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@ARTICLE{Scheibner:276796,
      author       = {Scheibner, Hannah Julia and Gesell, Daniela and Hauptmann,
                      Michael and Heinze, Martin and Horenkamp-Sonntag, Dirk and
                      Koller, Daniela and Kubat, Denise and Marschall, Ursula and
                      Meixner, Johannes and Michalowsky, Bernhard and von Peter,
                      Sebastian and Platen, Moritz and Riederer, Cordula and
                      Schroth, Jennifer and Swart, Enno and Weirauch, Lea and
                      Dahling, Volker},
      title        = {{R}egional variations in healthcare in people living with
                      dementia in {G}ermany: protocol for a mixed-methods study.},
      journal      = {BMJ open},
      volume       = {15},
      number       = {2},
      issn         = {2044-6055},
      address      = {London},
      publisher    = {BMJ Publishing Group},
      reportid     = {DZNE-2025-00321},
      pages        = {e092210},
      year         = {2025},
      abstract     = {Care for people living with dementia is both important and
                      complex, and there is evidence of large regional variations
                      in the quality of care. This study protocol describes
                      design, methods and objectives of an investigation of
                      regional variations in the utilisation, the quality and the
                      costs of care for people living with dementia in Germany.An
                      exploratory, naturalistic, mixed-methods study is being
                      conducted with three modules: Module A: A quantitative
                      analysis of claims data of statutory health insurance will
                      be conducted to investigate regional variations in the
                      utilisation and costs of care. Module B: In selected regions
                      of interest that deviate significantly from the average in
                      terms of utilisation in Module A, the quality of care and
                      patient characteristics, variations and possible causes of
                      these variations in care will be examined in more detail
                      using quantitative and qualitative assessments. Module C:
                      The claims and primary data from modules A and B will be
                      combined, synthesised and evaluated to elicit
                      recommendations for regional healthcare using a
                      participatory consensus method.The study is overseen by the
                      German Alzheimer's Association. The study's ethics and data
                      protection plan was approved by the data and ethics
                      committee of the leading university, Brandenburg Medical
                      School Theodor Fontane (reference number: 152092023-BO-E) as
                      well as the data committee of the three participating health
                      insurances. Dissemination plans include dissemination of our
                      main results to the general public, people affected, the
                      scientific community and funding-, policy- and decision
                      makers. Study outcomes and conclusions will be published on
                      our own and the funder's websites, through presentations at
                      conferences and in scientific journals. The funder ensures
                      dissemination of main study results and recommendations for
                      action to relevant organisations and institutions.
                      Publication of the study's main results is planned within 6
                      months of the study's conclusion.DRKS00031944
                      (https://trialsearch.who.int/Trial2.aspx?TrialID=DRKS00031944).},
      keywords     = {Humans / Germany / Dementia / Research Design / Quality of
                      Health Care / Health Care Costs / Dementia (Other) / Health
                      Care Costs (Other) / Quality in health care (Other)},
      cin          = {AG Michalowsky},
      ddc          = {610},
      cid          = {I:(DE-2719)5000067},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:39956603},
      pmc          = {pmc:PMC11831266},
      doi          = {10.1136/bmjopen-2024-092210},
      url          = {https://pub.dzne.de/record/276796},
}