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[Quality of hospital care in Germany: analysis of the trend between 2004 and 2008 from external quality assurance data].
Dtsch Med Wochenschr. 2014 Jan; 139(5):181-6.DM

Abstract

BACKGROUND AND OBJECTIVES

Introducing fixed fees for inpatient hospital care has raised fears of a negative influence on treatment quality. To address these concerns, an external quality assurance was implemented. The results of the quality indicators should indicate changes in the quality of inpatient care between 2004 and 2008.

METHODS

On the basis of the evaluation data delivered by the Federal Quality Assurance Agency, quality indicators with similar results of at least 3 subsequent years were included. A trend was identified with linear regression as well as with a constant change in the results. 204 quality indicators of 19 health care sectors of 6 diagnosis groups were included.

RESULTS

Half of the quality indicators showed a particularly striking quality improvement in the categories "indication" and "process". The lowest number of quality indicators with a quality improvement occurred in the cardiac surgery. To this diagnosis group also belong 13 of the 18 quality indicators with deterioration. Sixteen of the 18 quality indicators rank among the category "result".

CONCLUSION

The quality of inpatient care improved substantially from 2004 through 2008, measured against the quality indicators of the external comparable quality assurance. This corresponds to other analyses of a similar time period in Germany of the same or different data sources. Those analyses showed additionally that the subjective perceptions of clinicians and of nursing staff are significantly worse.

Authors+Show Affiliations

Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Ludwig-Maximilians-Universität München.Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Ludwig-Maximilians-Universität München.

Pub Type(s)

Journal Article

Language

ger

PubMed ID

24449351

Citation

Stausberg, J, and K Berghof. "[Quality of Hospital Care in Germany: Analysis of the Trend Between 2004 and 2008 From External Quality Assurance Data]." Deutsche Medizinische Wochenschrift (1946), vol. 139, no. 5, 2014, pp. 181-6.
Stausberg J, Berghof K. [Quality of hospital care in Germany: analysis of the trend between 2004 and 2008 from external quality assurance data]. Dtsch Med Wochenschr. 2014;139(5):181-6.
Stausberg, J., & Berghof, K. (2014). [Quality of hospital care in Germany: analysis of the trend between 2004 and 2008 from external quality assurance data]. Deutsche Medizinische Wochenschrift (1946), 139(5), 181-6. https://doi.org/10.1055/s-0033-1359990
Stausberg J, Berghof K. [Quality of Hospital Care in Germany: Analysis of the Trend Between 2004 and 2008 From External Quality Assurance Data]. Dtsch Med Wochenschr. 2014;139(5):181-6. PubMed PMID: 24449351.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Quality of hospital care in Germany: analysis of the trend between 2004 and 2008 from external quality assurance data]. AU - Stausberg,J, AU - Berghof,K, Y1 - 2014/01/21/ PY - 2014/1/23/entrez PY - 2014/1/23/pubmed PY - 2014/3/25/medline SP - 181 EP - 6 JF - Deutsche medizinische Wochenschrift (1946) JO - Dtsch Med Wochenschr VL - 139 IS - 5 N2 - BACKGROUND AND OBJECTIVES: Introducing fixed fees for inpatient hospital care has raised fears of a negative influence on treatment quality. To address these concerns, an external quality assurance was implemented. The results of the quality indicators should indicate changes in the quality of inpatient care between 2004 and 2008. METHODS: On the basis of the evaluation data delivered by the Federal Quality Assurance Agency, quality indicators with similar results of at least 3 subsequent years were included. A trend was identified with linear regression as well as with a constant change in the results. 204 quality indicators of 19 health care sectors of 6 diagnosis groups were included. RESULTS: Half of the quality indicators showed a particularly striking quality improvement in the categories "indication" and "process". The lowest number of quality indicators with a quality improvement occurred in the cardiac surgery. To this diagnosis group also belong 13 of the 18 quality indicators with deterioration. Sixteen of the 18 quality indicators rank among the category "result". CONCLUSION: The quality of inpatient care improved substantially from 2004 through 2008, measured against the quality indicators of the external comparable quality assurance. This corresponds to other analyses of a similar time period in Germany of the same or different data sources. Those analyses showed additionally that the subjective perceptions of clinicians and of nursing staff are significantly worse. SN - 1439-4413 UR - https://www.unboundmedicine.com/medline/citation/24449351/[Quality_of_hospital_care_in_Germany:_analysis_of_the_trend_between_2004_and_2008_from_external_quality_assurance_data]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0033-1359990 DB - PRIME DP - Unbound Medicine ER -