{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T15:21:41Z","timestamp":1785856901855,"version":"3.56.0"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Innovation Fund of the Joint Federal Committee of Germany","award":["01NVF18016"],"award-info":[{"award-number":["01NVF18016"]}]},{"DOI":"10.13039\/100009572","name":"University of St.Gallen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100009572","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Health Econ"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Healthcare systems increasingly face shortages of medical professionals, and simultaneously experience a rise in demand for healthcare services. In this study, we investigated whether a digital PROM-based monitoring and alert system for hip and knee replacement patients post-surgery can support in decreasing healthcare expenditures and utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We used data from the randomized controlled trial\n                      <jats:italic>PROMoting Quality<\/jats:italic>\n                      , focusing on 546 hip and 492 knee replacement patients from nine German hospitals between October 2019 and December 2020 with available claims data. Patients were equally randomized into two groups: one receiving a PROM-based intervention at 1, 3, and 6\u00a0months post-surgery, the other receiving standard care. We compared 1-year post-surgery healthcare utilization using mixed-effects regression models. We further extrapolated the intervention effects to the German healthcare system.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Results showed post-surgery health expenditure reductions of 7.9% (-318.08,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015) for hip and 7.3% (-386.72,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.053) for knee replacements. Significant decreases were observed in outpatient care contacts (-1.51,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005), physiotherapy sessions (-1.65,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037), and number of prescriptions (-2.14,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042) for hip replacements. For knee replacement patients, significant determinants of the cost differences were fewer prescriptions (-3.40,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013) and medical aids (-0.81,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings suggest that digital health interventions can reduce utilization and save scarce healthcare resources. It can be hypothesized that the \u201cbeing taken care of\u201d effect reduced the need for reassurance of the recovery progress, leading to fewer GP visits and decreased utilization of other healthcare services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10198-025-01810-6","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T08:34:25Z","timestamp":1754555665000},"page":"391-410","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["PROM-based monitoring and alerts reduce post-surgery healthcare utilization of patients undergoing joint replacement:\u00a0A secondary analysis of the\u00a0PROMoting Quality RCT"],"prefix":"10.1007","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7092-7480","authenticated-orcid":false,"given":"David","family":"Ehlig","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Sch\u00f6ner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Geissler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Wittich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhard","family":"Busse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justus","family":"Vogel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,7]]},"reference":[{"key":"1810_CR1","unstructured":"WHO Regional Office for Europe, WHO Europe, WHO Regional Office for Europe: Health and care workforce in Europe: time to act. 1\u2013205 (2022). https:\/\/www.who.int\/europe\/publications\/i\/item\/9789289058339"},{"key":"1810_CR2","doi-asserted-by":"publisher","unstructured":"Zhang, X., Lin, D., Pforsich, H., Lin, V.W.: Physician workforce in the United States of America: forecasting nationwide shortages. Hum. Resour. Health. 18, 1\u20139 (2020). https:\/\/doi.org\/10.1186\/S12960-020-0448-3\/FIGURES\/2","DOI":"10.1186\/S12960-020-0448-3\/FIGURES\/2"},{"key":"1810_CR3","unstructured":"Healthcare expenditure statistics - overview - Statistics Explained - Eurostat, https:\/\/ec.europa.eu\/eurostat\/statistics-explained\/index.php?title=Healthcare_expenditure_statistics_-_overview"},{"key":"1810_CR4","unstructured":"Statistisches Bundesamt: 15th Coordinated Population Projection for Germany. Variant 1: Moderate development in fertility and life expectancy and net migration, https:\/\/service.destatis.de\/bevoelkerungspyramide\/index.html#!l=en"},{"key":"1810_CR5","doi-asserted-by":"publisher","unstructured":"Retooling for an aging America: Building the health care workforce. Retooling for an Aging America: Building the Health Care Workforce. 1\u2013300 (2008). https:\/\/doi.org\/10.17226\/12089","DOI":"10.17226\/12089"},{"key":"1810_CR6","doi-asserted-by":"publisher","first-page":"e534","DOI":"10.1016\/S2589-7500(23)00092-4","volume":"5","author":"IJ Borges do nascimento","year":"2023","unstructured":"Borges do nascimento, I.J., Abdulazeem, H.M., Vasanthan, L.T., Martinez, E.Z., Zucoloto, M.L., \u00d8stengaard, L., Azzopardi-Muscat, N., Zapata, T., Novilloortiz, D.: The global effect of digital health technologies on health workers\u2019 competencies and health workplace: an umbrella review of systematic reviews and lexical-based and sentence-based meta-analysis. Lancet. Digit. Health. 5, e534\u2013e544 (2023). https:\/\/doi.org\/10.1016\/S2589-7500(23)00092-4","journal-title":"Lancet. Digit. Health."},{"key":"1810_CR7","doi-asserted-by":"publisher","unstructured":"Gibbons, C., Porter, I., Gon\u00e7alves-Bradley, D.C., Stoilov, S., Ricci-Cabello, I., Tsangaris, E., Gangannagaripalli, J., Davey, A., Gibbons, E.J., Kotzeva, A., Evans, J., van der Wees, P.J., Kontopantelis, E., Greenhalgh, J., Bower, P., Alonso, J., Valderas, J.M.: Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice. Cochrane Database of Systematic Reviews. 2021, (2021). https:\/\/doi.org\/10.1002\/14651858.CD011589.PUB2","DOI":"10.1002\/14651858.CD011589.PUB2"},{"key":"1810_CR8","doi-asserted-by":"publisher","unstructured":"McMorrow, R., Hunter, B., Hendrieckx, C., Kwasnicka, D., Speight, J., Cussen, L., Ho, F.C.S., Emery, J., Manski-Nankervis, J.A.: Effect of routinely assessing and addressing depression and diabetes distress on clinical outcomes among adults with type 2 diabetes: A systematic review. BMJ Open. 12, (2022). https:\/\/doi.org\/10.1136\/BMJOPEN-2021-054650","DOI":"10.1136\/BMJOPEN-2021-054650"},{"key":"1810_CR9","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1001\/JAMA.2017.7156","volume":"318","author":"E Basch","year":"2017","unstructured":"Basch, E., Deal, A.M., Dueck, A.C., Scher, H.I., Kris, M.G., Hudis, C., Schrag, D.: Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. JAMA 318, 197\u2013198 (2017). https:\/\/doi.org\/10.1001\/JAMA.2017.7156","journal-title":"JAMA"},{"key":"1810_CR10","doi-asserted-by":"publisher","first-page":"2341","DOI":"10.1007\/S11136-022-03093-3","volume":"31","author":"C Snyder","year":"2022","unstructured":"Snyder, C., Hannum, S.M., White, S., Montanari, A., Ikejiani, D., Smith, B., Blackford, A., Thorner, E., Smith, K.C., Carducci, M.A., Stearns, V., Smith, K.L.: A PRO-cision medicine intervention to personalize cancer care using patient-reported outcomes: intervention development and feasibility-testing. Qual. Life. Res. 31, 2341\u20132355 (2022). https:\/\/doi.org\/10.1007\/S11136-022-03093-3","journal-title":"Qual. Life. Res."},{"key":"1810_CR11","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1080\/0284186X.2020.1717604","volume":"59","author":"CL Riis","year":"2020","unstructured":"Riis, C.L., Jensen, P.T., Bechmann, T., M\u00f6ller, S., Coulter, A., Steffensen, K.D.: Satisfaction with care and adherence to treatment when using patient reported outcomes to individualize follow-up care for women with early breast cancer\u2013a pilot randomized controlled trial. Acta. Oncol. (Madr). 59, 444\u2013452 (2020). https:\/\/doi.org\/10.1080\/0284186X.2020.1717604","journal-title":"Acta. Oncol. (Madr)."},{"key":"1810_CR12","doi-asserted-by":"publisher","unstructured":"Liz\u00e1n, L., P\u00e9rez-Carbonell, L., Comellas, M.: Additional value of patient-reported symptom monitoring in cancer care: A systematic review of the literature. Cancers (Basel). 13, (2021). https:\/\/doi.org\/10.3390\/CANCERS13184615,","DOI":"10.3390\/CANCERS13184615"},{"key":"1810_CR13","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1177\/1120700018757940\/ASSET\/F77BCFD8-2E83-4D36-B217-4F8CEF2BB0E5\/ASSETS\/IMAGES\/LARGE\/10.1177_1120700018757940-FIG4.JPG","volume":"28","author":"C Pabinger","year":"2018","unstructured":"Pabinger, C., Lothaller, H., Portner, N., Geissler, A.: Projections of hip arthroplasty in OECD countries up to 2050. Hip. Int. 28, 498\u2013506 (2018). https:\/\/doi.org\/10.1177\/1120700018757940\/ASSET\/F77BCFD8-2E83-4D36-B217-4F8CEF2BB0E5\/ASSETS\/IMAGES\/LARGE\/10.1177_1120700018757940-FIG4.JPG","journal-title":"Hip. Int."},{"key":"1810_CR14","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1080\/17453674.2018.1446463","volume":"89","author":"V Pilz","year":"2018","unstructured":"Pilz, V., Hanstein, T., Skripitz, R.: Projections of primary hip arthroplasty in Germany until 2040. Acta. Orthop. 89, 308\u2013313 (2018). https:\/\/doi.org\/10.1080\/17453674.2018.1446463","journal-title":"Acta. Orthop."},{"key":"1810_CR15","doi-asserted-by":"publisher","first-page":"E2331301","DOI":"10.1001\/jamanetworkopen.2023.31301","volume":"6","author":"V Steinbeck","year":"2023","unstructured":"Steinbeck, V., Langenberger, B., Sch\u00f6ner, L., Wittich, L., Klauser, W., Mayer, M., Kuklinski, D., Vogel, J., Geissler, A., Pross, C., Busse, R.: Electronic patient-reported outcome monitoring to improve quality of life after joint replacement: secondary analysis of a randomized clinical trial. JAMA Netw. Open. 6, E2331301 (2023). https:\/\/doi.org\/10.1001\/jamanetworkopen.2023.31301","journal-title":"JAMA Netw. Open."},{"key":"1810_CR16","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/J.JCOT.2021.05.010","volume":"19","author":"V Joseph","year":"2021","unstructured":"Joseph, V., Nagy, M.T., Fountain, J.: Cost analysis on virtual clinic follow-up after primary joint arthroplasty. J. Clin. Orthop. Trauma. 19, 89\u201393 (2021). https:\/\/doi.org\/10.1016\/J.JCOT.2021.05.010","journal-title":"J. Clin. Orthop. Trauma."},{"key":"1810_CR17","doi-asserted-by":"publisher","unstructured":"Kuklinski, D., Oschmann, L., Pross, C., Busse, R., Geissler, A.: The use of digitally collected patient-reported outcome measures for newly operated patients with total knee and hip replacements to improve post-treatment recovery: Study protocol for a randomized controlled trial. Trials. 21, (2020). https:\/\/doi.org\/10.1186\/s13063-020-04252-y","DOI":"10.1186\/s13063-020-04252-y"},{"key":"1810_CR18","doi-asserted-by":"publisher","unstructured":"Calvert, M., Kyte, D., Mercieca-Bebber, R., Slade, A., Chan, A.-W., King, M.T., Group, and the S.-P., Hunn, A., Bottomley, A., Regnault, A., Chan, A.-W., Ells, C., O\u2019Connor, D., Revicki, D., Patrick, D., Altman, D., Basch, E., Velikova, G., Price, G., Draper, H., Blazeby, J., Scott, J., Coast, J., Norquist, J., Brown, J., Haywood, K., Johnson, L.L., Campbell, L., Frank, L., Hildebrand, M. von, Brundage, M., Palmer, M., Kluetz, P., Stephens, R., Golub, R.M., Mitchell, S., Groves, T.: Guidelines for Inclusion of Patient-Reported Outcomes in Clinical Trial Protocols: The SPIRIT-PRO Extension. JAMA. 319, 483\u2013494 (2018). https:\/\/doi.org\/10.1001\/JAMA.2017.21903","DOI":"10.1001\/JAMA.2017.21903"},{"key":"1810_CR19","doi-asserted-by":"publisher","first-page":"e1004459","DOI":"10.1371\/journal.pmed.1004459","volume":"21","author":"L Sch\u00f6ner","year":"2024","unstructured":"Sch\u00f6ner, L., Kuklinski, D., Wittich, L., Steinbeck, V., Langenberger, B., Breitkreuz, T., Compes, F., Kretzler, M., Marschall, U., Klauser, W., Citak, M., Matziolis, G., Schrednitzki, D., Grasb\u00f6ck, K., Vogel, J., Pross, C., Busse, R., Geissler, A.: Cost-effectiveness of a patient-reported outcome-based remote monitoring and alert intervention for early detection of critical recovery after joint replacement: a randomised controlled trial. PLoS Med. 21, e1004459 (2024). https:\/\/doi.org\/10.1371\/journal.pmed.1004459","journal-title":"PLoS Med."},{"key":"1810_CR20","doi-asserted-by":"publisher","first-page":"1727","DOI":"10.1007\/S11136-011-9903-X","volume":"20","author":"M Herdman","year":"2011","unstructured":"Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., Bonsel, G., Badia, X.: Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual. Life. Res. 20, 1727\u20131736 (2011). https:\/\/doi.org\/10.1007\/S11136-011-9903-X","journal-title":"Qual. Life. Res."},{"key":"1810_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2474-4-10","volume":"4","author":"AK Nilsdotter","year":"2003","unstructured":"Nilsdotter, A.K., Lohmander, L.S., Kl\u00e4ssbo, M., Roos, E.M.: Hip disability and osteoarthritis outcome score (HOOS) - validity and responsiveness in total hip replacement. BMC Musculoskelet. Disord. 4, 1\u20138 (2003). https:\/\/doi.org\/10.1186\/1471-2474-4-10","journal-title":"BMC Musculoskelet. Disord."},{"key":"1810_CR22","doi-asserted-by":"publisher","unstructured":"Roos, E.M., Lohmander, L.S.: The Knee injury and Osteoarthritis Outcome Score (KOOS): From joint injury to osteoarthritis. Health Qual Life Outcomes. 1, (2003). https:\/\/doi.org\/10.1186\/1477-7525-1-64,","DOI":"10.1186\/1477-7525-1-64"},{"key":"1810_CR23","first-page":"236","volume":"3","author":"ILBRM Wahl","year":"2011","unstructured":"Wahl, I.L.B.R.M.: Das patient-reported outcomes measurement information system (PROMIS): \u00fcbersetzung der item-banken f\u00fcr depressivit\u00e4t und angst ins deutsche. Klin. Diagn. Eval. 3, 236\u2013261 (2011)","journal-title":"Klin. Diagn. Eval."},{"key":"1810_CR24","unstructured":"German Federal Statistics Office: Operations and procedures for inpatients in hospitals. DRG Statistics."},{"key":"1810_CR25","unstructured":"Finalised Patient Reported Outcome Measures (PROMs) in England for Hip & Knee Replacements, April 2018 \u2013 March 2019 - NHS England Digital, https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/patient-reported-outcome-measures-proms\/finalised-hip--knee-replacements-april-2018---march-2019"},{"key":"1810_CR26","doi-asserted-by":"publisher","unstructured":"Langenberger, B., Steinbeck, V., Sch\u00f6ner, L., Busse, R., Pross, C., Kuklinski, D.: Exploring treatment effect heterogeneity of a PROMs alert intervention in knee and hip arthroplasty patients: A causal forest application. Comput Biol Med. 163, (2023). https:\/\/doi.org\/10.1016\/j.compbiomed.2023.107118","DOI":"10.1016\/j.compbiomed.2023.107118"},{"key":"1810_CR27","doi-asserted-by":"publisher","first-page":"1012","DOI":"10.1016\/j.jtho.2019.02.005","volume":"14","author":"T Liz\u00e9e","year":"2019","unstructured":"Liz\u00e9e, T., Basch, E., Tr\u00e9moli\u00e8res, P., Voog, E., Domont, J., Peyraga, G., Urban, T., Bennouna, J., Septans, A.L., Balavoine, M., Detournay, B., Denis, F.: Cost-effectiveness of web-based patient-reported outcome surveillance in patients with lung cancer. J. Thorac. Oncol. 14, 1012\u20131020 (2019). https:\/\/doi.org\/10.1016\/j.jtho.2019.02.005","journal-title":"J. Thorac. Oncol."},{"key":"1810_CR28","doi-asserted-by":"publisher","first-page":"e50357","DOI":"10.2196\/50357","volume":"10","author":"M Wosny","year":"2023","unstructured":"Wosny, M., Strasser, L.M., Hastings, J.: Experience of health care professionals using digital tools in the hospital: qualitative systematic review. JMIR Hum. Factors. 10, e50357 (2023). https:\/\/doi.org\/10.2196\/50357","journal-title":"JMIR Hum. Factors."},{"key":"1810_CR29","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1186\/S41687-019-0121-6","volume":"3","author":"Y Pronk","year":"2019","unstructured":"Pronk, Y., Pilot, P., Brinkman, J.M., van Heerwaarden, R.J., van der Weegen, W.: Response rate and costs for automated patient-reported outcomes collection alone compared to combined automated and manual collection. J. Patient. Rep. Outcomes. 3, 31 (2019). https:\/\/doi.org\/10.1186\/S41687-019-0121-6","journal-title":"J. Patient. Rep. Outcomes."},{"key":"1810_CR30","doi-asserted-by":"publisher","first-page":"100904","DOI":"10.1016\/J.HLPT.2024.100904","volume":"13","author":"A Geissler","year":"2024","unstructured":"Geissler, A., Hollenbach, J., Haring, M., Amelung, V.E., Thun, S., Haering, A.: A nationwide digital maturity assessment of hospitals \u2013 results from the German digital radar. Health. Policy. Technol. 13, 100904 (2024). https:\/\/doi.org\/10.1016\/J.HLPT.2024.100904","journal-title":"Health. Policy. Technol."},{"key":"1810_CR31","doi-asserted-by":"publisher","first-page":"1753","DOI":"10.1016\/J.JVAL.2024.09.016","volume":"27","author":"V van Engen","year":"2024","unstructured":"van Engen, V., van Lint, C.L., Peters, I.A., Ahaus, K., Buljac-Samardzic, M., Bonfrer, I.: Enhancing patient response to patient-reported outcome measures: insights from a leading Dutch University hospital. Value. Health. 27, 1753\u20131761 (2024). https:\/\/doi.org\/10.1016\/J.JVAL.2024.09.016","journal-title":"Value. Health."},{"key":"1810_CR32","doi-asserted-by":"publisher","unstructured":"Salvi, I., Ehlig, D., Vogel, J., Bischof, A., Geissler, A.: How to interpret patient-reported outcomes? - Stratified adjusted minimal important changes for the EQ-5D-3L in hip and knee replacement patients. J Patient Rep Outcomes. 8, (2024). https:\/\/doi.org\/10.1186\/s41687-024-00812-x","DOI":"10.1186\/s41687-024-00812-x"},{"key":"1810_CR33","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1016\/j.jor.2022.01.002","volume":"29","author":"D Kuklinski","year":"2022","unstructured":"Kuklinski, D., Marques, C.J., Bohlen, K., Westphal, K.C., Lampe, F., Geissler, A.: Thresholds for meaningful improvement in WOMAC scores need to be adjusted to patient characteristics after hip and knee replacement. J. Orthop. 29, 50\u201359 (2022). https:\/\/doi.org\/10.1016\/j.jor.2022.01.002","journal-title":"J. Orthop."},{"key":"1810_CR34","doi-asserted-by":"publisher","first-page":"2154","DOI":"10.1016\/j.arth.2015.06.012","volume":"30","author":"JM Giesinger","year":"2015","unstructured":"Giesinger, J.M., Hamilton, D.F., Jost, B., Behrend, H., Giesinger, K.: WOMAC, EQ-5D and knee society score thresholds for treatment success after total knee arthroplasty. J. Arthroplasty. 30, 2154\u20132158 (2015). https:\/\/doi.org\/10.1016\/j.arth.2015.06.012","journal-title":"J. Arthroplasty."},{"key":"1810_CR35","unstructured":"Farin-Glattacker, E., Meyer, T., Vogel, H.: Reha-Therapiestandards H\u00fcft- und Knie-TEP. Leitlinien f\u00fcr die medizinische Rehabilitation der Rentenversicherung Deutsche Rentenversicherung Bund (Hrsg). (2016). https:\/\/www.deutsche-rentenversicherung.de\/SharedDocs\/Downloads\/DE\/Experten\/infos_reha_einrichtungen\/quali_rehatherapiestandards\/TEP\/rts_tep_download.pdf?__blob=publicationFile&v=1"},{"key":"1810_CR36","unstructured":"Innovation Fund of the Joint Federal Committee of Germany: Decision of the innovation committee of the joint federal committee in accordance with Section 92b (3) SGB V on the completed PROMoting Quality project (01NVF18016). (2024). https:\/\/innovationsfonds.g-ba.de\/beschluesse\/promoting-quality.254"}],"container-title":["The European Journal of Health Economics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10198-025-01810-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10198-025-01810-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10198-025-01810-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T11:21:02Z","timestamp":1775128862000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10198-025-01810-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,7]]},"references-count":36,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["1810"],"URL":"https:\/\/doi.org\/10.1007\/s10198-025-01810-6","relation":{},"ISSN":["1618-7598","1618-7601"],"issn-type":[{"value":"1618-7598","type":"print"},{"value":"1618-7601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,7]]},"assertion":[{"value":"16 December 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 June 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 August 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The \u2018PROMoting Quality\u2019 study was approved by the ethics committee of the Charit\u00e9\u2014Universit\u00e4tsmedizin, Berlin (EA4\/169\/19). All participants gave written informed consent for data collection and anaylsis at the time of recruitment and could withdraw from the study at any time without stating reasons until the final follow-up.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All authors provide consent for the publication of the manuscript.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}