WirtMed ‒ Prescription of Drugs: Examination and Control of the Economic Efficiency and Quality
Under the consortium leadership of the Philipps University of Marburg, the chair of health economics of the TUM is participating in the "WirtMed-Study" with the Statutory Health Insurances in Saxony and Thuringia (AOK PLUS), in Hesse (AOK Hessen) as well as in Bavaria (AOK Bayern), the University Hospital Erlangen, the Association of Statutory Health Insurance Physicians (KV) of Bavaria and Hesse as well as the Central Institute for Statutory Health Insurance Physicians in Germany (ZI) as consortium and cooperation partners. The project is funded by the Innovation Fund of the Federal Joint Committee (G-BA).
The aim is to develop and test new procedures which the Associations of Statutory Health Insurance Physicians and the Statutory Health Insurances can use to examine and control the economic efficiency and quality of drug prescriptions in the future. In five sub-projects, various aspects of drug prescription and its control are predominantly examined on routine-based data from the Statutory Health Insurances and the Associations of Statutory Health Insurance Physicians. An analysis about how previous control instruments influence drug prescriptions will also be conducted. So-called tracers, expensive substances whose additional benefits and long-term effects could not be proven sufficiently yet, will also be examined. The chair of health economics will investigate the diffusion of such tracers in health care using network-analytical methods with the help of routine data.
Additional to the concrete prescribing behaviour, the study also aims to find out how physicians in private practice perceive and implement the regulations and if there are difficulties and disadvantages in the implementation process. Finally, strategies of profiling shall be developed. So far, the method of profiling was used primarily for the examination of hospital mortality. The WirtMed-Study will adapt this method in order to identify problematic drug prescriptions. The project has a term of three years.
The main contact for this project is Ronja Flemming.
The 19th German Conference for Health Services Research (DKVF) took place in Berlin from 30th September to 1st October. A total of three lectures and one poster from the WirtMed-Study were presented by the consortium:
- "WirtMed-Studie: Entwicklung und Erprobung von Auswertungsstrategien für eine geeignete Wirtschaftlichkeitsprüfung"
- "'Ich übernehme nicht alles unkritisch.' Arzneimittelverordnungen nach Krankenhausbehandlungen als Herausforderung für Hausärzt*innen. Eine qualitative Befragung im Rahmen der WirtMed-Studie"
- "WirtMed-Studie zur Wirtschaftlichkeit der Arzneimittel-Verordnung - immer diese rote Ampel!"
- "Diffusion of a new drug among ambulatory physicians in Germany - The influence of patients’ pathways"