Klinische Ökonomik – Was sie ist, was sie will und weshalb wir sie brauchen

Porzsolt, Franz

doi:10.1055/s-0043-108015

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Gesundh ökon Qual manag

2017

DOI: 10.1055/s-0043-108015

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Klinische Ökonomik – Was sie ist, was sie will und weshalb wir sie brauchen

Franz Porzsolt¹

Abstract: Die klinische Ökonomik lässt sich einordnen zwischen den Kernfächern der Medizin und der Epidemiologie, der Ethik, den Wirtschaftswissenschaften und der Jurisprudenz. Durch die klinische Ökonomik wird eine Reihe bisher unbeachteter ethischer Konflikte aufgedeckt, von deren Lösung letztlich die Autonomie des Fachs Medizin abhängen wird.

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2024

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References 17 publications

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The Front-End Processor Developed by Engineers — A Useful Tool for Describing the Quality and Quantity of Progress in Healthcare

Porzsolt,

Phlippen,

Legrum

et al. 2024

Preprint

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_Introduction._ The ‘natural chaos’ of seemingly unstructured healthcare can be analyzed under structured conditions. This study describes methods for quantification of progress in healthcare. _Methods._ Engineers published the ‟front-end processor (FEP)” method to detect and eliminate defects in steel production. We use three scenarios to demonstrate that the FEP can confirm the congruence of expectations, existing data and derived results in healthcare. (1) Six teams analyzed the validity criteria in each of 20 publications to confirm the congruence of the initial study question with its mathematical confirmation. (2) Different strategies and methods answer the three Cochrane questions, i.e. Can it work?, Does it work? Is it worth it?. (3) Traditional 2 x 2 contingency table quantify two different sets of information, the traditional confirmation/exclusion of a suspected disease and the induction of its psychologic effects. _Results._ (1) Four steps were identified from the simple study question to the mathematical confirmation of the answer. (2) Two functional and twelve formal criteria characterize the experimental study condition and the two pragmatic conditions of care, either with or without systematic analysis of the results. Experiments use the randomized controlled trial (RCT), pragmatic controlled trials (PCTs) use the Bayesian statistics. (3) The communication of ‘bad news’ increases fear/anxiety in patients 10 – 5000 fold, but ‘good news’ has almost no effect on the perceived safety. _Discussion: _We confirm that the "FEP" developed by engineers can confirm the expected advances in healthcare and thus increase the validity of ethical, medical, epidemiological, economic, legal, and political consequences.

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The Front-End Processor Developed by Engineers — A Useful Tool for Describing the Quality and Quantity of Progress in Healthcare

Porzsolt,

Phlippen,

Legrum

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

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Klinische Ökonomik – Was sie ist, was sie will und weshalb wir sie brauchen

Cited by 1 publication

References 17 publications

The Front-End Processor Developed by Engineers — A Useful Tool for Describing the Quality and Quantity of Progress in Healthcare

The Front-End Processor Developed by Engineers — A Useful Tool for Describing the Quality and Quantity of Progress in Healthcare

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