetz, Franziska Simandi, Gloria S Benson, Lucrezia Hausner, Michael Schöttler, Bastian Hennig, Arne Knudsen, Franziska Maier and 2 more

Abstract readEnglish Abstract
In one paragraph

Article in Der Nervenarzt, 2026. 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

12 authors.

Anna SchönbergerKlinik und Poliklinik für Psychiatrie und Psychotherapie, Medizinische Fakultät, Uniklinik Köln, Straße 62, 50937, Köln, Deutschland.
Ann-Katrin SchildKlinik und Poliklinik für Psychiatrie und Psychotherapie, Medizinische Fakultät, Uniklinik Köln, Straße 62, 50937, Köln, Deutschland.
Annika SteinmetzZentralinstitut für Seelische Gesundheit, Mannheim, Deutschland.
Franziska SimandiKlinik und Poliklinik für Psychiatrie und Psychotherapie, Medizinische Fakultät, Uniklinik Köln, Straße 62, 50937, Köln, Deutschland.
Gloria S BensonZentralinstitut für Seelische Gesundheit, Mannheim, Deutschland.
Lucrezia HausnerZentralinstitut für Seelische Gesundheit, Mannheim, Deutschland.
Michael SchöttlerRoche Pharma AG, Grenzach-Wyhlen, Deutschland.
Bastian HennigRoche Diagnostics Deutschland GmbH, Mannheim, Deutschland.
Arne KnudsenRoche Diagnostics Deutschland GmbH, Mannheim, Deutschland.
Franziska MaierKlinik und Poliklinik für Psychiatrie und Psychotherapie, Medizinische Fakultät, Uniklinik Köln, Straße 62, 50937, Köln, Deutschland.
Lutz FrölichZentralinstitut für Seelische Gesundheit, Mannheim, Deutschland.
Frank JessenKlinik und Poliklinik für Psychiatrie und Psychotherapie, Medizinische Fakultät, Uniklinik Köln, Straße 62, 50937, Köln, Deutschland. frank.jessen@uk-koeln.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMemory clinics in Germany are facing major challenges due to increasing numbers of patients and the first available disease-modifying treatments for Alzheimer's disease. Capacities for counselling, biomarker-based diagnostics, drug administration and follow-up examinations must be achieved, which creates the need for modified workflows. Value-based healthcare (VBHC) aims at optimizing the value for patients (outcome in relation to costs) and can serve as a framework for a patient-oriented increase in efficacy.

objectiveThis project applied approaches of VBHC to analyze and improve the diagnostic processes in our memory clinic in order to achieve a better value for patients and care partners with a more efficient use of existing resources.

methodsIn a first survey among memory clinic patients and relatives the essential aspects in relation to VBHC were collated and based on the results the existing workflow processes were modified. These modifications were evaluated by a second survey and analysis particularly of process-oriented aspects.

resultsThe first survey revealed a general satisfaction with the presentation in the memory clinic. The main point of criticism was the duration of the diagnostic process. After the modification the duration and extent of the diagnostics could be reduced. The second evaluation showed improved patient and care partner satisfaction. The respondents considered the modified trajectories to be better and resources were conserved.

conclusionIn our memory clinic an improvement in the sense of VBHC could be achieved through an increased satisfaction with the treatment (outcome) and reduced personnel binding times (costs). This approach can serve as a model for other memory clinics for the development of a more efficient and patient-centered care.

Indexed as

Alzheimer DiseaseAmbulatory CareMemory DisordersAgedFemaleGermanyHospitals, UniversityHumansMalePatient SatisfactionValue-Based Health CareWorkflowAlzheimer’s diseaseDementiaDiagnosticsHealth economicsPatient care

Identifiers

PMID41247384
PMCPMC12953398

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Registered trials

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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.