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Background <p>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&#xa0;framework for a&#xa0;patient-oriented increase in efficacy.</p> Objective <p>This project applied approaches of VBHC to analyze and improve the diagnostic processes in our memory clinic in order to achieve a&#xa0;better value for patients and care partners with a more efficient use of existing resources.</p> Methods <p>In a&#xa0;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&#xa0;second survey and analysis particularly of process-oriented aspects.</p> Results <p>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.</p> Conclusion <p>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.</p>

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Optimierung der Arbeit von Gedächtnisambulanzen unter Gesichtspunkten von „value-based healthcare“ – ein Ansatz aus dem Zentrum für Gedächtnisstörungen der Uniklinik Köln

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月17日

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  • Anna Schönberger,
  • Ann-Katrin Schild,
  • Annika Steinmetz,
  • Franziska Simandi,
  • Gloria S. Benson,
  • Lucrezia Hausner,
  • Michael Schöttler,
  • Bastian Hennig,
  • Arne Knudsen,
  • Franziska Maier,
  • Lutz Frölich,
  • Frank Jessen

摘要

Background

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.

Objective

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.

Methods

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.

Results

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.

Conclusion

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.