NAVICARE - Health Services Research Network

The mission of NAVICARE’s research projects, CoreNAVI and COMPASS, is to seek knowledge about the barriers which keep patients from receiving optimal care, and to study effective, patient-oriented ways to overcome these barriers. Based on the results, a patient navigator program will be developed, which will help to guide patients through the fragmented health care system.

NAVICARE will establish a regional network for patient-oriented health services research and is funded by the German Federal Ministry of Education and Research.

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The NAVICARE Health Services Research Network

The network of NAVICARE combines theoretical and methodological competences of various cooperative partners and includes stakeholders and patient representatives. In addition to the research and the network, further aims include the strengthening of the training in health care research and the promotion of young scientists.

Visit the website of NAVICARE for detailed information.

Background

The health care system in Germany is highly specialized but also highly fragmented. This is particularly a challenge for patients with chronic diseases and multimorbidity. Innovative care models could help to reduce existing barriers and resulting care gaps. One possible approach is the use of so-called "patient navigators", which have been evaluated in other countries. Navigators are specially trained individuals, who provide support to patients beyond the limits of the usual care structures and thus facilitate the "navigation" in a fragmented care system. We explore whether this concept is also applicable to chronically ill patients in Germany. Training, roles and tasks, as well as navigator affiliations need to be defined.

About the NAVICARE network

The activities of the NAVICARE network are organized in three working groups:

  • Network & Dissemination
  • Research
  • Teaching and promotion of young scientists

 Several methodological experts are involved in the network with expertise in the fields of:

  • Qualitative methods / mixed-methods
  • Biostatistics
  • Health Economics

The kick-off event took place on February 22nd, 2017. The program of the event can be found here.

Principal Investigator:
01.02.2017 - 31.05.2018: Prof. Dr. Jacqueline Müller-Nordhorn
since 01.06.2018: PD Dr. Nina Rieckmann

Duration of the project: February 1st, 2017 until January 31st, 2020

Sponsor: Federal Ministry of Education and Research (BMBF)

Funding: 1,950,000 €

Website: https://navicare.berlin/de

Persons and institutes involved in NAVICARE and cooperative partners:

CharitéUniversitätsmedizin Berlin:

Institute of Public Health

  • since 01.06.2018 PD Dr. Nina Rieckmann (01.02.2017 - 31.05.2018: Prof. Dr. Jacqueline Müller-Nordhorn)
  • Dr. Charlotte Klein (Research Network Coordinator)

Cooperative Partners

Charité Comprehensive Cancer Center (CCCC)

  • Prof. Dr. Ulrich Keilholz
  • Dr. Ute Goerling

Center for Stroke Research Berlin (CSB)

  • Prof. Dr. Andreas Meisel
  • Bob Siegerink, PhD

Institute of General Practice, Charité – Universitätsmedizin Berlin

  • Prof. Dr. Christoph Heintze
  • Dr. Susanne Döpfmer

Institute of Medical Sociology and Rehabilitation Science, Charité-Universitätsmedizin Berlin

  • Prof. Dr. Adelheid Kuhlmey
  • PD Dr. Liane Schenk


Methodological expertise
Qualitative methods, mixed methods:

  • Medizinische Hochschule Brandenburg / Institute of Public Health
    Prof. Dr. Christine Holmberg

Biostatistics:


Other cooperative partners within the Charité:

External collaborating partners:

The NAVICARE Research Projects CoreNavi and COMPASS

The goal of the first funding phase of NAVICARE is to develop a patient navigation model that supports patients through the fragmented health care system. Two separate research projects will be working towards the development of the patient navigation model:

Research Project 1: CoreNavi – Development of a model for patient navigation

One goal of the project is the systematic collection of information on existing resources for the care of patients with the age-associated diseases stroke and lung cancer in Berlin. Further, the definition of "optimal care" from a patient’s point of view as well as the identification of existing barriers that are impending optimal care, will be addressed. To identify weaknesses in the health care system from patients´ perspectives, qualitative interviews with lung cancer and stroke patients will be conducted at three different time points. In addition, secondary data analyzes will be carried out in order to identify vulnerable groups which are not receiving adequate care.

Team:

Institute of Public Health

  • PD Dr. Nina Rieckmann
  • Dr. Charlotte Klein
  • Hella Fügemann
  • Dr. Kathrin Gödde
  • Verena Mauckisch
  • Marion Grimmberg
  • Anke Desch

Charité Comprehensive Cancer Center (CCCC)

  • Prof. Dr. Ulrich Keilholz
  • Dr. Ute Goerling

Center for Stroke Research Berlin (CSB)

  • Prof. Dr. Andreas Meisel
  • Bob Siegerink, PhD

Institute of Medical Sociology and Rehabilitation Sciences

  • Prof. Dr. Adelheid Kuhlmey
  • PD Dr. Liane Schenk
  • Johannes Deutschbein
  • Daniel Schindel

Research Project 2: COMPASS – Coordination of Medical Professions Aiming at Sustainable Support

The research project COMPASS will explore how patients, general physicians and medical assistants define “optimal care”. Information on the already existing navigation mechanisms in family medicine will be systematically collected and the possible use of medical assistants in the takeover of navigation tasks will be explored. In addition, data from a survey of insured persons conducted by the National Association of Statutory Health Insurance Physicians (KBV) will be analyzed. The survey provides information on the perspective of patients regarding navigation and delegation, as well as the use and awareness of health care. The feasibility and acceptance of the patient navigation model, which will be developed on the basis of the results of both research projects, will finally be examined in a pilot study.

Team:

Institute of General Practice

  • Prof. Dr. Christoph Heintze
  • Dr. Susanne Döpfmer
  • Dr. Lisa Peter
  • Judith Stumm
  • Cornelia Thierbach

Institute of Medical Sociology and Rehabilitation Sciences

  • Prof. Dr. Adelheid Kuhlmey
  • Dr. Susanne Schnitzer

Team

  • PD Dr. Nina Rieckmann, Principal Investigator
  • Hella Fügemann, MA, MPH, Research Associate, Project 1
  • Dr. Kathrin Gödde, Research Associate, Project 1
  • Marion Grimberg, Student Assistant, Project 1
  • Dr. Charlotte Klein, Coordinator
  • Prof. Dr. Christine Holmberg, Qualitative Methods
  • Anke Desch, Student Assistant, Project 1
  • Claudia Meßner, Student Assistant, Coordination
  • Verena Mauckisch, Study Nurse, Project 1