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Projects

The research of the Institute for Health Services Research and Clinical Epidemiology (IVE) at the Philipps-University of Marburg focusses the following main topics:

  • Health services research with a focus on the assessment and analysis of the quality of health care
  • Evaluation research / health policy analysis: evaluation of the implementation of new health policy measures and types of health care settings
  • Method development for quality measurement and quality assessment of health care (focus: metrics/quality indicator development)

Current and recently completed research projects

UNGLEICH (UNEQUAL)

 The UNGLEICH project analyzes whether care after a stroke is patient-centered, gender-equitable, and aligned with medical guidelines, and how it could potentially be improved. The analyses of the quality of post-stroke care are based on anonymized data from AOK insurees, data from the Hesse State Working Group on Quality Assurance, written surveys of patients and relatives, and focus group interviews with physicians and self-help group participants. Under the consortium leadership of IGVE, WIdO, LAGQH, the neurological clinics in Marburg and Fulda, self-help groups, and outpatient practices are participating as consortium or cooperation partners. (Funding body: Innovation Committee at G-BA, 01VSF25021)

MuSE

The Monitoring and Surveillance Unit (MuSE) developed in the preliminary projects will become part of the infrastructure of the University Medicine Network (NUM) from 2026. The IGVE at the UMR's Department of Medicine is primarily responsible for establishing continuous quality and patient safety monitoring at university hospitals (UK) and for research projects based on this monitoring that aim to improve the resilience of UKs in the event of pandemics/crises. (Funding body: BMBF

PSI-BUND

The project is developing a nationwide, internationally compatible, valid, and low-bureaucracy core set of indicators for patient safety (PSI) and drug therapy safety (AMTS-PSI) to monitor patient safety in outpatient, inpatient, and cross-sector healthcare. This set will be tested for its suitability for external quality assurance in the German healthcare system. In addition, decision-making criteria for the needs-based expansion of the set to promote the resilience of the healthcare system in times of crisis will be agreed upon. The project is being led by the Action Alliance for Patient Safety (APS); cooperation partners are Fliedner FH in Düsseldorf, ZEGV at TU Dresden, and IGVE. (Funding body: Innovation Committee at G-BA; 01VSF24023)

The future of primary care

With the help of infas, the Bertelsmann Foundation is currently conducting a survey of family doctors and doctors in further training, in which doctors can assess their working conditions and express their ideas about how they would like to work in the future. The IGVE supported the design of the survey and is conducting sub-analyses of the survey data. (Funding body: Bertelsmann Foundation)

KHK-DeQS

The project aims to develop empirical foundations that can be used to redesign cross-disciplinary and cross-procedural quality assurance for patients with CHD who undergo invasive CABG and/or PCI therapy, either in isolation or consecutively. The project is led by the German Society for Thoracic, Cardiac, and Vascular Surgery (DGTHG); consortium partners are the Scientific Institute of the AOK (WIdO), the German Society for Cardiology – Heart and Circulatory Research (DGK), and the IGVE. (Funding body: Innovation Committee at the G-BA; 01VSF24056)

Prepared-MuSE

Transfer of the PREPARED (PREparedness and PAndemic REesponse in Deutschland) project, funded by the BMBF as part of the University Medicine Network (NUM) in response to the coronavirus pandemic, to a proof-of-concept phase. The indicators developed in the preliminary project will be incorporated into a monitoring and surveillance unit (MuSE) based on two use cases and supplemented with additional indicators. (Funding body: BMBF

Habitat 

The project “HABITAT” (Health Affected by Climate Change and Air Pollution – Pathophysiology and Regional Management” / LOEWE/2/519/03/09.001(0005)/99)) funded by the state of Hesse as part of the LOEWE program, deals with the health risks and regional burdens on medical care caused by extreme weather events. In the subproject at IGVE, current care structures and experiences with the management of the care system are analyzed and, based on forecasts of regional care needs, concepts are developed for the climate-related adjustments necessary in care planning and care structures. (Funding body: State of Hesse)

Optimization of acute treatment for severe strokes in rural areas

Intravenous thrombolysis (IVT) and mechanical thrombectomy (MTE) are treatment options for strokes caused by large vessel occlusion. MTE is usually only available in supraregional stroke units, which means that there may be gaps in care in rural areas. In a collaborative project conducted together with Prof. Neumann-Haefelin, Neurological Clinic Fulda, and the LAGQH, comprehensive survey data from the Hessian quality assurance system and geographical and inferential statistical analyses are being used to analyze the extent of regional differences in care in Hesse and the extent of potentially poorer outcomes for patients from rural areas. (Funding body: UMR Department of Medicine)

ParkProReakt - Proactive instead of reactive symptom recognition in patients with Parkinson

The project aims to use a digital platform to proactively detect symptom changes in patients with Parkinson at an early stage, to provide patients with strategies for action, and thus to have a positive influence on the course of the disease and the quality of life. The IVE is responsible for the independent evaluation of the project, led by the Department of Neurology of the Philipps University (Sponsor: Innovation Fund/G-BA 01NVF20019).

Evaluation of the quality of care in routine outpatient care of common diseases of childhood and adolescence (QualiPäd)

A cooperation project with the University of Ulm (PI). In the project, the quality of outpatient care for seven common somatic and mental diseases of childhood and adolescence is evaluated on the base of newly consented quality indicators, for which data are collected in medical practices (Sponsor: Innovation Fund/G-BA; 01VSF19035).

Quality management and clinical risk management (QuaRiPan 2)

Work package 4 in the PREPARED project (PREparedness and PAndemic REesponse in Germany), a continuation of the egePan project. The projects are funded within the “University Medicine Network” by the BMBF. The aim of the project is to develop a core data set  capturing quality restrictions and risks in patient care in the context of pandemics. Based on this, an early warning and benchmarking concept will be created. Furthermore, three reference centers for quality and risk management as well as a national expert network for quality and safety of patient care will be established (Sponsor: BMBF).

Hospital-specific prognoses, evaluation of the minimum volume regulation over the time of 2016 to 2021 and modeling of cooperation regions (PEMKOR)

In this project, the implementation of minimum volumes and hospital-specific prognoses are evaluated and cooperation regions are modeled (Sponsor: Innovation Fund/G-BA; VSF2_2020-121)

Personnel requirements of long-term care institutions in the district of Marburg-Biedenkopf

Analyses on behalf of the regional public health department (Sponsor: Public Health Department MR-Bi)

Personnel requirements in the Hessian health care system

Cooperation project with the University of Applied Sciences Fulda (Prof. Greß), preparing a forecast of the personnel requirements in Hesse up to the year 2030 for various health care professions (Sponsor: HMWK)

Results of quality-assured stroke care: Hesse compared to the rest of Germany (QUASCH)

Analysis of the effectiveness of external quality assurance using the example of stroke care (Sponsor: Innovation Fund/ G-BA; 01VSF18041)

Integrative Psychiatry Hamm (IPH)

Controlled prospective intervention study to evaluate an integrated care approach of a model hospital under total budget in comparison to a conventionally remunerated psychiatric clinic (Sponsored by the Landeszentrum Gesundheit NRW)

Patient safety in outpatient care (PAV)

Representative population survey to record patient safety-relevant events in outpatient care (Sponsor: Innovation Fund / G-BA; 01VSF16015)

10-year evaluation of the population-based integrated care model “Gesundes Kinzigtal” (INTEGRAL)

Cooperation project with the universities of Cologne, Tübingen, Freiburg under the direction of Optimedis (Hamburg); the IVE developed the evaluation parameters (Sponsor: Innovation Fund/ G-BA; 01VSF16002)

Health examination for people with intellectual disabilities

Analysis of the utilization of and barriers to preventive and curative health care for people with intellectual disabilities and the identification of treatment needs (sponsors: Landeszentrum Gesundheit NRW and GKVen in NRW)