Epidemiologische Methoden für die Versorgungsforschung

Glaeske, Gerd; Augustin, Max; Abholz, HH; Banik, Nilanjan; Brüggenjürgen, Bernd; Hasford, Joerg; Hoffmann, W; Kruse, Johannes; Lange, Stefan; Schäfer, Thomas; Schubert, Ingrid; Trampisch, Hans J.; Windeler, Jaime

doi:10.1055/s-0029-1239517

Cited by 49 publications

(50 citation statements)

References 2 publications

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“…Verordnungsdaten stellen einen guten Ansatzpunkt dar, um häufig verordnete Antibiotika zu identifizieren und deren Eintrag in die Umwelt abzuschätzen. Die Nutzung von Sekundärdaten, sogenannte Routinedaten von Krankenkassen, ist neben den geschilderten Potenzialen auch mit Herausforderungen verbunden [24][25][26]. Systematische Verbesserungen in der Datenqualität durch Digitalisierung, Begleitforschung, Aufbau übergreifender Datenbanken (z.…”

Section: Antibiotika Und Antibiotikaresistenzen In Der Umweltchemieunclassified

Antibiotikaeintrag in das urbane Abwasser

Timpel

Marx

Knoth

et al. 2015

Bundesgesundheitsbl.

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Antibiotics are essential for the successful treatment of bacterial infections. Recently, the increasing number of resistant bacteria and the occurrence of residues of antibiotics in the environment has become the focus of scientific interest. The aim of the cooperative project ANTI-Resist was to investigate the release of antibiotics and the occurrence and distribution of antibiotic resistance in the urban waste water system of the city of Dresden.This article presents the main results of the secondary data analysis for the determination of outpatient and inpatient antibiotic consumption and provides an insight into the complexity of the topic antibiotics in waste water.Based on the data of outpatient prescriptions provided by the AOK PLUS for the period 2005 to 2013, thirteen focus substances were identified to estimate antibiotic consumption. Furthermore, delivery data from the pharmacies of three hospitals in Dresden were available.Depending on the substances investigated, seasonality and age dependency were determined. The results at a regional level were mostly in good accordance with general trends throughout Germany. It should be noted that the total amount of antibiotics used remained nearly constant over the whole period investigated, but the prescription of fluoroquinolones increased. This must be questioned when taking into account the increasingly critical situation in the treatment of Gram-negative bacteria in particular. Examinations of waste water conducted indicated that sewage treatment plants are not able to remove antibiotics or their metabolites completely from waste water. The residues are released into surface waters via the treatment plants. The impact cannot be assessed at the moment and further investigations are necessary.

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Section: Antibiotika Und Antibiotikaresistenzen In Der Umweltchemieunclassified

Antibiotikaeintrag in das urbane Abwasser

Timpel

Marx

Knoth

et al. 2015

Bundesgesundheitsbl.

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“…B. Arzneimittel, die nicht rezeptpflichtig sind (sog. Over-thecounter-Präparate) oder auch individuelle Gesundheitsleistungen (IGeL) [30]. Diesbezüglich bieten insbesondere epi- In GKV-Routinedaten ist dies wiederum möglich, da anhand einer im Zeitverlauf unveränder-ten pseudonymisierten Personenidentifikationsnummer längsschnittliche Verläu-fe dargestellt werden können.…”

Section: Inanspruchnahme Von Gesundheitsleistungenunclassified

Nutzungsmöglichkeiten von Routinedaten der Gesetzlichen Krankenversicherung in der Gesundheitsberichterstattung des Bundes

Ohlmeier

Frick

Prütz

et al. 2014

Bundesgesundheitsbl.

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“…Für die kritische Beurteilung der Studienmethodik sowie zur Einschätzung der möglichen Aussagekraft einer Untersuchung kann ebenfalls auf das Instrumentarium der evidenzbasierten Medizin zurückgegriffen werden (zur kritischen Beurteilung von Studien speziell im Rahmen der Versorgungsforschung s. [3,5] …”

Section: > Zum Wirksamkeitsnachweis Sind Randomisierte Kontrollierte unclassified

Die Urologie braucht Versorgungsforschung

Hoffmann

Huber

2011

Urologe

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The central tasks of health services research include the description and analysis of health care under everyday conditions as well as the development and evaluation of new concepts. As a first step, the reality of the health services' situation should be assessed using representative data. For that, registries, claims data of health insurance funds or observational studies are suitable. To investigate specific patterns or decisions, qualitative methods are of importance. To evaluate the effectiveness of health care concepts or structures, pragmatic randomized, controlled trials are considered to provide the best evidence. In this paper we discuss these questions on the basis of treatment for patients with small renal masses. Although recent guidelines recommend nephron-sparing surgery instead of radical nephrectomy for these patients, international studies suggest that there is a significant underuse of nephron-sparing procedures. However, national data describing the situation in Germany are necessary to analyse reasons and to develop new concepts which subsequently have to be tested in randomized trials. Therefore, the aim of health services research is to create a scientific basis for continuous improvements in health care. Urology needs health services research and we should find ways to overcome barriers to improve quality of care.

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Epidemiologische Methoden für die Versorgungsforschung

Cited by 49 publications

References 2 publications

Antibiotikaeintrag in das urbane Abwasser

Antibiotikaeintrag in das urbane Abwasser

Nutzungsmöglichkeiten von Routinedaten der Gesetzlichen Krankenversicherung in der Gesundheitsberichterstattung des Bundes

Die Urologie braucht Versorgungsforschung

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