Healthcare planning across healthcare sectors in Baden-Wuerttemberg, Germany: a stakeholder online survey to identify indicators
Abstract Background Stakeholders in the German state of Baden-Wuerttemberg agreed upon the central aims for healthcare planning. These include a focus on geographical districts; a comprehensive, cross-sectoral perspective on healthcare needs and services; and use of regional data for healthcare plan...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-05-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-021-06514-0 |
| _version_ | 1818832816957292544 |
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| author | Pamela Wronski Jan Koetsenruijter Dominik Ose Jan Paulus Joachim Szecsenyi Michel Wensing |
| author_facet | Pamela Wronski Jan Koetsenruijter Dominik Ose Jan Paulus Joachim Szecsenyi Michel Wensing |
| author_sort | Pamela Wronski |
| collection | DOAJ |
| description | Abstract Background Stakeholders in the German state of Baden-Wuerttemberg agreed upon the central aims for healthcare planning. These include a focus on geographical districts; a comprehensive, cross-sectoral perspective on healthcare needs and services; and use of regional data for healthcare planning. Therefore, healthcare data at district level is needed. Nevertheless, decision makers face the challenge to make a selection from numerous indicators and frameworks, which all have limitations or do not well apply to the targeted setting. The aim of this study was to identify district level indicators to be used in Baden-Wuerttemberg for the purpose of cross-sectoral and needs-based healthcare planning involving stakeholders of the health system. Methods A conceptual framework for indicators was developed. A structured search for indicators identified 374 potential indicators in indicator sets of German and international institutions and agencies (n = 211), clinical practice guidelines (n = 50), data bases (n = 35), indicator databases (n = 25), published literature (n = 35), and other sources (n = 18). These indicators were categorised according to the developed framework dimensions. In an online survey, institutions of various stakeholders were invited to assess the relevance of these indicators from December 2016 until January 2017. Indicators were selected in terms of a median value of the assessed relevance. Results 22 institutions selected 212 indicators for the five dimensions non-medical determinants of health (20 indicators), health status (25), utilisation of the health system (34), health system performance (87), and healthcare provision (46). Conclusions Stakeholders assessed a large number of indicators as relevant for use in healthcare planning on district level. Trial registration Not applicable. |
| first_indexed | 2024-12-19T02:09:03Z |
| format | Article |
| id | doaj.art-91933077862c4b97a4bbfa880d0167d6 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-19T02:09:03Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-91933077862c4b97a4bbfa880d0167d62022-12-21T20:40:52ZengBMCBMC Health Services Research1472-69632021-05-0121111210.1186/s12913-021-06514-0Healthcare planning across healthcare sectors in Baden-Wuerttemberg, Germany: a stakeholder online survey to identify indicatorsPamela Wronski0Jan Koetsenruijter1Dominik Ose2Jan Paulus3Joachim Szecsenyi4Michel Wensing5Department of General Practice & Health Services Research, Heidelberg University HospitalDepartment of General Practice & Health Services Research, Heidelberg University HospitalDepartment of General Practice & Health Services Research, Heidelberg University HospitalDepartment of General Practice & Health Services Research, Heidelberg University HospitalDepartment of General Practice & Health Services Research, Heidelberg University HospitalDepartment of General Practice & Health Services Research, Heidelberg University HospitalAbstract Background Stakeholders in the German state of Baden-Wuerttemberg agreed upon the central aims for healthcare planning. These include a focus on geographical districts; a comprehensive, cross-sectoral perspective on healthcare needs and services; and use of regional data for healthcare planning. Therefore, healthcare data at district level is needed. Nevertheless, decision makers face the challenge to make a selection from numerous indicators and frameworks, which all have limitations or do not well apply to the targeted setting. The aim of this study was to identify district level indicators to be used in Baden-Wuerttemberg for the purpose of cross-sectoral and needs-based healthcare planning involving stakeholders of the health system. Methods A conceptual framework for indicators was developed. A structured search for indicators identified 374 potential indicators in indicator sets of German and international institutions and agencies (n = 211), clinical practice guidelines (n = 50), data bases (n = 35), indicator databases (n = 25), published literature (n = 35), and other sources (n = 18). These indicators were categorised according to the developed framework dimensions. In an online survey, institutions of various stakeholders were invited to assess the relevance of these indicators from December 2016 until January 2017. Indicators were selected in terms of a median value of the assessed relevance. Results 22 institutions selected 212 indicators for the five dimensions non-medical determinants of health (20 indicators), health status (25), utilisation of the health system (34), health system performance (87), and healthcare provision (46). Conclusions Stakeholders assessed a large number of indicators as relevant for use in healthcare planning on district level. Trial registration Not applicable.https://doi.org/10.1186/s12913-021-06514-0Health services administrationCross-sectoral healthcareCommunity healthDelivery of health careGermany |
| spellingShingle | Pamela Wronski Jan Koetsenruijter Dominik Ose Jan Paulus Joachim Szecsenyi Michel Wensing Healthcare planning across healthcare sectors in Baden-Wuerttemberg, Germany: a stakeholder online survey to identify indicators BMC Health Services Research Health services administration Cross-sectoral healthcare Community health Delivery of health care Germany |
| title | Healthcare planning across healthcare sectors in Baden-Wuerttemberg, Germany: a stakeholder online survey to identify indicators |
| title_full | Healthcare planning across healthcare sectors in Baden-Wuerttemberg, Germany: a stakeholder online survey to identify indicators |
| title_fullStr | Healthcare planning across healthcare sectors in Baden-Wuerttemberg, Germany: a stakeholder online survey to identify indicators |
| title_full_unstemmed | Healthcare planning across healthcare sectors in Baden-Wuerttemberg, Germany: a stakeholder online survey to identify indicators |
| title_short | Healthcare planning across healthcare sectors in Baden-Wuerttemberg, Germany: a stakeholder online survey to identify indicators |
| title_sort | healthcare planning across healthcare sectors in baden wuerttemberg germany a stakeholder online survey to identify indicators |
| topic | Health services administration Cross-sectoral healthcare Community health Delivery of health care Germany |
| url | https://doi.org/10.1186/s12913-021-06514-0 |
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