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@ARTICLE{Schnberger:285471,
      author       = {Schönberger, Anna and Schild, Ann-Katrin and Steinmetz,
                      Annika and Simandi, Franziska and Benson, Gloria S and
                      Hausner, Lucrezia and Schöttler, Michael and Hennig,
                      Bastian and Knudsen, Arne and Maier, Franziska and Frölich,
                      Lutz and Jessen, Frank},
      title        = {{O}ptimierung der {A}rbeit von {G}edächtnisambulanzen
                      unter {G}esichtspunkten von „value-based healthcare“ –
                      ein {A}nsatz aus dem {Z}entrum für {G}edächtnisstörungen
                      der {U}niklinik {K}öln | {O}ptimization of the work of
                      outpatient memory clinics under aspects of value-based
                      healthcare-{A}n approach from the {C}enter for {M}emory
                      {D}isorders of the {U}niversity {H}ospital {C}ologne},
      journal      = {Der Nervenarzt},
      volume       = {97},
      number       = {2},
      issn         = {0028-2804},
      address      = {Heidelberg},
      publisher    = {Springer},
      reportid     = {DZNE-2026-00248},
      pages        = {163 - 170},
      year         = {2026},
      abstract     = {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.},
      keywords     = {Humans / Germany / Memory Disorders: diagnosis / Memory
                      Disorders: therapy / Memory Disorders: economics / Patient
                      Satisfaction / Workflow / Alzheimer Disease: diagnosis /
                      Alzheimer Disease: therapy / Alzheimer Disease: economics /
                      Hospitals, University: economics / Hospitals, University:
                      organization $\&$ administration / Male / Female /
                      Ambulatory Care: economics / Aged / Value-Based Health Care
                      / Alzheimer’s disease (Other) / Dementia (Other) /
                      Diagnostics (Other) / Health economics (Other) / Patient
                      care (Other)},
      cin          = {AG Jessen},
      ddc          = {610},
      cid          = {I:(DE-2719)1011102},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:41247384},
      pmc          = {pmc:PMC12953398},
      doi          = {10.1007/s00115-025-01903-w},
      url          = {https://pub.dzne.de/record/285471},
}