FG Management im Gesundheitswesen

59 Items

Recent Submissions
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...

Qualitätssicherung, Prozessoptimierung und quantitative turnaround time Analysen hoher Fallzahlen in der universitären Radiologie unter besonderer Berücksichtigung der Interventionellen Radiologie

Bucourt, Maximilian de (2019)

Ziel und Methodik Die im Rahmen dieser kumulativen Promotionsschrift vorgestellten Publikationen befassen sich mit Qualitätssicherung (A.; n=2), Prozessoptimierung (B.; n=3) und Befundzeitanalysen (C.; n=2) in der universitären Radiologie unter besonderer Berücksichtigung der Interventionellen Radiologie. Übergeordnetes Ziel ist zu einer bestmöglichen Quantität und Qualität der Leistungserbrin...

PET/PET-CT Evidenz zum Bedarf und zur Planung in Deutschland und Österreich: Update 2018

Fuchs, Sabine ; Grössmann, Nicole ; Eckhardt, Helene ; Busse, Reinhard ; Wild, Claudia (2019)

Hintergrund Kaum eine andere medizinische Technologie wurde in den westlichen Ländern derart oft evaluiert wie Positronen-Emissions-Tomographie (PET/PET-CT): Dies ist ein Ausdruck von Unsicherheit zur Wertigkeit der PET-Diagnostik in der Versorgung von PatientInnen. Der vorliegende Health Technology Assessment (HTA)-Bericht stellt ein Update der Evidenz zu onkologische Indikationen und eine E...

Effective and needed, but not used: Why do mobile phone-based health interventions in Africa not move beyond the project status?

Stephani, Victor (2019)

Reviews have shown that mobile phone-based health interventions (mHealth interventions) are capable of improving health outcomes of patients in Africa, particularly for patients with chronic diseases such as non-communicable diseases (NCDs). But currently, most mHealth interventions are stopped after the pilot and the funding of the donors has ceased. The aim is to identify the reasons for the ...

Physician decision making on new technologies and the role of coverage with evidence development

Felgner, Susanne ; Ex, Patricia ; Henschke, Cornelia (2018)

OBJECTIVES: To foster value-based pricing and coverage with evidence development in Germany, certain new diagnostic and treatment methods have been subject to a benefit assessment since 2016 to determine their reimbursement. Although this is a paradigm shift, the German approach is limited to some few specific technologies for which reimbursement is requested. As physicians encounter this regul...

Rechtsprechungen zur Kostenerstattung von neuen Gesundheitstechnologien in der GKV: Eine systematische Übersicht

Ex, Patricia ; Felgner, Susanne ; Henschke, Cornelia (2018)

Hintergrund: Die Erstattung neuer Gesundheitstechnologien wird nicht selten über Sozialgerichte eingeklagt. Dabei liegt es nahe, dass gerichtliche Entscheidungen auch Einzelfallentscheidungen der Krankenkassen und damit den Patientenzugang insgesamt beeinflussen. Ziel der Studie: Ziel ist anhand von Rechtsprechungen zu identifizieren, welche Technologien wiederholt eingeklagt wurden und ob die...

Die Nutzenbewertung von nichtmedikamentösen Untersuchungs- und Behandlungsmethoden

Ex, Patricia ; Busse, Reinhard ; Henschke, Cornelia (2016)

Mit dem § 137h SGB V wurde erstmals eine Nutzenbewertung im stationären Sektor eingeführt. Bestimmte neue Untersuchungs- und Behandlungsmethoden (NUB), die maßgeblich auf der Anwendung eines Medizinproduktes mit hoher Risikoklasse beruhen, werden zukünftig einer Nutzenbewertung unterzogen. Dabei bestehen einige Einschränkungen und offene Punkte in der Regelung, die es zu diskutieren gilt. Ziel ...

Quality of sample size estimation in trials of medical devices: high-risk devices for neurological conditions as example

Olberg, Britta ; Perleth, Matthias ; Felgenträger, Katja ; Schulz, Sandra ; Busse, Reinhard (2017)

Background: The aim of this study was to assess the quality of reporting sample size calculation and underlying design assumptions in pivotal trials of high-risk medical devices (MDs) for neurological conditions. Methods: Systematic review of research protocols for publicly registered randomized controlled trials (RCTs). In the absence of a published protocol, principal investigators were cont...

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...