FG Management im Gesundheitswesen

70 Items

Recent Submissions
Nurse prescribing of medicines in 13 European countries

Maier, Claudia B. (2019-12-09)

Background: Nurse prescribing of medicines is increasing worldwide, but there is limited research in Europe. The objective of this study was to analyse which countries in Europe have adopted laws on nurse prescribing. Methods: Cross-country comparative analysis of reforms on nurse prescribing, based on an expert survey (TaskShift2Nurses Survey) and an OECD study. Country experts provided count...

Evidence-based indications for the planning of PET or PET/CT capacities are needed

Fuchs, Sabine ; Grössmann, Nicole ; Ferch, Manfred ; Busse, Reinhard ; Wild, Claudia (2019-02-20)

Purpose To identify evidence-based indications for PET/PET–CT scans in support of facilities planning and to describe a pilot project in which this information was applied for an investment decision in an Austrian region. The study updates a Health Technology Assessment (HTA) report (2015) on oncological indications, extending it to neurological indications and inflammatory disorders. Methods...

Diagnosis related groups in Europe: moving towards transparency, efficiency, and quality in hospitals?

Busse, Reinhard ; Geissler, Alexander ; Aaviksoo, Aiv ; Cots, Francesc ; Häkkinen, Unto ; Kobel, Conrad ; Mateus, Céu ; Or, Zeynep ; O’Reilly, Jacqueline ; Serdén, Lisbeth ; Street, Andrew ; Tan, Siok Swan ; Quentin, Wilm (2013-06-07)

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Reimbursement Status and Recommendations Related to Orphan Drugs in European Countries

Stawowczyk, Ewa ; Malinowski, Krzysztof Piotr ; Kawalec, Paweł ; Bobiński, Rafał ; Siwiec, Jacek ; Panteli, Dimitra ; Eckhardt, Helene ; Simoens, Steven ; Agusti, Antònia ; Dooms, Marc ; Pilc, Andrzej (2019-11-27)

Objective: To review the reimbursement recommendations issued by selected European health technology assessment agencies for orphan drugs and the reimbursement status of these drugs; to assess the relationship between the type of recommendation and reimbursement status. Methods: The list of orphan drugs to be included in the analysis was obtained from the European Medicines Agency and Orphanet...

Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa

Hsiao, Amber ; Vogt, Verena ; Quentin, Wilm (2019-08-21)

Background Achieving Universal Health Coverage (UHC) by improving financial protection and effective service coverage is target 3.8 of the Sustainable Development Goals. Little is known, however, about the extent to which paying bribes within healthcare acts as a financial barrier to access and, thus, UHC. Methods Using survey data in adults from 32 sub-Saharan African countries in 2014–2015...

G-IQI – German Inpatient Quality Indicators. Version 5.2

Nimptsch, Ulrike ; Mansky, Thomas (2019)

Die German Inpatient Quality Indicators (G-IQI) sind derzeit das umfassendste, auf Krankenhausabrechnungsdaten beruhende Indikatorensystem zur krankheitsspezifischen Abbildung des stationären Leistungsgeschehens in Akutkrankenhäusern. Die Indikatoren sind einerseits konzipiert, um soweit wie möglich medizinisch sinnvoll strukturierte Leistungskennzahlen und Behandlungsergebnisse auch für extern...

Schätzung der Krankheitslast („Disease burden“) durch infektiöse und nicht-infektiöse Ursachen in Bezug auf Lebensmittel tierischen Ursprungs

Lackner, Julia (2019)

Für viele Einwohner Deutschlands gehören Lebensmittel tierischen Ursprungs zur täglichen Ernährung. Der Genuss dieser Lebensmittel kann jedoch mit potenziellen Gesundheitsrisiken verbunden sein. Ziel dieser Arbeit war es, die attributable Krankheitslast für eine nicht-infektiöse und die infektiöse Lebensmittelkontaminante in Bezug auf tierische Lebensmittel zu schätzen. Dadurch sollte eine Ver...

Health Technology Assessment von Medizinprodukten in Europa

Fuchs, Sabine (2019)

Hintergrund: Health Technology Assessment (HTA) ist eine Schlüsselkomponente zur Unterstützung evidenzbasierter Entscheidungsprozesse und wurde in vielen Ländern vor allem für die Bewertung von Arzneimitteln etabliert. Ein erheblicher Bedarf besteht darin, Strukturen, Prozesse und Methoden für HTA von Medizinprodukten (MP) zu systematisieren, denn die Bewertung von MP kann hierbei andere Heraus...

Combatting Antibiotic Resistance Together: How Can We Enlist the Help of Industry?

Edwards, Suzanne E. ; Morel, Chantal M. ; Busse, Reinhard ; Harbarth, Stephan (2018-12-18)

The development of antibiotics needs to be supported through new financial stimuli, including help from the public sector. In exchange for public support, industry should be asked to do what is in their power to help curb the inappropriate use of antibiotics. This work discusses key areas through which industry has an important influence on antibiotic consumption and where agreements can be mad...

Multimorbidität – eine Herausforderung für europäische Gesundheitssysteme

Struckmann, Verena (2019)

Europe's health systems, like many others worldwide, face the challenge of an increasing number of people being affected by multimorbidity. Multimorbidity is often defined as two or more chronic diseases occurring simultaneously in one person. At present, health systems in Europe are often fragmented and predominantly focused on improving clinical outcomes, which does not meet the needs of mult...

Combating chronic diseases in Africa

Stephani, Victor (2019)

This dissertation deals with mobile phone-based health interventions (mHealth interventions) against chronic Non-Communicable Diseases (NCDs) in the poorest region of the world: Sub-Saharan Africa (SSA). First, a systematic review of randomized controlled trials in low-income countries was conducted in order to analyze the efficacy of mHealth interventions against NCDs. A 'Realist Review' wa...

The 2010 expansion of activity-based hospital payment in Israel: an evaluation of effects at the ward level

Waitzberg, Ruth ; Quentin, Wilm ; Daniels, Elad ; Perman, Vadim ; Brammli-Greenberg, Shuli ; Busse, Reinhard ; Greenberg, Dan (2019-05-08)

Background: In 2010, Israel intensified its adoption of Procedure-Related Group (PRG) based hospital payments, a local version of DRG (Diagnosis-related group). PRGs were created for certain procedures by clinical fields such as urology, orthopedics, and ophthalmology. Non-procedural hospitalizations and other specific procedures continued to be paid for as per-diems (PD). Whether this payment ...

Towards incentivising integration: A typology of payments for integrated care

Stokes, Jonathan ; Struckmann, Verena ; Kristensen, Søren Rud ; Fuchs, Sabine ; van Ginneken, Ewout ; Tsiachristas, Apostoles ; Rutten-van Mölken, Maureen ; Sutton, Matt (2018-07-11)

Traditional provider payment mechanisms may not create appropriate incentives for integrating care. Alternative payment mechanisms, such as bundled payments, have been introduced without uniform definitions, and existing payment typologies are not suitable for describing them. We use a systematic review combined with example integrated care programmes identified from practice in the Horizon2020...

How to strengthen financing mechanism to promote care for people with multimorbidity in Europe?

Struckmann, Verena ; Quentin, Wilm ; Busse, Reinhard ; van Ginneken, Ewout (2017-11-22)

Payment mechanisms that take multiple chronic conditions into account and actually promote better integration of care are sadly lacking. This policy brief examines the steps policy makers must take if they are to adapt financing systems to support people with multimorbidity better. It looks at securing sustainable funding; options for upgrading payment mechanisms; and how financing mechanisms c...

Relevant models and elements of integrated care for multi-morbidity: Results of a scoping review

Struckmann, Verena ; Leijten, Fenna R.M. ; van Ginneken, Ewout ; Krauss, Markus ; Reiss, Miriam ; Spranger, Anne ; Boland, Melinde ; Czypionka, Thomas ; Busse, Reinhard ; Rutten-van Mölken, Maureen (2018-01)

BACKGROUND: In order to provide adequate care for the growing group of persons with multi-morbidity, innovative integrated care programmes are appearing. The aims of the current scoping review were to i) identify relevant models and elements of integrated care for multi-morbidity and ii) to subsequently identify which of these models and elements are applied in integrated care programmes for mu...

Mobile phone-based health interventions for improved management of non-communicable diseases in Sub-Saharan Africa: challenges and opportunities for Ghana

Opoku, Daniel (2019)

Hintergrund: Nichtübertragbare Krankheiten (NCDs) sind allgemein als globale Krankheitslast bekannt, die die Gesundheitssysteme auf der ganzen Welt bedrohen. Um dieses große Problem der öffentlichen Gesundheit zu bekämpfen, wird der Einsatz von Informations- und Kommunikationstechnologien im Gesundheitswesen als Teil der Bemühungen untersucht, die erforderlich sind. In SSA haben die Fortschritt...

The reimbursement of new medical technologies in German inpatient care: What factors explain which hospitals receive innovation payments?

Ex, Patricia ; Vogt, Verena ; Busse, Reinhard ; Henschke, Cornelia (2019-06-04)

Most hospital payment systems based on diagnosis-related groups (DRGs) provide payments for newly approved technologies. In Germany, they are negotiated between individual hospitals and health insurances. The aim of our study is to assess the functioning of temporary reimbursement mechanisms. We used multilevel logistic regression to examine factors at the hospital and state levels that are ass...

Changing payment instruments and the utilisation of new medical technologies

Ex, Patricia ; Henschke, Cornelia (2019-05-29)

This paper empirically investigates the impact of additional reimbursement instruments on the diffusion of new technologies in inpatient care. Using 2010–2014 German panel data on hospital level for every patient undergoing coronary angioplasty, this study examines the utilisation of drug-eluting balloon catheters (DEB) over time while additional payment instruments changed. Hypothesising that ...

Achieving Sustainability and Scale-Up of Mobile Health Noncommunicable Disease Interventions in Sub-Saharan Africa: Views of Policy Makers in Ghana

Opoku, Daniel ; Busse, Reinhard ; Quentin, Wilm (2019-05-03)

Background: A growing body of evidence shows that mobile health (mHealth) interventions may improve treatment and care for the rapidly rising number of patients with noncommunicable diseases (NCDs) in sub-Saharan Africa (SSA). A recent realist review developed a framework highlighting the influence of context factors, including predisposing characteristics, needs, and enabling resources (PNE), ...

Medikamentöse Behandlung von Heimbewohnern mit Schlafstörungen

Kuck, Joachim (2019)

Obwohl Schlafstörungen unter Heimbewohnern weit verbreitet sind, wurden sie bisher von den Gesundheitswissenschaften als Problem kaum wahrgenommen. Wegen ihres hohen Alters sind Heimbewohner häufig von körperlichen oder psychiatrischen Erkrankungen betroffen, die zu Schlafstörungen führen können. In der Folge leiden Heimbewohner mit Schlafproblemen unter Müdigkeit, eingeschränkter Leistungsfähi...