This project consists of two frameworks: INFRAM - Intervention Framework and PACO - Model for payment system comparison. They address possible interventions and evaluations of different strategies.
The goals of this project are
a) to develop a flexible generic framework for testing of public health interventions (e.g. analysis of the cost-effectiveness of screening programs, evaluation of the consequences of prevention, assessment of the impact of therapy, simulation of vaccination programs), called INFRAM, and to realize a prototype of this concept for the evaluation of screening programs,
b) to create a model for the comparison of reimbursement systems and (potentially) the impact of other organizational interventions (PACO), and
c) to make prognoses for the impact of the planned stepped-care approach to medical care (“Versorgungsstufenkonzept”).
We develop a concept for a modular model for assessment of the impact of various public health interventions on a set of diseases. To achieve this goal, we need to find a classification of diseases which is suitable for developing appropriate modules for simulating the typical disease progression in the respective classes. This concept will for example be used to evaluate screening programs for specific non-communicable chronic diseases (e.g. colon cancer).
Work processes, technical methods and presentation techniques for visualizing outcomes need to be developed. The main focus lies on presenting standardized outcome measures (e.g., life years gained, costs and cost-effectiveness) in an easily understandable and intuitive way, making the results more accessible to decision makers and the public.
Furthermore, a dynamic simulation model that allows for the comparison of the impact of different reimbursement systems (e.g., on health care costs) will be developed (PACO). This task will be tightly linked to other DEXHELPP projects like "Project 3 - Burden of Disease" (e.g. multi-morbidities) and "Project 4 - Pathways of Service Utilization" (e.g. prioritized pathways). Especially the impact of the "stepped-care" approach on the healthcare system will be investigated.
The developed frameworks allows answering questions on the impact of public health interventions, reimbursement systems, and other organizational interventions in a generic way, which accelerates decision support and potentially reduces its costs. The innovative target-group oriented presentation and visualization concepts of results should facilitate communication of the acquired knowledge.