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Outcomes in der perinatalen Versorgung: Einfluesse des Leistungsvolumens und weiterer Krankenhausspezifika untersucht anhand deutscher Qualitaetsberic
Paperback
Business GeneralInvesting & Finance
ISBN13: 9783631824535
Publisher: Peter Lang
Published: Jul 23 2020
Pages: 344
Weight: 0.91
Height: 0.72 Width: 5.83 Depth: 8.27
Language: German
Im internationalen Vergleich ist die deutsche Perinatalmedizin stark fragmentiert. Der Autor unternimmt eine vergleichende Qualitätsbeurteilung dieses Leistungsbereiches. Struktur- und Prozessspezifika einzelner Krankenhäuser dienen dabei als unabhängige Variablen, Ergebnisqualitätsindikatoren als abhängige Variablen. Als Datengrundlage nutzt der Autor deutsche Krankenhausqualitätsberichte, die sich als kaum konsistent erweisen.
Es zeigt sich, dass Unterschiede in den Strategien der Anbieter bestehen. Im Leistungsbereich Neonatologie ist von einem Volume-Outcome-Effekt auszugehen. Auch für Geburten mit niedrigem Risikoprofil liegen in der Gesamtschau Hinweise darauf vor, dass eine weitere Konzentration des Leistungsgeschehens die Qualität insgesamt erhöhen könnte.
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