Disease management programmes: reorganization of healthcare delivery in Germany

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Disease management programmes: reorganization of healthcare delivery in Germany.

Since 1 July 2002, a legal basis has existed for the drawing up of contracts between physicians and health insurance companies, allowing for the structured treatment of diseases [disease management programmes (DMPs)] for common and economically relevant diseases [1]. DMPs give structured directives to the physician on how to deal with defined medical situations and provide minimum standards for...

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Analysing horizontal equity in enrolment in Disease Management Programmes for coronary heart disease in Germany 2008–2010

BACKGROUND Disease Management Programmes (DMPs) have been introduced in Germany ten years ago with the aim to improve effectiveness and equity of care, but little is known about the degree to which enrolment in the programme meets the principles of equity in health care. We aimed to analyse horizontal equity in DMP enrolment among patients with coronary heart disease (CHD). METHODS Cross-sect...

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Social disparities in Disease Management Programmes for coronary heart disease in Germany: a cross-classified multilevel analysis

BACKGROUND Disease Management Programmes (DMPs) aim to improve effectiveness and equity of care but may suffer from selective enrolment. We analysed social disparities in DMP enrolment among elderly patients with coronary heart disease (CHD) in Germany, taking into account contextual effects at municipality and primary care practice levels. METHODS Cross-sectional analysis of effects of educa...

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Training programmes in internal medicine: Germany.

Despite differences from one country to another, training programmes for an internal medicine specialist have several common denominators, starting with real hospital responsibilities, a feature which is a fundamental necessity. These responsibilities are guaranteed by institutions which are called, depending on the country, "internat des h6pitaux, assistanat, or clinicat." This training must b...

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A longitudinal study to identify the influence of quality of chronic care delivery on productive interactions between patients and (teams of) healthcare professionals within disease management programmes

OBJECTIVE The chronic care model is an increasingly used approach to improve the quality of care through system changes in care delivery. While theoretically these system changes are expected to increase productive patient-professional interaction empirical evidence is lacking. This study aims to identify the influence of quality of care on productive patient-professional interaction. SETTING...

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ژورنال

عنوان ژورنال: Nephrology Dialysis Transplantation

سال: 2003

ISSN: 1460-2385

DOI: 10.1093/ndt/gfg262