Methoden für die organisationsbezogene Versorgungsforschung

Pfaff, Holger; Albert, Ute‐Susann; Bornemann, Reinhard; Ernstmann, Nicole; Gostomzyk, J. G.; Gottwik, Martin; Heller, Gerhard; Hohmann, U.; Karbach, Ute; Ommen, Oliver; Wirtz, Markus

doi:10.1055/s-0029-1239515

Cited by 31 publications

(26 citation statements)

References 13 publications

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“…As outlined by Pfaff et al , 13 during such a study acceptability and feasibility of the intervention should be assessed, its design adapted, and the relevant outcome parameters and treatment in the control group should be determined – in order to prepare phase IV, the definitive randomized controlled effectiveness study. Should such a study be initiated now?…”

Section: Discussionmentioning

confidence: 99%

Sensitivity Analysis of Weight Reduction Results of an Observational Cohort Study in Overweight and Obese Children and Adolescents in Germany: the EvAKuJ Study

et al. 2013

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In the German EvAKuJ observational cohort study, changes in the body mass index standard deviation score (BMI–SDS) of overweight and obese children and adolescents as primary outcome of multimodal (short, inpatient or long, outpatient) weight-loss interventions are difficult to interpret. Published intention-to-treat (ITT) and per protocol data obtained at the end of the intervention (T1), one year (T2), and two years (T3) after its end were used for sensitivity analysis of treatment success rates. The odds ratio and the number needed to treat (NNT) for BMI–SDS reduction of at least −0.2 (successful treatment) and at least −0.5 (good treatment success) were related to spontaneous BMI-SDS reduction rates in a hypothetical control group (control event rate, CER). At T1, treatment seems to be effective up to a CER of 10% in inpatients and of 5% in outpatients. ITT analysis, compromised by a loss to follow-up of 81 to 90% (inpatients) and 57 to 66% (outpatients), indicated that treatment may become less effective at a CER above 1% in inpatients (e.g., successful treatment at T2: NNT=106, at T3: NNT=51), and above 5% in outpatients (successful treatment at T2: NNT=7, at T3: NNT=8; good treatment success at T2 and T3: NNT=25). Positive short-term effects of inpatient treatment of overweight and obese children and adolescents may not be maintained in the long term. Long-term effectiveness of outpatient treatment may depend on age and the degree of overweight.

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Section: Discussionmentioning

confidence: 99%

Sensitivity Analysis of Weight Reduction Results of an Observational Cohort Study in Overweight and Obese Children and Adolescents in Germany: the EvAKuJ Study

et al. 2013

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“…A total of 70% of breast cancer patients are eligible for adjuvant endocrine treatment. Therefore, adherence to standard guideline recommendations in breast cancer care is an important issue of health services research [12,13]. A high rate of non-compliance, or rather poor medication adherence, has already been demonstrated for women receiving routine cancer care outside clinical trials [14,15].…”

Section: Disclosure Statementmentioning

confidence: 99%

The Impact of Breast Care Nurses on Patients’ Satisfaction, Understanding of the Disease, and Adherence to Adjuvant Endocrine Therapy

Albert

Zemlin²,

Hadji³

et al. 2011

Breast Care

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Background: Breast care nurses (BCNs) are specialized caregivers in certified breast cancer center teams. The impact of a BCN’s work remains unknown. Patients and Methods: The role of BCN care was evaluated in a post-discharge mail survey of 360 patients. Results: A total of 207 (87%) of 237 (66%) returned questionnaires were analyzed; 171 (83%) patients had BCN contact, 36 (17%) did not. The mean global quality of life scores (EORTC-QLQ-C30) were 66.3 for women with contact to a BCN versus 62.5 for women without such contact (p < 0.05). Women with a BCN contact had better results than women without (p < 0.001) for the following parameters: receipt of information material (84 vs. 64%), information about hospital procedures (93 vs. 72%) and treatment plan (91 vs. 63%), and knowledge of own tumor hormone receptor status (83 vs. 53%). Medication adherence correlated with the knowledge about the tumor hormone receptor status and was significantly higher in women having contact with a BCN (79 vs. 56%). The high recommendation rate (81%) reflects the high level of satisfaction with BCNs. A qualitative analysis of comments and suggestions identified aspects to improve BCN services. Conclusions: BCN improve satisfaction and treatment adherence in breast cancer patients.

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“…The results of surveys of care procedures and the context of care (e.g. the communication skills of staff) can be used for the organizational development of healthcare organizations by analyzing the problems and taking the appropriate steps to improve [5]. Accreditation of Breast Centers in the German federal state of North Rhine-Westphalia (NRW) by the Ministry of Health of North Rhine-Westphalia was introduced in 2003.…”

Section: Discussionmentioning

confidence: 99%

Ten Years of Patient Surveys in Accredited Breast Centers in North Rhine-Westphalia

Kowalski

Pfaff

2016

Geburtshilfe Frauenheilkd

Self Cite

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Einleitung: Patientenbefragungen sind ein etabliertes Instrument zur Qualitätssicherung in Versorgungseinrichtungen. In diesem Artikel werden die Gestaltung und Weiterentwicklung der jährlichen Befragung von Brustkrebspatientinnen in nordrhein-westfälischen Brustzentren sowie ausgewählte Ergebnisse über den Verlauf von 10 Jahren diskutiert. Material und Methoden: Seit 2006 befragt das Institut für Medizinsoziologie, Versorgungsforschung und Rehabilitationswissenschaft (IMVR) der Universität zu Köln jährlich Patientinnen und Patienten mit primärem Mammakarzinom, die zwischen Februar und Juli jeden Jahres in einem von der Ärztekammer Westfalen-Lippe zertifizierten nordrhein-westfälischen Brustzentrum operiert worden sind, mit dem Kölner Patientenfragebogen für Brustkrebs. Der eingesetzte Fragebogen sowie die Ergebnisrückmeldung an die Brustzentren zur kontinuierlichen Verbesserung wurden in 2014 grundlegend überarbeitet. Ausgewählte Ergebnisse werden über den Zeitverlauf deskriptiv analysiert. Ergebnisse: Nach dem Befragungszeitraum von 10 Jahren lassen sich Aussagen zur Versorgungsrealität in den Brustzentren anhand von Daten zu 40 000 Patientinnen treffen. In einigen Bereichen sind über den Zeitverlauf positive Entwicklungen zu erkennen. Schlussfolgerungen: Das Befragungsvorgehen, der Kölner Patientenfragebogen für Brustkrebs 2.0 sowie die benchmarkorientierte Art der Ergebnisrückmeldung geben Impulse zum organisationalen Lernen in den Brustzentren. Das Konzept könnte auch in anderen Versorgungseinrichtungen zum Lernen und zu einer verbesserten Versorgung anregen.

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Methoden für die organisationsbezogene Versorgungsforschung

Cited by 31 publications

References 13 publications

Sensitivity Analysis of Weight Reduction Results of an Observational Cohort Study in Overweight and Obese Children and Adolescents in Germany: the EvAKuJ Study

Sensitivity Analysis of Weight Reduction Results of an Observational Cohort Study in Overweight and Obese Children and Adolescents in Germany: the EvAKuJ Study

The Impact of Breast Care Nurses on Patients’ Satisfaction, Understanding of the Disease, and Adherence to Adjuvant Endocrine Therapy

Ten Years of Patient Surveys in Accredited Breast Centers in North Rhine-Westphalia

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