Patients pathways before and after treatments in emergency departments: A retrospective analysis of secondary data in Germany

Patrik Dröge, Thomas Ruhnke, Antje Fischer-Rosinsky, Cornelia Henschke, Thomas Keil, Martin Möckel, Christian Günster and Anna Slagman

Health Policy, 2023, vol. 138, issue C

Abstract: Increasing emergency department (ED) utilization induces considerable pressure on ED staff and organization in Germany. Reasons for certain ED attendances are seen partly in insufficient continuity of care outside of hospitals. To explore the health care patterns before and after an ED attendance in Germany, we used claims data from nine statutory health insurance funds, covering around 25 % of statutory health insurees (1). We descriptively analyzed ED attendances for adult patients in 2016 according to their sociodemographic characteristics and diagnoses (2). Based on the ED attendance as initial event, we investigated health care provider utilization 180 days before and after the respective ED treatment and are presented by means of Sankey diagrams. In total, 4,757,536 ED cases of 3,164,343 insured individuals were analyzed.

Keywords: Emergency department; Patient pathways; Emergency diagnoses; Cross-sectoral care; Routine data (search for similar items in EconPapers)
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:138:y:2023:i:c:s0168851023002294

DOI: 10.1016/j.healthpol.2023.104944

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