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@ARTICLE{Platen:279171,
      author       = {Platen, Moritz and Hoffmann, Wolfgang and Michalowsky,
                      Bernhard},
      title        = {{C}omparing {D}ifferent {I}mplementation {S}trategies for
                      {C}ollaborative {D}ementia {C}are {M}anagement in {T}erms of
                      {P}atients' {C}haracteristics, {U}nmet {N}eeds, and the
                      {I}mpact on {Q}uality of {L}ife and {C}osts in {G}ermany.},
      journal      = {PharmacoEconomics - open},
      volume       = {9},
      number       = {2},
      issn         = {2509-4262},
      address      = {[Cham]},
      publisher    = {Springer International Publishing},
      reportid     = {DZNE-2025-00699},
      pages        = {271 - 282},
      year         = {2025},
      abstract     = {To compare the implementation of collaborative dementia
                      care management (cDCM) across two settings regarding
                      patients' characteristics, unmet needs, and the impact on
                      health-related quality of life (HRQoL) and costs.This
                      analysis was based on data from the DCM:IMPact study,
                      implementing cDCM in a physician network (n = 22 practices)
                      and two day care centers (DCC) for community-dwelling
                      persons with dementia over 6 months in Germany. Participants
                      completed comprehensive assessments at baseline and 6 months
                      after, soliciting sociodemographic and clinical
                      characteristics, unmet needs, HRQoL and healthcare resource
                      utilization. Patient characteristics and unmet needs were
                      analyzed descriptively, and the impact of cDCM on costs and
                      HRQoL was assessed using multivariable regression models.At
                      baseline, patients from the physician network (n = 46)
                      exhibited more pronounced neuropsychiatric symptoms (NPI
                      mean score 14 versus 10, p = 0.075), were more frequently
                      diagnosed with dementia $(76\%$ versus $56\%,$ p = 0.040),
                      were less likely assigned a care level by the long-term care
                      insurance $(63\%$ versus $91\%,$ p ≤ 0.001) to access
                      formal care services and had more unmet needs (12.8 versus
                      11.0, p ≤ 0.001), especially for social care services than
                      DCC patients (n = 57). After 6 months, the adjusted means
                      indicated that cDCM implemented in the physician network was
                      more effective [EQ-5D-5L utility score; 0.061; $95\%$
                      confidence interval (CI) - 0.032 to 0.153] and less costly
                      (- 5950€; $95\%$ CI - 8415€ to - 3485€) than cDCM
                      implemented in DCC.Patients and the healthcare system may
                      benefit more when cDCM is implemented in physician networks.
                      However, patient characteristics indicated two samples with
                      specific conditions and various unmet needs using different
                      ways of accessing healthcare, demonstrating the need for
                      cDCM in both settings, which must be considered when
                      implementing cDCM to integrate the respective sectors
                      efficiently.German Clinical Trials Register: DRKS00025074.
                      Registered 16 April 2021-retrospectively registered.},
      cin          = {AG Michalowsky / AG Hoffmann},
      ddc          = {610},
      cid          = {I:(DE-2719)5000067 / I:(DE-2719)1510600},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:39674842},
      pmc          = {pmc:PMC11865390},
      doi          = {10.1007/s41669-024-00548-w},
      url          = {https://pub.dzne.de/record/279171},
}