The “AOK-Junior” care program of the AOK Nordost (a German statutory health insurance) completes the primary care for children and adolescents (C&A) in the federal states of Berlin, Brandenburg and Mecklenburg-Vorpommern in Germany. The focus of this program is on prevention and early detection of illness on C&A. Furthermore, the aim is to maintain the health of C&A and to prevent, detect and treat illness on time. Elements of the program are not only the integrated care of C&A, but also, for example, weight reduction and additional medical checkups U10, U11 and J2. The evaluation of the complex intervention should provide information about the effectiveness of early disease detection and costs-effectiveness as well as of other parameters like satisfaction. The evaluation is performed on the levels of structural-, process- and results-quality. The cost effectiveness is also assessed by means of a health economic evaluation. In addition to the collection of qualitative and quantitative primary data from participating and non-participating C&A and paediatricians, routine data from a statutory health insurance are used in the evaluation. Furthermore, a cross-sectional design is used to evaluate the structure and process quality. The effectiveness is evaluated in longitudinal section design on the basis of the secondary data. The quantitative surveys include net n = 1096 C&A and n = 340 pediatricians. For the focus groups, a sample of 72 to 96 parents as well as pediatricians will be sought by using the method of theoretical sampling. Around 560 pediatricians and 63,000 C&A currently participate in the AOK Nordost care program. The project provides information to what extent secondary preventive measures can lead to the early detection of diseases and on the associated cost-effectiveness. Furthermore, potentials and barriers of the program implementation are identified. The results of the evaluation study are expected not only to contribute to the further development of the care program, but also to derive recommendations for action. German Clinical Trials Register (DRKS), DRKS-ID: DRKS00015280. Prospectively registered on 18 March 2019.

中文翻译：

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以儿科为中心的综合护理AOK Junior的评估：一项混合方法研究方案

AOK Nordost的“ AOK初级”护理计划（德国法定健康保险）完成了德国柏林，勃兰登堡州和梅克伦堡-前波美拉尼亚联邦州对儿童和青少年的初级护理（C＆A）。该计划的重点是预防和早期发现C＆A疾病。此外，目标是保持C＆A的健康并及时预防，发现和治疗疾病。该计划的要素不仅是C＆A的综合护理，还包括例如减轻体重和进行额外的体检U10，U11和J2。对复杂干预措施的评估应提供有关早期疾病检测的有效性和成本效益以及其他参数（如满意度）的信息。评估是在结构，过程和结果的质量。还通过卫生经济评估来评估成本效益。除了从参与和非参与的C＆A和儿科医生那里收集定性和定量的主要数据外，评估还使用了法定健康保险的常规数据。此外，横截面设计用于评估结构和过程质量。在纵向截面设计中，根据辅助数据评估有效性。定量调查包括净n = 1096名C＆A和n = 340名儿科医生。对于焦点小组，将采用理论抽样的方法，抽取72至96名父母以及儿科医生的样本。目前，约有560名儿科医生和63,000名C＆A参加了AOK Nordost护理计划。该项目提供信息，说明二级预防措施可以在多大程度上导致疾病的早期发现以及相关的成本效益。此外，确定了方案执行的潜力和障碍。预期评估研究的结果不仅将有助于护理计划的进一步发展，而且还将为采取行动提供建议。德国临床试验注册（DRKS），DRKS-ID：DRKS00015280。预期于2019年3月18日注册。预计评估研究的结果不仅将有助于护理计划的进一步发展，而且还将为行动提供建议。德国临床试验注册（DRKS），DRKS-ID：DRKS00015280。预期于2019年3月18日注册。预期评估研究的结果不仅将有助于护理计划的进一步发展，而且还将为采取行动提供建议。德国临床试验注册（DRKS），DRKS-ID：DRKS00015280。预期于2019年3月18日注册。