The introduction of the G-DRG reimbursement system has greatly increased the pressure to provide cost effective treatment in German hospitals. Reimbursement based on diagnosis-related groups, which requires stratification of costs incurred is still not sufficiently discriminating the disease severity and severity in relation to the intensive costs in gastroenterology. In a combined retrospective and prospective study at a tertial referral centre we investigated whether this also applies for decompensated liver cirrhosis.
View Article and Find Full Text PDFBundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
October 2008
Due to the challenges of demographic change and rising costs in the health care sector, the epidemiology of population-based health care capacity, demand and quality increasingly moves into the interest of science, politics and public. Epidemiology of health care research contains hypothesis-based analyses as well as development, implementation and evaluation of specific interventions, e.g.
View Article and Find Full Text PDFBackground: Starting with clinically motivated projects, the national quality assurance program has established a legislative obligatory framework. Annual feedback of results is an important means of quality control.
Material And Methods: The annual reports cover quality-related information with high granularity.
On-line learning is increasingly being used in nursing education. Nevertheless, there is still insufficient evidence to demonstrate: whether students respond positively when this form of learning is used to teach relatively practical or clinical subjects; whether it is effective; and whether it is fair to students with less access to, or familiarity with, computers and the internet. In 2003, an on-line Unit on clinical communication was developed for Australian undergraduate nurses in partnership between an Australian School of Nursing and the Department of Clinical Psychology.
View Article and Find Full Text PDFAim: This paper reports a study of workplace aggression among nurses in Tasmania, Australia. There is international concern about a perceived rise in occupational violence as a major worldwide public health problem, with associated financial costs.
Background: There is reason to suspect that aggression towards nurses is increasing.