Das Gesundheitswesen
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Descriptive study on health outcomes, co-morbidity, severity and social context in child abuse and neglect. ⋯ The current, exclusive classification of types of abuse and neglect does not adequately describe the complexity of childrens' experiences of intra-familiar violence. Future research should be oriented towards the physical, emotional and social consequences of child maltreatment and use multifactorial designs to capture the complex aetiology and multiple acts and omissions responsible for the distress and injuries. Prospective studies are important to assess specific effects of child abuse and neglect on child development.
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Das Gesundheitswesen · Mar 2000
Comparative Study[Physician's anxiety and physician's elegance. Problems in dealing with cost reduction, education of general practitioners and optimal size of practice networks in a cross-national comparison].
The key reason for physicians networking in managed care is to get a better coping with uncertainty on action (treatment) decisions. The second reason for networking in managed care are financial benefits grounds. But this reason is very ambivalent. ⋯ The destiny of the joint doctor's offices in Germany suggest due to a very serious power to scatter this networks. The comparative analysis of conflicts, strains, resources and strategies of associations and networks could yield from a developed methodical repository in sociology and social psychology what exists since 40 years (see also Meyer--in this journal). But therefore must be included also the action problems, which are only mentioned in passing of the according profession horizon.
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Das Gesundheitswesen · Dec 1999
[Drug prescribing in primary health care for diabetic and non-diabetic patients: effect of therapeutic drug budgeting].
With computerised data on drug prescriptions, which were collected among a sample of 362 internist, general and medical practitioners throughout Germany, the effects of the drug budget, based on the German Health Care Structure Reform Act (GSG), on diabetic patients were analysed. The data of 3053 diabetic patients (10% random sample) were compared with the same number of nondiabetic patients for the period of July 1992 to December 1994. The frequency of consultations per patient increased in both groups during the study period (p < 0.01). ⋯ The proportion of consultations with > or = 1 prescription increased in diabetic patients after the GSG. A refusal to prescribe drugs in primary health care practices among diabetic patients was not observed. There was also no restriction on prescription drug use among diabetic patients compared with nondiabetics.