Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
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Z Evid Fortbild Qual Gesundhwes · Jan 2011
[Implications of publication bias on guideline development and appraisal].
The issue of selective publishing of research results is gaining more and more scientific, public and political awareness. For guideline authors, in particular, it leads to uncertainty about the interpretability of the methodological quality and clinical relevance of the available evidence and the risk of bias where their conclusions and thus guideline recommendations are concerned. The actual impact of publication bias on guideline contents appears to be low if a systematic and methodically sound approach is followed in the process of guideline development. ⋯ Different strategies to deal with publication bias have been proposed for authors of systematic reviews but they are of limited use for guideline authors. The goal must therefore be to implement appropriate measures in order to avoid the problem ex ante. The first step would be the systematic registration of study results in publicly accessible registers.
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Z Evid Fortbild Qual Gesundhwes · Jan 2011
[Benchmarking and peer reviewing with routine data, using the example of IQM (Initiative Qualitätsmedizin e.V.)].
IQM is a non-profit association of hospitals and open to all kinds of hospitals. IQM aims to enhance the management of quality improvement using an innovative und efficient method including:
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Z Evid Fortbild Qual Gesundhwes · Jan 2011
["General Practice is a great job anyway" - a qualitative study with vocational trainees].
Due to the increasing lack of physicians, an ageing and thus multi-morbid society and a misdistribution of physicians in Germany primary care provided by general practitioners is at risk. Therefore, approaches to recruit more physicians for general practice are being sought. The aim of the present study was to explore individual motivations for choosing a career in general practice, vocational trainees' perspectives on the current situation of vocational training and to identify possible approaches to improve the situation with suggestions from vocational trainees in Germany. ⋯ The results of this study reveal that a single measure is insufficient for recruiting more young doctors for general practice. In fact, a package of measures is necessary to improve aspects of the vocational training but also general conditions for the profession.
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Z Evid Fortbild Qual Gesundhwes · Jan 2011
["The right to know": are patients having mandatory health insurance in Germany entitled to receive diagnostic services that have no medical consequences?].
Patients have the right to know whether they are ill and what the nature of their disease is. Apart from general preventive health examinations introduced by the Federal Joint Committee they are not eligible to diagnostic testing when there are no symptoms. ⋯ The Social Code Book V (SGB V) does not provide for an independent right of information of medical staff, for example, to prevent their acquisition of infection. But if the insured claims a medical service associated with a specific risk for the medical personnel, e.g. in case of an infectious disease, mandatory testing for such a risk can be administered.
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Z Evid Fortbild Qual Gesundhwes · Jan 2011
[Benchmarking in health care: conclusions and recommendations].
The German Health Ministry funded 10 demonstration projects and accompanying research of benchmarking in health care. The accompanying research work aimed to infer generalisable findings and recommendations. ⋯ Most projects lack a detailed analysis of structures and processes of the best performers as a starting point for the process of learning from and adopting best practice. To tap the full potential of benchmarking in health care, participation in voluntary benchmarking projects should be promoted that have been demonstrated to follow all the typical steps of a benchmarking process.