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Andres Luque Ramos, Falk Hoffmann, Ove Spreckelsen
BACKGROUND: Waiting times for an outpatient appointment in Germany differ between insurants of the statutory and private health insurance schemes, especially for specialised care. The aim of this study was to uncover possible differences in waiting times depending on health insurance scheme and to identify predictors for excessive waiting times in primary care. METHODS: We used data of the Bertelsmann Foundation Healthcare Monitor, which is a repeated cross sectional study dealing with experiences in health care and attitudes towards current health policy themes...
March 20, 2018: BMC Health Services Research
Hermann Brenner, Nadine Zwink, Leopold Ludwig, Michael Hoffmeister
BACKGROUND: The introduction of colonoscopic screening in 2002 for persons aged 55 and older was followed by a marked decline in the incidence of colon cancer in the corresponding age groups in Germany. The prevalence of colorectal neoplasia among persons aged 50 to 54 has remained unknown until now. Expert committees currently recommend colonoscopic screening for persons aged 50 and older. This option has been offered since 2014 by the AOK Baden-Württemberg and by Bosch BKK in the framework of their specialized medical care program...
February 10, 2017: Deutsches Ärzteblatt International
A Luque Ramos, F Hoffmann
BACKGROUND: Health services research uses increasingly data from health insurance funds. It is well known that the funds differ with regard to sociodemographic characteristics and morbidity. It is uncertain if there are also differences in the prevalence of musculoskeletal disorders. OBJECTIVE: To compare the sociodemographic characteristics in various health insurance funds and the prevalence of joint disorders and chronic back pain. METHOD: The 30(th) wave (2013) of the German Socioeconomic Panel served as a database...
April 2017: Zeitschrift Für Rheumatologie
C Kloos, N Müller, P Hartmann, T Lehmann, A Sämann, J Roth, G Wolf, U A Müller
OBJECTIVE: Recent guidelines recommend an individualized approach towards patients with diabetes mellitus. Data of a programme dealing with quality of diabetes care, "Diabetes TÜV" of the Deutsche BKK was reappraised in the light of recent evidence applying these recommendations. PATIENTS AND METHODS: Data originates from a population-based study in primary diabetes care in Germany. Patients with diabetes mellitus insured by the Deutsche BKK were invited to participate...
May 2016: Experimental and Clinical Endocrinology & Diabetes
M Kohler, J Deutschbein, D Peschke, L Schenk
PURPOSE: This article presents epidemiological data regarding stroke frequency in Germany based on nationwide statutory health insurance data (Deutsche BKK) and aims to analyse them in the context of current research. The comparability of the most important resources of stroke frequency data - stroke registers, DRG data and insurance data - is initially discussed in order to assess the presented data adequately. METHODS: The study cohort comes from a population of about 1 000 000 people insured with BKK and consists of all persons who were treated for a stroke in an acute care hospital in 2007 (n = 4,843)...
November 2014: Fortschritte der Neurologie-Psychiatrie
Jens Hoebel, Anne Starker, Susanne Jordan, Matthias Richter, Thomas Lampert
BACKGROUND: In Germany, adult health checks are carried out in the primary care setting for early detection of chronic conditions, such as cardiovascular diseases, diabetes, and kidney disease. This study aims to examine the social, behavioural, and health-related determinants of health check attendance among eligible adults in Germany. METHODS: Data were derived from the cross-sectional German Health Update (GEDA) study, a national health survey among adults in Germany carried out by the Robert Koch Institute...
2014: BMC Public Health
D Peschke, S Schnitzer, A Kuhlmey, L Schenk
AIMS: This study examines the relationship between adherence to clinical guidelines and survival time in the first year after stroke. METHODS: The sample comprises all clients of the Deutsche BKK, a large German health insurance company, who received acute inpatient care for stroke in 2007, who survived the hospital stay by at least 14 days, and who had motor deficits at the end of their acute treatment (n=1 791). 3 types of treatment that differ in the degree of adherence to clinical guidelines are identified ("Frühreha-Plus">"Standard-Plus">"Nur Akut")...
August 2014: Die Rehabilitation
Ulrike Theidel, Alexander Kuhlmann, Anja Braem
BACKGROUND: The German Standing Committee on Vaccination Recommendations (Ständige Impfkommission, STIKO) recommends standard vaccination against pneumococcal infections for all persons aged 60 or older, and for all persons of any age with an increased health risk. It is not known how many persons in the target group in Germany have actually been vaccinated. METHOD: We used claims data of a German statutory health insurance (Deutsche BKK) to determine pneumococcal vaccination rates, stratified by age and risk, for the one-year period 1 July 2008 to 30 June 2009...
November 1, 2013: Deutsches Ärzteblatt International
I Blumenstein, W Tacke, N Filmann, C Zosel, H Bock, V Heuzeroth, S Zeuzem, O Schröder
INTRODUCTION: In our previous studies investigating the drug therapy in patients suffering from inflammatory bowel disease (IBD) in the Rhein-Main region, Germany, we detected serious discrepancies between treatment reality and treatment guidelines. Consecutively, patient outcome in this cohort was compromised. Following this pilot project a network between primary deliverers of care for IBD patients and one large health-care insurance company [BKK Taunus (Gesundheit), the second largest insurance company in Hessen, Germany] was established...
July 2013: Zeitschrift Für Gastroenterologie
D Peschke, M Kohler, L Schenk, A Kuhlmey
PURPOSE: This article examines the provision of physiotherapy and occupational therapy for stroke patients from a cross-sectorial perspective, from acute to rehabilitative care to outpatient services. METHODS: The sample comprises all clients of the Deutsche BKK, a large German health insurance company, who received acute care for stroke in 2007, who survived the initial hospital stay, and who had a secondary diagnosis of motor deficits (n = 1 929). RESULTS: For 60...
February 2014: Das Gesundheitswesen
R Gebhardt, S Cassens, F Liecke, G Rohde, A K Gün, R Brücker, W Pankow
BACKGROUND: Persons with migration background exhibit higher smoking rates in comparison to the general population.These smokers often cannot be reached by prevention measures at the family doctor's office. METHODS: In summer 2011 the health campaign "Smoke-free by Ramadan" was launched in 11 German cities. Measures included the training of doctors on smoking cessation methods, general bilingual information flyers, and in some cases lectures on smoking, specifically for imams...
June 28, 2012: MMW Fortschritte der Medizin
Alexander Sämann, Thomas Lehmann, Tabitha Heller, Nicolle Müller, Petra Hartmann, Gunter B Wolf, Ulrich A Müller
AIMS: To investigate the incidence and risk factors of severe hypoglycemia (SH) in primary care. SH was defined as hypoglycemia with coma, or the need of glucose or glucagon injection. METHODS: We performed a cross-sectional retrospective study in patients with diabetes treated in primary care in Germany. We analyzed an unselected sample of participants with type 1 (n = 373) and type 2 diabetes (n = 4481) who participated in an insurance plan from the health care insurer Deutsche BKK...
June 2013: Family Practice
F Hoffmann, A Icks
AIM: Claims data of health insurance companies are an important database for health services research. We investigated if there are differences in baseline characteristics and prevalence of chronic diseases between members of several health insurance funds in Germany, and if so, whether adjusting for age and sex could explain these differences. METHODS: 10 representative surveys (conducted between 2004 and 2008) of the 'Bertelsmann Health-Care Monitor' comprising 15 089 participants aged 18 to 79 years were analysed...
May 2012: Das Gesundheitswesen
C Kloos, N Müller, G Wolf, P Hartmann, T Lehmann, U A Müller
OBJECTIVE: Deutsche BKK, a German health insurance company, initiated in 1997 a diabetes quality improvement programme. Changes in HbA (1c) and blood pressure (BP) from 1997 to 2006 are presented. METHODS: Between 1997 to 2006 n=15 096 patients with diagnosed type 1 (6.7%) or type 2 (91.4%) diabetes were recruited by 351 primary care physicians. HbA (1c), BP, serum creatinine, microalbuminuria and presence of diabetic complications (nephropathy, retinopathy, neuropathy) were documented once per year...
September 2011: Experimental and Clinical Endocrinology & Diabetes
Eckhard Salzsieder, Petra Augstein
BACKGROUND: Several telemedicine-based eHealth programs exist, but patient-focused personalized decision support (PDS) is usually lacking. We evaluated the acceptance, efficiency, and cost-effectiveness of telemedicine-assisted PDS in routine outpatient diabetes care. METHODS: Data are derived from the Diabetiva® program of the German health insurance company BKK TAUNUS. Diabetiva offers telemedicine-based outpatient health care in combination with PDS generated by the Karlsburg Diabetes Management System, KADIS®...
January 1, 2011: Journal of Diabetes Science and Technology
A Trojan, S Nickel
The concept of a special label for "self-help-friendly" institutions was first developed for hospitals. A demonstration project (funded by the BKK BV, the German Federal Association of Company Health Insurance Funds) was launched in Hamburg. Between 2004 and 2007 quality criteria were developed and put into practice. Shortly thereafter, a group of experienced self-help supporters started to integrate self-help friendliness into quality management systems for ambulatory care. Recently similar developments have been initiated in the Public Health Services...
February 2011: Das Gesundheitswesen
Petra Augstein, Lutz Vogt, Klaus-Dieter Kohnert, Peter Heinke, Eckhard Salzsieder
OBJECTIVE: The aim of this study was to evaluate the impact of personalized decision support (PDS) on metabolic control in people with diabetes and cardiovascular disease. RESEARCH DESIGN AND METHODS: The German health insurance fund BKK TAUNUS offers to its insured people with diabetes and cardiovascular disease the possibility to participate in the Diabetiva® program, which includes PDS. Personalized decision support is generated by the expert system KADIS® using self-control data and continuous glucose monitoring (CGM) as its data source...
November 1, 2010: Journal of Diabetes Science and Technology
J Siengsanan-Lamont, I Robertson, S D Blacksell, T Ellis, S Fenwick, S Saengchoowong, S Suwanpukdee, P Yongyuttawichai, L Sariya, P Prompiram, K Chaichoun, W Wiriyarat, D Pothieng, P Ratanakorn
A serological and virological surveillance program to investigate the HPAI H5N1 virus in wild bird populations was undertaken from February 2007 to October 2008. The purpose of the survey was to investigate the infection status in free ranging wild birds in Banglane district, Nakhon Pathom province, central Thailand. Samples from wild birds were collected every two months. Choanal and cloacal swabs, serum and tissue samples were collected from 421 birds comprising 44 species. Sero-prevalence of the virus tested by H5N1 serum neutralization test (using a H5N1 virus clade 1; A/chicken/Thailand/vsmu-3-BKK/2004) was 2...
March 24, 2011: Veterinary Microbiology
K Kopke, Th Fischer, M Kölzsch, W Hofmann, A Kuhlmey, R Kreutz, D Dräger
Pain is the most common health-related complaint in older persons. International estimations mention up to 80% of nursing home residents suffering from pain. In the meantime, no reliable epidemiological data on pain in nursing home residents are available for Germany, because of restricted access to the nursing-home population. This pilot study aimed to evaluate whether routine data from a German statutory health insurance fund can be used to generate data on pain prevalence and analgesic therapy in nursing home residents...
July 2011: Das Gesundheitswesen
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