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Monitoring routines in people with chronic diseases: Current state and roadmap for the future

What is it about?

Monitoring routines are often available for the care of people with chronic diseases. These monitoring routines are implemented independently of complaints or other medical reports to optimise the treatment of chronic diseases.

Patients visit practices and clinics for regular monitoring to get the best possible treatments, avoid health problems and prevent secondary diseases. Monitoring carries the risk of unclear findings, which can arouse unnecessary fears in patients, lead to further diagnostics and cause (follow-up) costs for the health care system.

Though commonly used in Germany, not all monitoring strategies are based on sufficient evidence.

We focus on monitoring routines for which the evidence is limited. These include echocardiography for coronary heart disease and doppler sonography monitoring after stroke.

In the first part of the project, we explore the current state of care provided on the base of interviews with physicians and patients as well as on analyses of health insurance data. In the second part of the project, methodological, health care and research policy recommendations will be developed. The aim of the project is to improve quality and efficiency of health care for people with chronic diseases.

The project is funded by Federal Joint Committee G-BA for three years with a total of about 1.2 million euros.