FG Management im Gesundheitswesen

42 Items

Recent Submissions
A systematic review of randomized controlled trials of mHealth interventions against non-communicable diseases in developing countries

Stephani, Victor ; Opoku, Daniel ; Quentin, Wilm (2016-07-15)

Background The reasons of deaths in developing countries are shifting from communicable diseases towards non-communicable diseases (NCDs). At the same time the number of health care interventions using mobile phones (mHealth interventions) is growing rapidly. We review studies assessing the health-related impacts of mHealth on NCDs in low- and middle-income countries (LAMICs). Methods A syst...

Selective enrollment in Disease Management Programs for coronary heart disease in Germany – An analysis based on cross-sectional survey and administrative claims data

Röttger, Julia ; Blümel, Miriam ; Busse, Reinhard (2017-04-04)

Background In 2002, Disease Management Programs (DMPs) were introduced within the German healthcare system with the aim to increase the quality of chronic disease care. Due to the enrollment procedures, it can be assumed a) that only certain patients actively decide to enroll in a DMP and/or b) that only certain patients get the recommendation for DMP enrollment from their physician. How stron...

Is there enough research output of EU projects available to assess and improve health system performance? An attempt to understand and categorise the output of EU projects conducted between 2002 and 2012

Zander, Britta ; Busse, Reinhard (2017-02-22)

Background Adequate performance assessment benefits from the use of disaggregated data to allow a proper evaluation of health systems. Since routinely collected data are usually not disaggregated enough to allow stratified analyses of healthcare needs, utilisation, cost and quality across different sectors, international research projects could fill this gap by exploring means to data collecti...

A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa

Opoku, Daniel ; Stephani, Victor ; Quentin, Wilm (2017-02-06)

Background The prevalence of non-communicable diseases (NCDs) is increasing in sub-Saharan Africa. At the same time, the use of mobile phones is rising, expanding the opportunities for the implementation of mobile phone-based health (mHealth) interventions. This review aims to understand how, why, for whom, and in what circumstances mHealth interventions against NCDs improve treatment and care...

Non-communicable diseases: mapping research funding organisations, funding mechanisms and research practices in Italy and Germany

Stephani, Victor ; Sommariva, Silvia ; Spranger, Anne ; Ciani, Oriana (2017-10-02)

Background Evidence shows that territorial borders continue to have an impact on research collaboration in Europe. Knowledge of national research structural contexts is therefore crucial to the promotion of Europe-wide policies for research funding. Nevertheless, studies assessing and comparing research systems remain scarce. This paper aims to further the knowledge on national research landsc...

Evidence-based decision-making for diagnostic and therapeutic methods: the changing landscape of assessment approaches in Germany

Olberg, Britta ; Fuchs, Sabine ; Matthias, Katja ; Nolting, Alexandra ; Perleth, Matthias ; Busse, Reinhard (2017-10-17)

This article examines the current status and most important changes over time to the legislative framework on the health technology assessment-informed decision-making process on diagnostic and therapeutic ‘methods’ in Germany. The relevant information was obtained through documentary analysis covering the period 1990 to 2017. The findings show that, even if the outpatient care sector appears t...

Task shifting between physicians and nurses in acute care hospitals: cross-sectional study in nine countries

Maier, Claudia B. ; Köppen, Julia ; Busse, Reinhard (2018-05-25)

Background Countries vary in the extent to which reforms have been implemented expanding nurses’ Scopes-of-Practice (SoP). There is limited cross-country research if and how reforms affect clinical practice, particularly in hospitals. This study analyses health professionals’ perceptions of role change and of task shifting between the medical and nursing professions in nine European countries....

Stroke units, certification, and outcomes in German hospitals: a longitudinal study of patient-based 30-day mortality for 2006–2014

Pross, Christoph ; Berger, Elke ; Siegel, Martin ; Geissler, Alexander ; Busse, Reinhard (2018-11-22)

Background Treatment of stroke patients in stroke units has increased and studies have shown improved outcomes. However, a large share of patients in Germany is still treated in hospitals without stroke unit. The effects of stroke unit service line, and total hospital quality certification on outcomes remain unclear. Methods We employ annual hospital panel data for 1100–1300 German hospitals...

Burnout and safety outcomes - a cross-sectional nationwide survey of EMS-workers in Germany

Baier, Natalie ; Roth, Karsten ; Felgner, Susanne ; Henschke, Cornelia (2018-08-20)

Background The association between burnout and patient safety has been analyzed in many studies for nurses, physicians, and residents. However, studies concerning prehospital emergency medical services (EMS) workers are limited, although they are particularly under risk for emotional stress. This study aims to descriptively analyze the overall degree of burnout among EMS-workers, and potential...

Revisiting out-of-pocket requirements: trends in spending, financial access barriers, and policy in ten high-income countries

Rice, Thomas ; Quentin, Wilm ; Anell, Anders ; Barnes, Andrew J. ; Rosenau, Pauline ; Unruh, Lynn Y. ; van Ginneken, Ewout (2018-05-18)

Background Countries rely on out-of-pocket (OOP) spending to different degrees and employ varying techniques. The article examines trends in OOP spending in ten high-income countries since 2000, and analyzes their relationship to self-assessed barriers to accessing health care services. The countries are Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerl...

Self-management of diabetes in Sub-Saharan Africa: a systematic review

Stephani, Victor ; Opoku, Daniel ; Beran, David (2018-09-29)

Background The prevalence of diabetes in sub-Saharan Africa has increased rapidly over the last years. Self-management is a key element for the proper management, but strategies are currently lacking in this context. This systematic review aims to describe the level of self-management among persons living with type 2 diabetes mellitus in sub-Saharan Africa. Method Relevant databases includin...

Nutritional epidemiology: new insights for meal analysis

Schwedhelm Ramirez, Carolina (2018)

By retaining the meal structure of repeated non-consecutive 24-hour diet recalls in a sample of 814 adults from an EPIC-Potsdam sub-cohort study, we aimed to investigate the role of meals in the formation of commonly-used habitual dietary patterns, the origin of variance in dietary intake, as well as the relative importance of predictors of intake in the context of meals and individuals. A com...

Quality and resource efficiency in hospital service provision: A geoadditive stochastic frontier analysis of stroke quality of care in Germany

Pross, Christoph ; Strumann, Christoph ; Geissler, Alexander ; Herwartz, Helmut ; Klein, Nadja (2018-09-06)

We specify a Bayesian, geoadditive Stochastic Frontier Analysis (SFA) model to assess hospital performance along the dimensions of resources and quality of stroke care in German hospitals. With 1,100 annual observations and data from 2006 to 2013 and risk-adjusted patient volume as output, we introduce a production function that captures quality, resource inputs, hospital inefficiency determina...

Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care

Aiken, Linda H. ; Sloane, Douglas ; Griffiths, Peter ; Rafferty, Anne Marie ; Bruyneel, Luk ; McHugh, Matthew ; Maier, Claudia B. ; Moreno-Casbas, Teresa ; Ball, Jane E. ; Ausserhofer, Dietmar ; Sermeus, Walter (2016)

Objectives: To determine the association of hospital nursing skill mix with patient mortality, patient ratings of their care and indicators of quality of care. Design: Cross-sectional patient discharge data, hospital characteristics and nurse and patient survey data were merged and analysed using generalised estimating equations (GEE) and logistic regression models. Setting: Adult acute care ...

Why and how did Israel adopt activity-based hospital payment? The Procedure-Related Group incremental reform

Brammli-Greenberg, Shuli ; Waitzberg, Ruth ; Perman, Vadim ; Gamzu, Ronni (2016-09-01)

Historically, Israel paid its non-profit hospitals on a perdiem (PD) basis. Recently, like other OECD countries, Israel has moved to activity-based payments. While most countries have adopted a diagnostic related group (DRG) payment system, Israel has chosen a Procedure-Related Group (PRG) system. This differs from the DRG system because it classifies patients by procedure rather than diagnosis...

Public reporting on quality, waiting times and patient experience in 11 high-income countries

Rechel, Bernd ; McKee, Martin ; Haas, Marion ; Marchildon, Gregory P. ; Bousquet, Frederic ; Blümel, Miriam ; Geissler, Alexander ; van Ginneken, Ewout ; Ashton, Toni ; Saunes, Ingrid Sperre ; Anell, Anders ; Quentin, Wilm ; Saltman, Richard ; Culler, Steven ; Barnes, Andrew ; Palm, Willy ; Nolte, Ellen (2016-02-26)

This article maps current approaches to public reporting on waiting times, patient experience and aggregate measures of quality and safety in 11 high-income countries (Australia, Canada, England, France, Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland and the United States). Using a questionnaire-based survey of key national informants, we found that the data most commonly made a...

Application of multiday 24h-accelerometry in epidemiology to study habitual overall physical activity, activity intensity levels, and their determinants

Jaeschke, Lina (2018)

Physical activity (PA) is an established protective lifestyle factor for chronic disease risk. Reliably assessing PA, deriving unbiased PA estimates, and knowing determinants of PA are preconditions for drawing persuasive conclusions on exposure-disease associations in epidemiology and for successfully implementing PA promotion strate-gies. Most of the evidence regarding PA relies on subjective...

The role of contextual factors for breastfeeding outcomes and their potential integration into guidelines: case studies of Germany, the United Kingdom and Ghana

Waldherr, Ruth (2018)

Introduction: Breastfeeding is recognized as an important public health issue with high social and economic implications. According to the WHO, it should be initiated within one hour after birth, exclusive breastfeeding should be practiced for six months, and the entire period should last for two years. However, breastfeeding rates are sub-optimal at a worldwide scale and could be improved. Rec...

Using co-authorship networks to map and analyse global Neglected Tropical Disease research with an affiliation to Germany

Bender, Max Ernst ; Edwards, Suzanne ; Philipsborn, Peter von ; Steinbeis, Fridolin ; Keil, Thomas ; Tinnemann, Peter (2015)

Neglected tropical disease research has changed considerably in recent decades, and the German government is committed to addressing its past neglect of NTD research. Our aim was to use an innovative social network analysis of bibliometric data to map neglected tropical disease research networks that are inside of and affiliated with Germany, thereby enabling data-driven health policy decision-...

The 2016 proposal for the reorganisation of urgent care provision in Belgium

Van den Heede, Koen ; Quentin, Wilm ; Dubois, Cécile ; Devriese, Stephan ; Van de Voorde, Carine (2017-04)

Internationally the number of emergency department (ED) visits is on the rise while evidence suggests that a substantial proportion of these patients do not require emergency care but primary care. This paper presents the Belgian 2016 proposal for the reorganisation of urgent care provision and places it into its political context. The proposal focused on re-designing patient flow aiming to red...