Monitor Versorgungsforschung最新文献_第2页

Blaupause für Medikamentenmanagement mit Zusatznutzen 具有额外益处的药物管理蓝图

Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2574

P. Stegmaier

{"title":"Blaupause für Medikamentenmanagement mit Zusatznutzen","authors":"P. Stegmaier","doi":"10.24945/mvf.01.24.1866-0533.2574","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2574","url":null,"abstract":"What connects the selective contractual care offer eLiSa (1) of AOK Nordost and the innovation fund projects AdAM (2), TOP (3), eRIKA (4) of BARMER and AOK Nordost with the DMP requirements guideline for requirements for structured treatment programmes for patients with type 1 diabetes mellitus and the medication management including medication plan planned with the ePA (5) from 2025? The problem with the latter two: It is not defined how medication management and the medication plan should be implemented. Both the G-BA in its DMP-A guideline (6) and the legislator in the definition of the medication plan (7) leave this completely open. Although the legislator stipulates that dosage and intake instructions should be ‚clearly and comprehensibly documented‘, nothing more than documentation has been specified to date. The situation is different with the AOK Nordost ‚electronic Life Saver‘ (eLiSa for short) and BARMER‘s ‚AdAM‘, which were jointly awarded the first prize for patient safety by the Patient Safety Action Alliance and the first prize of the MSD Health Prize 2023, and the expansion stage planned this year can certainly be regarded as a blueprint for medication management, especially for DMPs and ePAs.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kinderarzneimittel und Besonderheiten von pädiatrischen Studien im AMNOG AMNOG 中的儿科医药产品和儿科研究的特点

Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2577

Dr. PH Andrej Rasch

引用次数: 0

smartCasaplus – ein risikobasiertes geriatrisches Gesundheitscoaching für multimorbide Versicherte smartCasaplus - 针对多病投保人的基于风险的老年健康指导计划

Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2582

Prof. Dr. rer. pol. Stephan Burger, Prof. Dr.-Ing. Thomas Peter Zahn, Markus M. Müller MA

引用次数: 0

Natürliche Experimente zur Beurteilung der Effektivität von Covid-19-Eindämmungs- maßnahmen 评估 Covid-19 遏制措施有效性的自然实验

Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2580

Dr. rer. nat. Dipl.-Geogr. Thomas Wieland

{"title":"Natürliche Experimente zur Beurteilung der Effektivität von Covid-19-Eindämmungs- maßnahmen","authors":"Dr. rer. nat. Dipl.-Geogr. Thomas Wieland","doi":"10.24945/mvf.01.24.1866-0533.2580","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2580","url":null,"abstract":"To assess the effectiveness of non-pharmaceutical interventions (NPIs) in controlling infections during the Covid-19 pandemic, natural experiments are useful. This article introduces the principle of natural experiments and their statistical analysis and, in the first step, discusses their implementation in previous NPI studies. The validity of many studies on the effectiveness of NPIs is limited because, on the one hand, there are often no or only weak control conditions and, on the other hand, because there are problems in the specification of the analysis models. It is often implicitly assumed that only NPIs can slow down the infection process because there are no control variables for any other causes. In the second step, a natural experiment is analyzed about the effectiveness of five measures in the second Corona wave. Switzerland (where these measures were not taken) and neighboring Baden-Württemberg serve as comparison regions. It turns out that the closure of close-contact services causes a reduction in the effective reproduction number, i.e., dampens the wave of infections. However, closing schools and daycare facilities as well as hotels is not effective.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"19 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pfaff: "Ideen reichen nicht, um Erfolg zu haben" 普法夫："要取得成功，光有想法是不够的"

Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2583

P. Stegmaier

引用次数: 0

Zunahme von Infektionen der oberen Atemwege nach der Covid-19-Pandemie Covid-19 大流行后上呼吸道感染增加

Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2581

Prof. Dr. rer. med. Karel Kostev, Dr. rer. nat. Wolfgang Plendl, Dipl.-Biol. Sabine Kluge MS, Prof. Dr. med. Christian Tanislav

{"title":"Zunahme von Infektionen der oberen Atemwege nach der Covid-19-Pandemie","authors":"Prof. Dr. rer. med. Karel Kostev, Dr. rer. nat. Wolfgang Plendl, Dipl.-Biol. Sabine Kluge MS, Prof. Dr. med. Christian Tanislav","doi":"10.24945/mvf.01.24.1866-0533.2581","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2581","url":null,"abstract":"This cross-sectional study evaluated the number of patients with a diagnosis of upper respiratory tract infections (URTI) and with antibiotic prescriptions from the Disease Analyzer database (IQVIA) between January 2019 and December 2022. The number of patients with UTRI diagnoses and antibiotic prescriptions per practice and the duration of sick leave per patient were compared over time. A total of 1,403,907 patients from general practices (GP) were included, 48% of whom were female. The number of URTI patients per practice was significantly higher in 2022 than in 2019 (732 vs. 464, 58%, p<0.001) and this was observed for both women (56%, p<0.001) and men (60%, p<0.001). The post-pandemic increase in the number of URTI diagnoses correlated with age and was highest in the age group between 18–30 years (22%, p<0.001) and lowest in older patients >70 years (3%). Both the number of patients per practice on sick leave due to URTI (184 vs. 92) and the average duration of sick leave (+2 days) increased from 2019 to 2022. Our data suggest a dramatic increase in the incidence of URTI among all demographic subgroups in Germany between 2019 and 2022, which was associated with a tremendous impact on socioeconomic variables such as the frequency or duration of sick leave. These data could be of great importance in current pandemic management and the management of future pandemics.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"18 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139809783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gesundheitsversorgung am Outcome ausrichten 使医疗保健与成果相一致

Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2578

Inga Bergen

{"title":"Gesundheitsversorgung am Outcome ausrichten","authors":"Inga Bergen","doi":"10.24945/mvf.01.24.1866-0533.2578","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2578","url":null,"abstract":"The German healthcare system is one of the most efficient in the world, with enormous potential for patients and society as a whole. Unfortunately, we are far from (yet) utilising this potential. We spend a lot on our health - but we are not healthier: according to the OECD ranking (1), our healthcare expenditure is the second highest in relation to gross domestic product, just behind the USA. In terms of life expectancy, mortality and self-assessment of health status, however, Germany is mediocre at best. Can we, or rather, do we want to continue to afford this? In view of the recurring discussion about the sustainable financing of statutory health insurance funds and the social and economic impact of illnesses, the question seems rhetorical in nature. The goal must be a healthcare system that guarantees the best possible individual care for all people in this system and that can be financed sustainably. This joint position paper is intended as a basis for discussion. It describes the concept and the added value of value- and outcome-orientated healthcare in the sense of Value Based Healthcare (VBHC) for people, the system and society and identifies areas of action in which political support is particularly necessary.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"63 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wie Mindestmengen die Patientenwanderung beeinflussen 最低容量如何影响患者迁移

Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2579

Dr.-Ing. Eberhard Hansis, Dr. rer. nat. Hannes Dahnke

引用次数: 0

Gesundheitsversorgung am Outcome ausrichten 使医疗保健与成果相一致

Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2578

Inga Bergen

{"title":"Gesundheitsversorgung am Outcome ausrichten","authors":"Inga Bergen","doi":"10.24945/mvf.01.24.1866-0533.2578","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2578","url":null,"abstract":"The German healthcare system is one of the most efficient in the world, with enormous potential for patients and society as a whole. Unfortunately, we are far from (yet) utilising this potential. We spend a lot on our health - but we are not healthier: according to the OECD ranking (1), our healthcare expenditure is the second highest in relation to gross domestic product, just behind the USA. In terms of life expectancy, mortality and self-assessment of health status, however, Germany is mediocre at best. Can we, or rather, do we want to continue to afford this? In view of the recurring discussion about the sustainable financing of statutory health insurance funds and the social and economic impact of illnesses, the question seems rhetorical in nature. The goal must be a healthcare system that guarantees the best possible individual care for all people in this system and that can be financed sustainably. This joint position paper is intended as a basis for discussion. It describes the concept and the added value of value- and outcome-orientated healthcare in the sense of Value Based Healthcare (VBHC) for people, the system and society and identifies areas of action in which political support is particularly necessary.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"53 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lehren aus hygienisch-medizinischer Sicht 从卫生和医学角度汲取的经验教训

Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2576

Prof. em. Dr. med. Dr. h.c. Martin Exner, Dr. Peter Walger

引用次数: 0