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Healthy Kinzigtal – Germany

Summary

Gesundes Kinzigtal (Healthy Kinzigtal) was founded in 2005 by the Hamburg Company OptiMedis AG and the medical network “Medizinisches Qualitätsnetz – Ärzteinitiative Kinzigtal”. Healthy Kinzigtal is based on a long-term integrated care contract with the AOK Baden-Württemberg [a public health insurance fund] and the Sozialversicherung für Landwirtschaft, Forsten und Gartenbau [Social insurance for agriculture, forestry and horticulture]. After completion of the first ten years, the contract is to be continued indefinitely with both partner funds from 2016 onwards. In addition, Healthy Kinzigtal is in discussion with other health insurance funds and insurance companies, concerning opening up its services to people insured by other health insurance funds. Integrated care, as offered by Gesundes Kinzigtal GmbH, overcomes the barriers present in the gesetzliche Krankenversicherung (GKV) [German statutory health insurance], e.g. between the outpatient and inpatient sectors. Among other things as a result of the separation of the two care systems, patients sometimes experience uncoordinated treatment courses. On top of this, additional expenditure may be incurred without any additional health benefit being achieved. This problem area was the starting point for the project “Healthy Kinzigtal”. A further starting point for “Healthy Kinzigtal” was a provision of the best possible care, taking cost effectiveness into consideration.

The objective of the strategy is to optimise the healthcare and prevention of an entire region. The primary objective is to reduce the morbidity load for the population, above all in relation to chronic diseases, by means of prevention, health promotion and empowerment (“health literacy”). Three main goals are pursued: to support and strengthen the health of the population; to enable the individual to experience better healthcare provision; to improve the cost effectiveness of healthcare provision. Healthy Kinzigtal has a holistic public health approach, enabling health and social care professionals and other partners involved to offer a comprehensive package of services to people across indications and health service sectors. Numerous individual projects and services can be derived from the overall concept of Gesundes Kinzigtal GmbH. The integrated care model in Kinzigtal is one of the few models in Germany with a population based integrated care approach. All age groups are addressed.

The prevention and healthcare services provided by Healthy Kinzigtal are based on close co-operation across specialist and professional fields between service providers from the healthcare system, on the one hand. Depending on the service and aim, experts from other sectors (sector-wide) are also involved, such as clinics, pharmacists, nutritionists, physiotherapists, social workers and health coaches, and nursing specialists. Healthy Kinzigtal is also currently working together with 38 clubs and societies in the region, several fitness studios, six companies and the local authorities of the region. Core activities are:

  1. Care and prevention programmes for the prevention of health risks, for improvement of the health status and quality of life of vulnerable groups of individuals.
  2. Case management for supporting individual patients in health-related and social problem situations.
  3. Patient activation by means of numerous different services in the form of lectures, courses on various different health topics.
  4. Corporate health management for prevention of health risks in the corporate context.
  5. Practice management for the supervision and support of partner practices.
  6. Information and communication technology (ICT): use of integrated information and communication technology, among other things electronic patient files, for better coordination in the care of patients.

Since 2006, the membership figures of Healthy Kinzigtal have continuously increased. It started with 875 members in 2006. At the end of 2013, 9,806 people had decided to become members of Healthy Kinzigtal. Further, a survey on patient satisfaction shows that more than 90% of the currently enrolled insurants “would definitely or probably enrol again if they were given the choice”.

 

Additional information: https://www.ekiv.org/current-and-previous-evaluation-studies/  

(last accessed in March 2017)

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Life Cycle Stages: Whole life cycle | 
Main Settings: community | healthcare services | 
Specific Topics: interdisciplinary coordination of public health activities | 

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