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This chapter examines if claims data generated in standard medical care is suitable for evaluating integrated care. To do so, we describe the structure and contents of relevant data and explain its advantages as well as the methodological challenges of using such data for evaluation research. Selected short examples will illustrate how to use the data and the conclusions drawn from the results for practical application. This chapter ends with a description of the potential of the data in addition to approaches pursued in clinical research. In order to do so, we will examine to what extent the conclusions drawn for Germany can be applied to other countries based on a number of examples.

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Claims Data for Evaluation

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  • 发表日期：

    2025年

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  • Enno Swart

摘要

This chapter examines if claims data generated in standard medical care is suitable for evaluating integrated care. To do so, we describe the structure and contents of relevant data and explain its advantages as well as the methodological challenges of using such data for evaluation research. Selected short examples will illustrate how to use the data and the conclusions drawn from the results for practical application. This chapter ends with a description of the potential of the data in addition to approaches pursued in clinical research. In order to do so, we will examine to what extent the conclusions drawn for Germany can be applied to other countries based on a number of examples.