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Die Autorin untersucht Anreizwirkungen des DRG-Abrechnungssystems auf die medizinische Versorgung von Personen mit geistiger und Mehrfachbehinderung. Im Krankenhausbereich erwiesen sich eine mangelhafte Pflegeversorgung, Wissensdefizite in der Behindertenmedizin und ein defizitärer Informationsaustausch zwischen den Akteuren als relevante Faktoren. Die Qualität der medizinischen Versorgung der Zielgruppe im Krankenhaus hat sich nach der DRG-Einführung zwar nicht verschlechtert. Gleichzeitig weisen die empirischen Daten aber auf eine versteckte Patientenselektion und Leistungsverlagerung der Krankenhäuser auf. Es sollten rechtzeitig geeignete Maßnahmen getroffen werden, um die Versorgungsprobleme zu entschärfen und gemeinwirtschaftlichen Kosten zu senken. Der Inhalt Anreizwirkungen des DRG-Systems Standardisierte Befragung zur Krankenhaus- und ambulanten Versorgung Datenanalyse und Handlungsempfehlungen auf der Meso- und Mikroebene Die Zielgruppen Dozierende und Studierende mit den Schwerpunkten Health Management, Gesundheitsökonomie, Pflegemanagement und Präventionsmanagement Fach- und Führungskräfte in Krankenkassen, Kassenärztlichen Vereinigungen, Bewertungsausschüssen, im Klinikmanagement und der Behindertenhilfe Die Autorin Die Autorin ist Neurologin und schwerpunktmäßig in der Behindertenmedizin tätig. Sie absolvierte zusätzlich ein Masterstudium in Health Management an der Apollon Hochschule der Gesundheitswirtschaft, Bremen.
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Seit 30 Jahren erscheint der Arzneiverordnungs-Report mit Daten, Analysen und Kommentaren zur Verordnung von Arzneimitteln. Erklärte Ziele des Buches sind seitdem die Transparenz des Arzneimittelmarkts, die Bewertung von Arzneimitteln und die evidenzbasierte Arzneitherapie. Jährlich werden die Rezepte für die Patienten der gesetzlichen Krankenversicherung (GKV) analysiert. 2013 haben 202.965 Vertragsärzte 819 Mio. Arzneiverordnungen im Wert von 32,1 Mrd. € (+3,2 %) ausgestellt. Seit 3 Jahren ist die Nutzenbewertung gemäß Arzneimittelmarkt-Neuordnungsgesetz (AMNOG) etabliert. Damit wurde erreicht, dass neue Arzneimittel in Deutschland nicht mehr teurer sind als in den europäischen Nachbarländern. Die Nutzenbewertung von Arzneimitteln des Bestandsmarkts wurde im April dieses Jahres gestoppt, obwohl die Ärzteschaft die Fortführung gefordert hatte. So werden die Patienten weiterhin mit überhöhten Arzneimittelkosten belastet, obwohl die GKV schon 3,0 Mrd. € zusätzliche Rabatte von der Pharmaindustrie erhält. Weitere Kosten könnten bei Analogpräparaten (2,4 Mrd. €), Patentarzneimitteln des Bestandsmarkts (2,0 Mrd. €) und umstrittenen Arzneimitteln (0,5 Mrd. €) gespart werden.
Pharmacy management. --- Pharmacy. --- Health economics. --- Public health. --- Internal medicine. --- Pharmacoeconomics and Health Outcomes. --- Health Economics. --- Public Health. --- Internal Medicine.
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This book presents a contemporary view of pharmacy practice research covering theories, methodologies, models and techniques that are applicable. It has thirteen chapters covering the range of quantitative, qualitative, action research and mixed methods as well as management theories underpinning change in pharmacy practice. “Pharmacy Practice Research Methods” examines the evidence and impact as well as explores the future. Pharmacy practice is rapidly transforming and it is vital for students and academic researchers and to not only understand techniques and methodologies, but as champions to nurture the field. There is a literature in this area but few integrated texts which cover the wide range of pharmacy practice including methodologies, evidence, practice and policy. This book provides a solid foundation for exploring these phenomenon further, and is expected to serve as a valuable resource for academics, students, policy makers and professional organisations.
Medicine & Public Health. --- Pharmacoeconomics and Health Outcomes. --- Pharmacy. --- Medicine. --- Médecine --- Pharmacie --- Pharmacy -- Practice -- Research. --- Health & Biological Sciences --- Pharmacy, Therapeutics, & Pharmacology --- Pharmacy --- Practice --- Research. --- Pharmacy management. --- Chemistry --- Medicine --- Drugs --- Materia medica --- Pharmacology --- Pharmacy administration --- Drugstores --- Health services administration --- Administration --- Management
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‘If you’re not involving patients, you're not doing HTA!’ - Dr. Brian O’Rourke, President and CEO of CADTH, Chair of INAHTA This is the first book to offer a comprehensive guide to involving patients in health technology assessment (HTA). Defining patient involvement as patient participation in the HTA process and research into patient aspects, this book includes detailed explanations of approaches to participation and research, as well as case studies. Patient Involvement in HTA enables researchers, postgraduate students, HTA professionals and experts in the HTA community to study these complementary ways of taking account of patients’ knowledge, experiences, needs and preferences. Part I includes chapters discussing the ethical rationale, terminology, patient-based evidence, participation and patient input. Part II sets out methodology including: Qualitative Evidence Synthesis, Discrete Choice Experiments, Analytical Hierarchy Processes, Ethnographic Fieldwork, Deliberative Methods, Social Media Analysis, Patient-Reported Outcome Measures, patients as collaborative research partners and evaluation. Part III contains 15 case studies setting out current activities by HTA bodies on five continents, health technology developers and patient organisations. Each part includes discussion chapters from leading experts in patient involvement. A final chapter reflects on the need to clearly define the goals for patient involvement within the context of the HTA to identify the optimal approach. With cohesive contributions from more than 80 authors from a variety of disciplines around the globe, it is hoped this book will serve as a catalyst for collaboration to further develop patient involvement to improve HTA.
Medicine. --- Public policy. --- Pharmacy management. --- Medicine & Public Health. --- Pharmacoeconomics and Health Outcomes. --- Public Policy. --- Medical technology --- Evaluation. --- Health care technology --- Health technology --- Technology --- Pharmacy --- Pharmacy administration --- Drugstores --- Health services administration --- Administration --- Management
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This book emphasizes the clinical epidemiology of chronic liver diseases with a specific focus on the methodology of the discussed studies. The whole spectrum of liver diseases is covered, from chronic hepatitis B and C, to hepatocellular carcinoma, alcoholic and non-alcoholic fatty liver diseases and autoimmune and cholestatic liver diseases. Readers will find the most up-to-date information on clinical epidemiology of hepatology, and will also be able to learn about important methodology and biostatistics information. Each chapter contains a summary table at the end of each chapter that highlights the most relevant landmark studies, their main outcomes and the unique features of the methodology. The book will appeal to both practicing clinicians as well as clinical research investigators. In addition, this would likely be of interest to medical school or public health school students to learn about hepatology epidemiology, but also some specific fundamentals of clinical research and clinical epidemiology. .
Chronic diseases --- Epidemiology. --- Clinical medicine. --- Gastroenterology. --- Hepatology. --- Pharmacoeconomics and Health Outcomes. --- Diseases --- Public health --- Internal medicine --- Digestive organs --- Medicine, Clinical --- Medicine --- Gastroenterology . --- Pharmacy management. --- Pharmacy --- Pharmacy administration --- Drugstores --- Health services administration --- Gastroenterology --- Administration --- Management
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Representing the first book on the topic, this work offers the reader an introduction to the Japanese systems for health technology assessment (HTA) officially introduced by the Ministry of Health, Labour and Welfare (MHLW) in 2016. Policy and guidelines are discussed, with the relevant methods and conditions of cost-effectiveness analysis explained alongside. Numerous instructive examples and exercises, ranging from basic to advanced, impart valuable knowledge and insight on the quantitative methods for economic evaluation, which will appeal to both beginners and experts. This guidebook is authored by Japan’s foremost expert in HTA and pharmacoeconomics, with a view to strengthening the reader’s expertise in value-based healthcare and decision-making. The methods presented are essential to informing regulatory, local and patient decisions; as such, the book is equally recommended to industry and government, as well as academia, and anyone with an interest in Japanese HTA.
Medical economics. --- Economics, Medical --- Health --- Health economics --- Hygiene --- Medical care --- Medicine --- Economic aspects --- Health economics. --- Pharmacy management. --- Health Economics. --- Pharmacoeconomics and Health Outcomes. --- Pharmacy --- Pharmacy administration --- Drugstores --- Health services administration --- Administration --- Management
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The first edition of Pharmacy Practice Research Methods provided a contemporary overview of pharmacy practice research, discussing relevant theories, methodologies, models and techniques. It included chapters on a range of quantitative, qualitative, action research and mixed methods as well as management theories underpinning change in pharmacy practice. This new edition of the book is much broader and more diversified. It includes the quality improvement methods in pharmacy practice research, focusing on the key differences between high and low-income countries with regard to pharmacy practice research, as well as the main challenges faced when conducting such research – areas of significant global interest. In addition, a number of the chapters covering fast-moving fields where new methods have been developed and published have been updated. Featuring seven new topics and presenting future trends, the book also explains in detail methods used in covert and overt observations in pharmacy practice, as well as methods involved in realist research, which are important to countries seeking to produce evidence-based information in this area.
Pharmacy --- Chemistry --- Medicine --- Drugs --- Materia medica --- Pharmacology --- Practice --- Statistical methods. --- Pharmacy management. --- Pharmacy. --- Practice of medicine. --- Pharmacoeconomics and Health Outcomes. --- Practice and Hospital Management. --- Medical practice --- Practice of medicine --- Physician practice acquisitions --- Pharmacy administration --- Drugstores --- Health services administration --- Administration --- Management
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This book explains the Food and Drug Administration (FDA) as an institution and provides understanding of its nomenclature, societal role, policies, goals and challenges. While many readers will have some knowledge of the FDA, few have an appreciation of the many specific areas of FDA authority. For example, how many realize that the US is one of only two countries which allow direct-to-consumer drug advertising, which is regulated by FDA? Or that FDA itself advertises to try to prevent young people from smoking cigarettes, and that all proprietary drug names must be approved by FDA? How many doctors or other readers are familiar with the formal definition distinguishing drugs from devices and the importance this has for development costs and for our knowledge about the ultimate products? How many know how much nutritional supplements are regulated by FDA? The FDA for Doctors is not for those looking for detailed instruction on dealing with the FDA or its operations. Rather, it is written by a doctor with doctors in mind, with the hope that the information in this book will make physicians, and other readers, more thoughtful and insightful, especially with regards to therapeutics and the many broad societal issues underlying FDA’s activities. With over 40 years of experience as a clinical investigator in many trials done for FDA registration, the author has been a member of and chaired an FDA advisory committee, and has been a consultant to several divisions of the FDA. He has also had the opportunity to serve on the U.S. Senate Labor Committee, helping with its FDA oversight activities. In addition to a long academic medical career the author has been a consultant to and a full time employee of drug and device companies. .
Pharmaceutical policy --- United States. --- FDA --- F.D.A. --- U.S. Food & Drug Administration --- Medicine. --- Practice of medicine. --- Medicine/Public Health, general. --- Health Administration. --- Pharmacoeconomics and Health Outcomes. --- Medical practice --- Practice of medicine --- Physician practice acquisitions --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Health Workforce --- Health administration. --- Pharmacy management. --- Pharmacy --- Pharmacy administration --- Drugstores --- Health services administration --- Administration --- Management
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This comprehensive text presents a rigorous framework from within which regulators can respond strategically to the claim by the pharmaceutical industry that lower drug prices today lead to a loss for the population’s future health due to less innovation. It starts with a critical review of the empirical evidence of the return to consumers on their ongoing investment into high drug prices in order to increase future innovation. The implicit, critical and unrealistic assumption inherent in these studies is identified, namely that the health budget can be expanded to purchase drugs at higher prices without an opportunity cost, for example, the foregone benefits of alternative investments in health care infrastructure. Price effectiveness analysis (PEA), is introduced. PEA informs the question of how the innovative surplus from the new drug should be allocated between the manufacturer and the consumer so as to optimise society’s welfare. The method allows the decisions by the regulator and the firm to be analysed jointly by specifying the firm’s production and revenue functions in terms of the clinical innovation of a new drug; the incremental effect used in the summary metric of cost effectiveness analysis. An economic value of innovation that takes into account opportunity cost under conditions of economic efficiency in the health system is proposed: the health shadow price. The limitations of the non-strategic methods that currently inform the highly contested new drug subsidy game are presented and the relative strengths of PEA are demonstrated. Health technology assessment quantifies both the clinical innovation of a new drug and its financial impact on the health system. Cost effectiveness analysis tests the relationship between the incremental cost and incremental effect of a new drug for target patients, at a given price. PEA tests the relationship between the price of a new drug and the health of the whole population, now and into the future. It achieves this by taking into account current inefficiency in both resource allocation and the displacement process, and the relationship between price and future innovation.
Medicine & Public Health. --- Pharmacoeconomics and Health Outcomes. --- Pharmaceutical Sciences/Technology. --- Medicine/Public Health, general. --- Medicine. --- Pharmaceutical technology. --- Médecine --- Techniques pharmaceutiques --- Health & Biological Sciences --- Pharmacy, Therapeutics, & Pharmacology --- Medical care --- Marketing. --- Pharmacy management. --- Pharmaceutical laboratory techniques --- Pharmaceutical laboratory technology --- Technology, Pharmaceutical --- Technology --- Pharmacy --- Pharmacy administration --- Drugstores --- Health services administration --- Administration --- Management
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This comprehensive guide covers prescribing controlled substances for patients with acute or chronic pain and provides a balanced discussion on appropriate treatment, addiction, safety and complications. Chapters feature evidence-based strategies and clinical modalities that address diagnostic challenges, treatment guidance, alternatives to opioid management and the significant legal risks within the current regulatory environment. Authored by leaders in pain medicine, physicians and appropriate health care professionals will find Controlled Substance Management in Chronic Pain to be an indispensable resource. .
Medicine. --- Pain medicine. --- Primary care (Medicine). --- Pharmacotherapy. --- Pharmacy management. --- Medicine & Public Health. --- Pain Medicine. --- Pharmacoeconomics and Health Outcomes. --- Primary Care Medicine. --- Chronic pain --- Chemotherapy. --- Persistent pain --- Diseases --- Pain --- Emergency medicine. --- Medicine, Emergency --- Medicine --- Critical care medicine --- Disaster medicine --- Medical emergencies --- Algiatry --- Primary medical care --- Medical care --- Pharmacy --- Pharmacy administration --- Drugstores --- Health services administration --- Drug therapy --- Pharmacotherapy --- Therapeutics --- Drugs --- Pharmacology --- Administration --- Management
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