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Furthermore, changes in diagnoses, medication use and health care utilization will be assessed.
Within-health-system resource utilization will be assessed using clinical, pharmacy and administrative data from the participating health plans' electronic systems.
Health care resource utilization and costs (baseline and 6 months): Health care resource utilization will be assessed through financial micro-costing databases.
In addition, direct costs of health and youth care utilization will be assessed via parents (among other things: visits of the adolescent and parent to health and youth care professionals, hospitalizations and residential treatments, contact with judicial authorities and medication use).
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In addition, asthma-related health care utilization (HCU) will be assessed through data extraction from KPNC electronic databases for the period of 12 months pre- and post-randomization.
Therefore health care utilization and costs will be assessed in a comprehensive way by the Leipzig Supply and Cost Instrument, which already is used successfully in the MultiCare Cohort Study [ 9] and the AgeCoDe-study [ 16].
The utilization of other treatments will be assessed by asking whether the participants have visited a general practitioner or other specialized physicians including psychotherapist/psychiatrists within the last three respectively 6 months and if so, how often.
For the societal perspective, additional resource utilization after discharge from hospital will be assessed based on a patient diary.
Mental health care utilization outside the general practice will be assessed using the TiC-P questionnaire [ 46].
Functional status, resources/risk factors, health care utilization and additional morbidity data will be assessed in patient interviews, in which a multitude of well established standardized questionnaires and tests will be performed.
In both follow-ups, the MARS-D, WHOQOL-BREF, the side effects of medication, social support, social desirability, the resilience scale and furthermore, changes in medication and the utilization of in- and outpatient treatment will be assessed.
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