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Table 1.

Description of the analyses populations.

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Fig 1.

Flowchart of the claims data provided and in-/exclusion of insured residents in the closed analyses populations.

Abbreviations: cRCT = Cluster-randomized controlled trial, LOI = Letter of interest, NH-PP-CC = Nursing home per protocol closed cohort (subgroup of NH that were actively participating in the intervention group according to the study protocol, while the control group participants remained the same), R-PP-CC = Residents per protocol closed cohort (subgroup of NH-PP-CC including intervention group residents only if they received project-specific services).

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Table 2.

Baseline characteristics of the intention-to-treat population by randomized group.

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Fig 2.

Boxplot of observed (crude) hospitalizations per person-year in the cRCT phase per study group.

Abbreviations: CG = Control group, IG = Intervention group.

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Table 3.

Results for the primary endpoint – effects on the hospitalization rate in the ITT and R-PP-CC population.

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Fig 3.

Estimated base hospitalization rates per person-year (random intercept) including 95% confidence interval per nursing home and the estimated mean base hospitalization rate per person-year (red dashed line, fixed intercept) based on the primary analysis model.

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Table 4.

Regression results of the secondary outcomes in the NH-PP-OC population.

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Table 5.

Baseline characteristics of the population used for the health economic evaluation by randomized group.

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Table 6.

Absolute intervention effects based on the regression analyses with reference to the NH-PP-OC population.

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Table 7.

Project-specific services of the NH-PP-OC population during the cRCT phase.

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