Details
| Translated title of the contribution | Current status of ambulatory rheumatologic health care in Germany: Structure of health care and range of services |
|---|---|
| Original language | Multiple languages |
| Pages (from-to) | 525-532 |
| Number of pages | 8 |
| Journal | Zeitschrift fur Rheumatologie |
| Volume | 66 |
| Issue number | 6 |
| Early online date | 13 Sept 2007 |
| Publication status | Published - Oct 2007 |
Abstract
Aim. To gather information on current organizational structures in rheumatologic ambulatory health care in Germany. Based on the results recommendations on future structures will be discussed. Methods. This study involved data collection and statistical analysis via a structured 10-page questionnaire among the members of the German Association of Rheumatologists. The questions concerned a variety of topics including information on office structures, patient structure, structure of services offered, co-operation with colleagues and hospitals, quality assurance measures, economic factors, and a subjective assessment of the health care structures in rheumatology by the participants. Results. Data obtained from 197 rheumatologists who participate in health care were analyzed. In this paper results concerning the organizational as well as the medical ambulatory health care structure will be presented. Data on economic factors will be presented in part 2 of this study. Conclusions. The organization of ambulatory treatment regarding processes and treatment differences between office-based physicians and rheumatologic outpatient departments in hospitals was very homogeneous. However, physicians in the eastern regions treated significantly more patients compared with the western parts of Germany. This difference was also observed between the north and south. Differences in patient groups (e.g. underlying diseases) were reported between different sub-groups of rheumatologists (e.g. internal specialists vs. GP vs. orthopedic rheumatologists). Integrated health care, as promoted by German social law, did not play a major role. Overall there was a high level of self-initiated training of physicians and participation in education of patients and other physicians.
ASJC Scopus subject areas
- Medicine(all)
- Rheumatology
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In: Zeitschrift fur Rheumatologie, Vol. 66, No. 6, 10.2007, p. 525-532.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - Bestandsaufnahme der ambulanten rheumatologischen Versorgung in Deutschland
T2 - Versorgungsstruktur und Leistungsspektrum
AU - Mittendorf, T.
AU - Edelmann, E.
AU - Kekow, J.
AU - Von Hinüber, U.
AU - Müller-Brodmann, W.
AU - Graf Von Der Schulenburg, J. M.
PY - 2007/10
Y1 - 2007/10
N2 - Aim. To gather information on current organizational structures in rheumatologic ambulatory health care in Germany. Based on the results recommendations on future structures will be discussed. Methods. This study involved data collection and statistical analysis via a structured 10-page questionnaire among the members of the German Association of Rheumatologists. The questions concerned a variety of topics including information on office structures, patient structure, structure of services offered, co-operation with colleagues and hospitals, quality assurance measures, economic factors, and a subjective assessment of the health care structures in rheumatology by the participants. Results. Data obtained from 197 rheumatologists who participate in health care were analyzed. In this paper results concerning the organizational as well as the medical ambulatory health care structure will be presented. Data on economic factors will be presented in part 2 of this study. Conclusions. The organization of ambulatory treatment regarding processes and treatment differences between office-based physicians and rheumatologic outpatient departments in hospitals was very homogeneous. However, physicians in the eastern regions treated significantly more patients compared with the western parts of Germany. This difference was also observed between the north and south. Differences in patient groups (e.g. underlying diseases) were reported between different sub-groups of rheumatologists (e.g. internal specialists vs. GP vs. orthopedic rheumatologists). Integrated health care, as promoted by German social law, did not play a major role. Overall there was a high level of self-initiated training of physicians and participation in education of patients and other physicians.
AB - Aim. To gather information on current organizational structures in rheumatologic ambulatory health care in Germany. Based on the results recommendations on future structures will be discussed. Methods. This study involved data collection and statistical analysis via a structured 10-page questionnaire among the members of the German Association of Rheumatologists. The questions concerned a variety of topics including information on office structures, patient structure, structure of services offered, co-operation with colleagues and hospitals, quality assurance measures, economic factors, and a subjective assessment of the health care structures in rheumatology by the participants. Results. Data obtained from 197 rheumatologists who participate in health care were analyzed. In this paper results concerning the organizational as well as the medical ambulatory health care structure will be presented. Data on economic factors will be presented in part 2 of this study. Conclusions. The organization of ambulatory treatment regarding processes and treatment differences between office-based physicians and rheumatologic outpatient departments in hospitals was very homogeneous. However, physicians in the eastern regions treated significantly more patients compared with the western parts of Germany. This difference was also observed between the north and south. Differences in patient groups (e.g. underlying diseases) were reported between different sub-groups of rheumatologists (e.g. internal specialists vs. GP vs. orthopedic rheumatologists). Integrated health care, as promoted by German social law, did not play a major role. Overall there was a high level of self-initiated training of physicians and participation in education of patients and other physicians.
KW - Health care services research
KW - Health care structure
KW - Rheumatology
UR - http://www.scopus.com/inward/record.url?scp=35748964700&partnerID=8YFLogxK
U2 - 10.1007/s00393-007-0189-x
DO - 10.1007/s00393-007-0189-x
M3 - Article
C2 - 17851671
AN - SCOPUS:35748964700
VL - 66
SP - 525
EP - 532
JO - Zeitschrift fur Rheumatologie
JF - Zeitschrift fur Rheumatologie
SN - 0340-1855
IS - 6
ER -