Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
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What is the benefit of the federal state's investment in and funding of both high-level medical education and health care? The main question is whether the benefit justifies the necessary costs of these institutions. This article seeks to present a model for calculating the economic benefits and other effects of a medical institution for the government investor and financier on the basis of a case study of a German medical faculty. In the end the medical faculty's negotiating position was enhanced on the basis of the monetary results of this expert opinion.
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Z Evid Fortbild Qual Gesundhwes · Jan 2011
[The "outcome benchmarking in rheumatologic acute care" project of the Association of Rheumatologic Acute Care Clinics (VRA e.V.) in Germany].
By initiating and taking part in the pilot project obra (outcome benchmarking in rheumatologic acute care), which was supported by the German Ministry of Health, the rheumatologic hospitals committed themselves to the continuous improvement of quality through a collective benchmarking and learning process. In addition to verifiable and concrete improvements in quality, the major achievements of the obra pilot project include a cultural change in the participating hospitals as well as the continuation of outcome benchmarking and its expansion to an increasing number of hospitals.
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Z Evid Fortbild Qual Gesundhwes · Jan 2011
[Quality Association for Acute Stroke Treatment Schleswig-Holstein (QugSS)].
The Quality Association for Acute Stroke Treatment Schleswig-Holstein (QugSS) continues a project which was conducted from 2004 to 2007 as part of a benchmarking programme funded by the German Health Ministry. The implementation of the benchmarking programme in 15 hospitals was intended to improve patient-related outcomes of the inpatient treatment of acute stroke. Regular reports to the Quality Association are complemented by quarterly meetings of the association members to compare and discuss the results of the participating hospitals. ⋯ Between April 2005 and December 2010 approx. 18,000 cases (mean age: 71.9±12.8 years/M±SD, 48.7% females) were documented. From 2008 to 2010, nine out of 12 process indicators improved significantly. Values above the pre-defined target level of the quality indicators were significantly achieved by five indicators (p<.05), almost achieved by three indicators (not significant), and were significantly failed by four indicators.
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Z Evid Fortbild Qual Gesundhwes · Jan 2011
Randomized Controlled Trial Multicenter Study[Does implementation of benchmarking in quality circles improve the quality of care of patients with asthma and reduce drug interaction?].
The purpose of this cluster-randomised controlled trial was to evaluate the efficacy of quality circles (QCs) working either with general data-based feedback or with an open benchmark within the field of asthma care and drug-drug interactions. ⋯ General practitioners seem to take a critical perspective about open benchmarking in quality circles. Caution should be used when implementing benchmarking in a quality circle as it did not improve healthcare when compared to the traditional procedure with anonymised comparisons.