Internationale Datengrundlagen F R Die Versorgungsforschung Impulse F R Deutschland
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Internationale Datengrundlagen F R Die Versorgungsforschung Impulse F R Deutschland
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Author : Panteli, Dimitra
language : de
Publisher: Universitätsverlag der TU Berlin
Release Date : 2022-06-20
Internationale Datengrundlagen F R Die Versorgungsforschung Impulse F R Deutschland written by Panteli, Dimitra and has been published by Universitätsverlag der TU Berlin this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-06-20 with Medical categories.
Eine unabdingbare Voraussetzung für die Beantwortung der Forschungsfragen der Versorgungsforschung sind das Vorhandensein und die Zugänglichkeit von umfassenden Daten hoher Qualität. Es ist davon auszugehen, dass die Versorgungsforschung in den kommenden Jahren auf der Verlinkung (Datenlinkage, „data linkage“), also der Verknüpfung mehrerer Datenquellen auf Basis von geeigneten gemeinsamen Schlüsselvariablen beruhen wird. In Deutschland werden umfassende Daten hoher Qualität routinemäßig gesammelt, allerdings sind diese für Forschungszwecke nur bedingt geeignet und eingeschränkt verfügbar. Daher liegt der Ursprung dieses Gutachtens in den Grundfragen, welche Fragestellungen der Versorgungsforschung im Ausland auf Basis besserer Daten besser beantwortet werden können, und auf welchen Wegen eine solche Verbesserung der Datengrundlage in Deutschland erzielt werden könnte. Fallbeispiele interessanter Verlinkungsansätze aus zwölf Ländern wurden identifiziert und anhand eines vordefinierten Konzeptes analysiert. Informationen wurden für alle Vergleichsländer bzw. Fallstudien zunächst auf Basis von öffentlich zugänglichen Quellen identifiziert. Anschließend wurde pro Land ein Profil erstellt und geeigneten Länderexperten zur Validierung und Ergänzung weitergeleitet. Das Gutachten stellt eine Übersicht der eingeschlossenen Fallstudien vor (Kapitel 3), sowie im Anhang wichtige Eckdaten pro Land und Fallstudie. Es folgen eine nähere Betrachtung der Möglichkeiten der Nutzung von Routinedaten (Kapitel 4), der Verlinkungsmöglichkeiten mit und ohne eindeutigem personenbezogenen Merkmal (Kapitel 5), der unterschiedlichen Zugriffswege für Forscher (Kapitel 6), der Ausgestaltung des Einsatzes von Daten aus elektronischen Patienten- bzw. Gesundheitsakten für die Forschung (Kapitel 7) und ein Zwischenfazit (Kapitel 8). Das Gutachten endet mit einer Wunschliste für mögliche regulatorische Änderungen in Anbetracht der aktuellen politischen Diskussion (Kapitel 9). Wichtig ist hier zu beleuchten, dass die thematisierten Fallstudien aus dem internationalen Vergleich wichtige Aspekte hervorheben, die für die Problematik in Deutschland von Bedeutung sein könnten. Neben dem Mehrwert von vergleichsmäßig einfach zugänglichen, umfangreiche(re)n Abrechnungsdaten, die schneller als in Deutschland vorliegen, sektorenübergreifende Analysen erlauben und personenbezogen mit Gesundheits- sowie auch mit Regionaldaten verknüpfbar sind, wird auch das Potential von Datenbanken beleuchtet, die auf Basis der routinemäßigen Dokumentation (i.d.R. elektronischen Gesundheitsakten) von Leistungserbringern entstehen. Eine Investition in diese Richtung kann nicht nur für das eigene Gesundheitssystem Einsichten ermöglichen, sondern auch die internationale Kooperation fördern und zur internationalen Sichtbarkeit wissenschaftlicher Exzellenz beitragen. Eine Nebeneinanderstellung der in Deutschland vorhandenen Datenbestände und der in anderen Ländern eingesetzten Daten deutet darauf hin, dass sich die Diskussion hierzulande an erster Stelle mit der Ausgestaltung der zur Verfügung stehenden Daten befassen sollte und ergänzend die Erfassung zusätzlicher Informationen bedenken kann. The availability and accessibility of comprehensive, high-quality data are indispensable prerequisites for effective health services research. It can be assumed in the coming years that health services research will increasingly be based on data linkage, i.e. the linking of several data sources based on suitable common key variables. In Germany, comprehensive high-quality data are routinely collected, but their suitability and availability for research purposes is limited. Therefore, the motivation for this report lies in the answering of two basic questions: which questions of health services research can be better answered abroad on the basis of better data, and in which ways such conditions could be achieved in Germany. Case studies of interesting linkage approaches from twelve countries were identified and analyzed based on a predefined conceptual framework. Information on all comparison countries or case studies was first identified from publicly available sources. Profiles were then created for each country and case study and forwarded to appropriate country experts for validation and completion. The report presents an overview of the included case studies (chapter 3), as well as key information per country and case study in the appendix. This is followed by a closer look at the possibilities of using routine data (chapter 4), linkage approaches with and without unique personal identifiers (chapter 5), the different access routes for researchers (chapter 6), options for using data from electronic patient or health records for research (chapter 7), and an interim conclusion (chapter 8). The report ends with a wish list for possible regulatory changes in light of the current policy debate in Germany (Chapter 9). It is important to underline here that case studies from the international comparison were selected to highlight important aspects that could be relevant to the challenges in Germany. In addition to the added value of comparatively easily accessible, extensive claims data, which are available more quickly than in Germany, allow cross-sector analyses and can be linked to health data and regional data on a person-by-person basis, the potential of databases created on the basis of the routine documentation of service providers (usually electronic health records) is also discussed. Investing in this direction can not only provide insights for a country’s own healthcare system, but also promote international cooperation and contribute to the international visibility of scientific excellence. A juxtaposition of the data sets available in Germany and those used in other countries suggests that the discussion in Germany should focus first and foremost on optimizing the availability and accessibility of existing data and consider new approaches to the collection of additional information as a supplement.
A System Of Health Accounts
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Author : OECD
language : en
Publisher: OECD Publishing
Release Date : 2000-05-29
A System Of Health Accounts written by OECD and has been published by OECD Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-05-29 with categories.
Health care is one of the largest sectors in OECD countries, and accounts now for over 8% of GDP on average. Reliable international comparisons of health care expenditure levels are increasingly being sought by policy-makers and researchers, as ...
The Patient Room
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Author : Wolfgang Sunder
language : en
Publisher: Birkhäuser
Release Date : 2020-12-07
The Patient Room written by Wolfgang Sunder and has been published by Birkhäuser this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-12-07 with Architecture categories.
The patient room is the smallest cell of the hospital organism. Its layout determines the structure of the ward and is therefore a decisive factor for the entire building. Many requirements have to be met. The patient's sense of well-being can be positively influenced by the design: homely materials, an attractive view and sufficient privacy are important objectives. Equally important are the working conditions for the staff, especially short distances and an efficient care routine. Finally, even the risk of infection can be reduced by a conscientiously planned room layout. This publication provides a systematic overview of the design task patient room and shows exemplary solutions: both typologically and in selected case studies.
Service Business Model Innovation In Healthcare And Hospital Management
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Author : Mario A. Pfannstiel
language : en
Publisher: Springer
Release Date : 2016-12-16
Service Business Model Innovation In Healthcare And Hospital Management written by Mario A. Pfannstiel and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-12-16 with Medical categories.
This book demonstrates how to successfully manage and lead healthcare institutions by employing the logic of business model innovation to gain competitive advantages. Since clerk-like routines in professional organizations tend to overlook patient and service-centered healthcare solutions, it challenges the view that competition and collaboration in the healthcare sector should not only incorporate single-end services, therapies or diagnosis related groups. Moreover, the authors focus on holistic business models, which place greater emphasis on customer needs and put customers and patients first. The holistic business models approach addresses topics such as business operations, competitiveness, strategic business objectives, opportunities and threats, critical success factors and key performance indicators.The contributions cover various aspects of service business innovation such as reconfiguring the hospital business model in healthcare delivery, essential characteristics of service business model innovation in healthcare, guided business modeling and analysis for business professionals, patient-driven service delivery models in healthcare, and continuous and co-creative business model creation. All of the contributions introduce business models and strategies, process innovations, and toolkits that can be applied at the managerial level, ensuring the book will be of interest to healthcare professionals, hospital managers and consultants, as well as scholars, whose focus is on improving value-generating and competitive business architectures in the healthcare sector.
Handbook Of Global Health
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Author : Ilona Kickbusch
language : en
Publisher: Springer
Release Date : 2021-05-11
Handbook Of Global Health written by Ilona Kickbusch and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-05-11 with Medical categories.
Global health is a rapidly emerging discipline with a transformative potential for public policy and international development. Emphasizing transnational health issues, global health aims to improve health and achieve health equity for all people worldwide. Its multidisciplinary scope includes contributions from many disciplines within and beyond the health sciences, including clinical medicine, public health, social and behavioral sciences, environmental sciences, economics, public policy, law and ethics. This large reference offers up-to-date information and expertise across all aspects of global health and helps readers to achieve a truly multidisciplinary understanding of the topics, trends as well as the clinical, socioeconomic and environmental drivers impacting global health. As a fully comprehensive, state-of-the-art and continuously updated, living reference, the Handbook of Global Health is an important, dynamic resource to provide context for global health clinical care, organizational decision-making, and overall public policy on many levels. Health workers, physicians, economists, environmental and social scientists, trainees and medical students as well as professionals and practitioners will find this handbook of great value.
A Short History Of Medical Ethics
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Author : Albert R. Jonsen
language : en
Publisher: Oxford University Press
Release Date : 2000
A Short History Of Medical Ethics written by Albert R. Jonsen and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Medical categories.
A physician says, "I have an ethical obligation never to cause the death of a patient," another responds, "My ethical obligation is to relieve pain even if the patient dies." The current argument over the role of physicians in assisting patients to die constantly refers to the ethical duties of the profession. References to the Hippocratic Oath are often heard. Many modern problems, from assisted suicide to accessible health care, raise questions about the traditional ethics of medicine and the medical profession. However, few know what the traditional ethics are and how they came into being. This book provides a brief tour of the complex story of medical ethics evolved over centuries in both Western and Eastern culture. It sets this story in the social and cultural contexts in which the work of healing was practiced and suggests that, behind the many different perceptions about the ethical duties of physicians, certain themes appear constantly, and may be relevant to modern debates. The book begins with the Hippocratic medicine of ancient Greece, moves through the Middle Ages, Renaissance and Enlightenment in Europe, and the long history of Indian 7nd Chinese medicine, ending as the problems raised modern medical science and technology challenge the settled ethics of the long tradition.
The Making Of A Class
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Author : Luc Boltanski
language : en
Publisher:
Release Date : 1987
The Making Of A Class written by Luc Boltanski and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1987 with Social Science categories.
Medical Sociology
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Author : Hannah Bradby
language : en
Publisher: SAGE
Release Date : 2009
Medical Sociology written by Hannah Bradby and has been published by SAGE this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Social Science categories.
This timely and assured text provides lecturers and students with a well informed, penetrating analysis of the key questions in medicine and society. The book is divided into three sections. It opens with a well judged account of the context of health and illness. It moves on to examine the process and experience of illness. Finally, it examines how health care is negotiated and delivered.
Epidemiology And The People S Health
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Author : Nancy Krieger
language : en
Publisher: Oxford University Press
Release Date : 2011-03-23
Epidemiology And The People S Health written by Nancy Krieger and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-03-23 with Medical categories.
This concise, conceptually rich, and accessible book is a rallying cry for a return to the study and discussion of epidemiologic theory: what it is, why it matters, how it has changed over time, and its implications for improving population health and promoting health equity. By tracing its history and contours from ancient societies on through the development of--and debates within--contemporary epidemiology worldwide, Dr. Krieger shows how epidemiologic theory has long shaped epidemiologic practice, knowledge, and the politics of public health.
Medical Sociology On The Move
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Author : William C. Cockerham
language : en
Publisher: Springer Science & Business Media
Release Date : 2013-04-03
Medical Sociology On The Move written by William C. Cockerham and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-04-03 with Social Science categories.
This book provides readers with a single source reviewing and updating sociological theory in medical or health sociology. The book not only addresses the major theoretical approaches in the field today, it also identifies the future directions these theories are likely to take in explaining the social processes affecting health and disease. Many of the chapters are written by leading medical sociologists who feature the use of theory in their everyday work, including contributions from the original theorists of fundamental causes, health lifestyles, and medicalization. Theories focusing on both agency and structure are included to provide a comprehensive account of this important area in medical sociology.