Ensuring ambulatory medical care in rural areas
Different care models have been discussed in response to the threat of an undersupply of ambulatory medical care in areas with low population density (ALPD); for example temporary practices, the increased use of telemedicine, and non-physician personnel services or taxi services for patients to access regionally centralised practices.
However, there may be differences in the degree to which these care models cater to population needs and preferences. This project focuses on matching the characteristics of different models for ALPD with population preferences. We aim to identify suitable strategies for an ALPD setting in Germany by conducting a health technology assessment on the effectiveness and acceptability of ambulatory care models, utilised in ALPD settings worldwide, and eliciting population preferences with regard to the characteristics of these ambulatory care models by means of the Analytical Hierarchy Process (AHP). Based on our findings, we will develop recommendations on how existing institutional settings and policies can be shaped for the additional needs of ALPD going forward.
Our ultimate goal is to develop recommendations for the German health care system by providing a criteriology for appropriate institutional settings from a population perspective.