In the first funding phase (01.12.2016-30.11.2019), three research projects are conducted in EMANet:
- EMACROSS (Emergency and Acute Care for Respiratory Diseases beyond Sectoral Separation),
- EMAAge (Daily-life function and self-reported quality of life of geriatric patients before and after emergency teatment), and
- EMASPOT (Systematic Screening for Comorbid Psychological Conditions in cardiac ACSC patients with multimorbidity in the ED).
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During the first three-year project phase (01.02.2016 – 30.11.2019) three research projects will be conducted.
- EMACROSS – focuses on interactions between primary care provided by general practitioners and hospital emergency departments for patients with respiratory tract infections.
- EMAAge – focuses on geriatric patients with fractures of the proximal femur assessing their integral emergency care and post-hospital care pathways with particular regard to patient-relevant outcomes.
- EMASPOT – focuses on mental health conditions and their influence on the utilisation of the health care System of patients with cardiac diseases.
All projects focus on the interface between outpatient and inpatient health care sectors aiming at depicting health care patterns of emergency patients as well as identifying related causes and motivation.
The indications defining the patient groups of the EMANet projects belong to the group of the so called "ambulatory care sensitive conditions (ACSC)". ACSC are common chronic and acute illnesses considered not to require inpatient treatment if appropriate ambulatory care is received. They are considered as quality indicators for primary care and performance of the healthcare systems. ACSC-related hospitalisations are common and extremely costly in western countries. Reducing hospitalisation implies cost savings in the healthcare system.
Patients participating in the EMANet research projects are interviewed about their diseases, use of the health care system and psychosocial factors. Parts of patients will be included in detailed qualitative interviews, which focus on the motivation of use and perception of the health care system. Additionally, health professionals such as nurses and doctors will be interviewed in order to examine experts' perspective on the health care of patients.
Beside the primary data collection, the linkage of secondary routine data from outpatient care with data from inpatient care as well as ambulatory care in hospitals is an important component and feature of EMANet. The linkage of data enables analysis of the use of structures and institutions of the health care system, the frequency and timing doctors in the outpatient sector and emergency departments are used by patients with specific indications and the use of other institutions of outpatient care (i.e. care facilities, social services or physiotherapy).