TY  - JOUR
AU  - Schönberger, Anna
AU  - Schild, Ann-Katrin
AU  - Steinmetz, Annika
AU  - Simandi, Franziska
AU  - Benson, Gloria S
AU  - Hausner, Lucrezia
AU  - Schöttler, Michael
AU  - Hennig, Bastian
AU  - Knudsen, Arne
AU  - Maier, Franziska
AU  - Frölich, Lutz
AU  - Jessen, Frank
TI  - Optimierung der Arbeit von Gedächtnisambulanzen unter Gesichtspunkten von „value-based healthcare“ – ein Ansatz aus dem Zentrum für Gedächtnisstörungen der Uniklinik Köln  -  Optimization of the work of outpatient memory clinics under aspects of value-based healthcare-An approach from the Center for Memory Disorders of the University Hospital Cologne
JO  - Der Nervenarzt
VL  - 97
IS  - 2
SN  - 0028-2804
CY  - Heidelberg
PB  - Springer
M1  - DZNE-2026-00248
SP  - 163 - 170
PY  - 2026
AB  - Memory clinics in Germany are facing major challenges due to increasing numbers of patients and the first available disease-modifying treatments for Alzheimer's disease. Capacities for counselling, biomarker-based diagnostics, drug administration and follow-up examinations must be achieved, which creates the need for modified workflows. Value-based healthcare (VBHC) aims at optimizing the value for patients (outcome in relation to costs) and can serve as a framework for a patient-oriented increase in efficacy.This project applied approaches of VBHC to analyze and improve the diagnostic processes in our memory clinic in order to achieve a better value for patients and care partners with a more efficient use of existing resources.In a first survey among memory clinic patients and relatives the essential aspects in relation to VBHC were collated and based on the results the existing workflow processes were modified. These modifications were evaluated by a second survey and analysis particularly of process-oriented aspects.The first survey revealed a general satisfaction with the presentation in the memory clinic. The main point of criticism was the duration of the diagnostic process. After the modification the duration and extent of the diagnostics could be reduced. The second evaluation showed improved patient and care partner satisfaction. The respondents considered the modified trajectories to be better and resources were conserved.In our memory clinic an improvement in the sense of VBHC could be achieved through an increased satisfaction with the treatment (outcome) and reduced personnel binding times (costs). This approach can serve as a model for other memory clinics for the development of a more efficient and patient-centered care.
KW  - Humans
KW  - Germany
KW  - Memory Disorders: diagnosis
KW  - Memory Disorders: therapy
KW  - Memory Disorders: economics
KW  - Patient Satisfaction
KW  - Workflow
KW  - Alzheimer Disease: diagnosis
KW  - Alzheimer Disease: therapy
KW  - Alzheimer Disease: economics
KW  - Hospitals, University: economics
KW  - Hospitals, University: organization & administration
KW  - Male
KW  - Female
KW  - Ambulatory Care: economics
KW  - Aged
KW  - Value-Based Health Care
KW  - Alzheimer’s disease (Other)
KW  - Dementia (Other)
KW  - Diagnostics (Other)
KW  - Health economics (Other)
KW  - Patient care (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:41247384
C2  - pmc:PMC12953398
DO  - DOI:10.1007/s00115-025-01903-w
UR  - https://pub.dzne.de/record/285471
ER  -