Das Gesundheitswesen
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Das Gesundheitswesen · Jul 2011
[Use of health insurance data to analyse pain management practices in the nursing-home setting].
Pain is the most common health-related complaint in older persons. International estimations mention up to 80% of nursing home residents suffering from pain. In the meantime, no reliable epidemiological data on pain in nursing home residents are available for Germany, because of restricted access to the nursing-home population. ⋯ Prevalence rate and numbers of prescriptions were as frequent as expected. The routine method for this analysis proved to be practicable and reliable. Data quality is deemed sufficient so that the main study will proceed to include a longer period of time and additional data.
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Das Gesundheitswesen · Jul 2011
Comparative Study[Measurement of patient preferences in ambulatory health-care centres (MVZ)--a comparison of quality of treatment between MVZ and family general practitioners].
The measurement of patient preferences on the basis of perceived quality of care in a comparison of two ambulatory health-care centres (medizinisches Versorgungszentrum, MVZ) with traditional ambulatory care consisting of single ambulatory practices was undertaken. The influence of the patients' perceived quality of care on patients' preference for an MVZ or traditional ambulatory care setting was analysed. Determinants of the patients' preference were identified. ⋯ The judgment in favour of the ambulatory health-care centres (MVZ) could be explained by organisational structures typical of these centres, e. g., the increased information sharing and cooperation amongst doctors. The identified determinants of the patients' "preference" indicate a practical approach for attaining a preference position in the health market, both for medical care centres as well as for single medical practices.