FG Management im Gesundheitswesen

29 Items

Recent Submissions
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 inted 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...

The SELFIE framework for integrated care for multi-morbidity: development and description

Leijten, Fenna R.M. ; Struckmann, Verena ; van Ginneken, Ewout ; Czypionka, Thomas ; Kraus, Markus ; Reiss, Miriam ; Tsiachristas, Apostolos ; Boland, Melinde ; de Bont, Antoinette ; Bal, Roland ; Busse, Reinhard ; Rutten-van Mölken, Maureen (2018-01)

Background The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implementation, description, and evaluation of integrated care programmes for multi-morbidity. Methods A scopin...

Strategic purchasing reform in Estonia

Habicht, Triin ; Habicht, Jarno ; Ginneken, Ewout van (2015)

As of 2014, the Estonian Health Insurance Fund has adopted new purchasing procedures and criteria, which it now has started to implement in specialist care. Main changes include (1) redefined access criteria based on population need rather than historical supply, which aim to achieve more equal access of providers and specialties; (2) stricter definition and use of optimal workload criteria to ...

Spannungsfeld Krankenpflege: Auf dem Weg zu größtmöglicher Patientensicherheit und zufriedenen Mitarbeitern

Zander, Britta (2018)

Hintergrund: Die Zahl der internationalen Studien, die einen Zusammenhang zwischen dem organisatorischen Kontext, in dem Krankenpflegekräfte arbeiten und der Versorgungsqualität herstellen, ist in den letzten Jahren enorm angewachsen. Gleichzeitig rücken steigende Fluktuationsraten und die erhöhte Bereitschaft des Pflegepersonals zu einem Arbeitsplatzwechsel in den Fokus des Interesses vieler F...

Neue Untersuchungs- und Behandlungsmethoden im stationären Sektor

Ex, Patricia (2018)

Die Finanzierung neuer Gesundheitstechnologien im stationären Sektor erfolgt oft über Entgelte für Neue Untersuchungs- und Behandlungsmethoden (NUB-Entgelte) als temporäres Erstattungsinstrument. Mehr als zehn Jahre nach ihrer Einführung gibt es kaum Studien über NUB-Entgelte und wie sie die Anwendung und Verbreitung von neuen Gesundheitstechnologien beeinflussen. Auch die Ergänzung einer Nutze...

Health care public reporting utilization

Pross, Christoph ; Averdunk, Lars-Henrik ; Stjepanovic, Josip ; Busse, Reinhard ; Geissler, Alexander (2017)

Quality of care public reporting provides structural, process and outcome information to facilitate hospital choice and strengthen quality competition. Yet, evidence indicates that patients rarely use this information in their decision-making, due to limited awareness of the data and complex and conflicting information. While there is enthusiasm among policy makers for public reporting, clinici...

Exploring the determinants of health and wellbeing in communities living in proximity to coal seam gas developments in regional Queensland

Mactaggart, Fiona ; McDermott, Liane ; Tynan, Anna ; Gericke, Christian A. (2017)

Background There is some concern that coal seam gas mining may affect health and wellbeing through changes in social determinants such as living and working conditions, local economy and the environment. The onward impact of these conditions on health and wellbeing is often not monitored to the same degree as direct environmental health impacts in the mining context, but merits attention. This...

Paying for hospital care: the experience with implementing activity-based funding in five European countries

O'Reilly, Jacqueline ; Busse, Reinhard ; Häkkinen, Unto ; Or, Zeynep ; Street, Andrew ; Wiley, Miriam (2012)

Following the US experience, activity-based funding has become the most common mechanism for reimbursing hospitals in Europe. Focusing on five European countries (England, Finland, France, Germany and Ireland), this paper reviews the motivation for introducing activity-based funding, together with the empirical evidence available to assess the impact of implementation. Despite differences in th...

Integrated diabetes care delivered by patients

Struckmann, Verena ; Barbarella, Francesco ; Dimova, Antoniya ; Ginneken, Ewout van (2017)

Increasing numbers of persons are living with multiple chronic diseases and unmet medical needs in Bulgaria. The Bulgarian ‘Diabetic care’ non-profit (DCNPO) programme aims to provide comprehensive integrated care focusing on people with diabetes and their co-morbidities. Methods: The DCNPO programme was selected as one of eight ‘high potential’ programmes in the Innovating Care for People ...

Health technology assessment of medical devices in europe: processes, practices, and methods

Fuchs, Sabine ; Olberg, Britta ; Panteli, Dimitra ; Busse, Reinhard (2016)

Objectives: To review and compare current Health Technology Assessment (HTA) activities for medical devices (MDs) across European HTA institutions. Methods: A comprehensive approach was adopted to identify institutions involved in HTA in European countries. We systematically searched institutional Web sites and other online sources by using a structured tool to extract information on the role a...

Taxonomy of medical devices in the logic of health technology assessment

Henschke, Cornelia ; Panteli, Dimitra ; Perleth, Matthias ; Busse, Reinhard (2015)

Objectives: The suitability of general HTA methodology for medical devices is gaining interest as a topic of scientific discourse. Given the broad range of medical devices, there might be differences between groups of devices that impact both the necessity and the methods of their assessment. Our aim is to develop a taxonomy that provides researchers and policy makers with an orientation tool o...

Considering equity in health technology assessment: an exploratory analysis of agency practices

Panteli, Dimitra ; Kreis, Julia ; Busse, Reinhard (2015)

Objectives: Equity is one of the founding principles in most healthcare systems. Financial constraints entail an increased risk of exacerbating inequities and a greater need for evidence-based decisions. It is, therefore, both important and timely to enquire how equity can be addressed in health technology assessment (HTA) practice. We aimed to explore related practices from a broad range of HT...

How health technology assessment agencies address the issue of unpublished data

Kreis, Julia ; Panteli, Dimitra ; Busse, Reinhard (2014)

Objectives: Reporting bias potentially threatens the validity of results in health technology assessment (HTA) reports. Our study aimed to explore policies and practices of HTA agencies regarding strategies to include previously unpublished data in their assessments, focusing on requests to industry for unpublished data. Methods: We included international HTA agencies with publicly available me...

Diagnosis-Related Groups for Stroke in Europe: Patient Classification and Hospital Reimbursement in 11 Countries

Peltola, Mikko ; Quentin, Wilm (2013)

Background: Diagnosis-related groups (DRGs) are increasingly being used for various purposes in many countries. However, there are no studies comparing different DRG systems in the care of stroke. As part of the EuroDRG project, researchers from 11 countries (i.e. Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Sweden and Spain) compared how their DRG syst...