Papers by Bertram Haeussler
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz, 2003
Umfang invasiver reproduktionsmedizinischer Eingriffe in Deutschland als Gegenstand der Versorgun... more Umfang invasiver reproduktionsmedizinischer Eingriffe in Deutschland als Gegenstand der Versorgungsforschung 1 Die embryopathische/"eugenische" Indikation ist 1995 in die mütterliche Indikation eingegangen.Für 1998 können die Zahlen daher nur geschätzt werden.
OBJECTIVES: The study aims at investigating into the resource utilization of COPD patients relate... more OBJECTIVES: The study aims at investigating into the resource utilization of COPD patients related to severity of disease by analysing the cost due to outpatient drug prescriptions, remedies, and medical devices as well as hospitalizations. METHODS: Claims data from a German sickness fund for the year 2003 with 1.5 million beneficiaries were used. Beneficiaries 45 years of age or older were identified as COPD patients by a combination of diagnostic and drug prescription data. Patients were allocated to COPD stages as defined by the GOLD guideline. Cost data were extracted from claims files. Hospitalization costs were estimated based on average costs per-day. RESULTS: n=38,469 beneficiaries were identified as COPD patients. Average costs amounted to 633 Euro per patient in 2003 (50% drug prescriptions, 18% hospital care, 6% remedies, 5% medical devices). 65% of patients were at risk or had a mild disease (GOLD 0/1), 11% had a moderate disease (GOLD 2), 22% had a severe disease (GOLD ...
PharmacoEconomics, 2006
Background: At least in Germany, it is widely assumed that healthcare-related labour costs weaken... more Background: At least in Germany, it is widely assumed that healthcare-related labour costs weaken the competitiveness of national industries. However, there is a lack of knowledge about the amount of employers' financial burden in Germany and in other competing countries, as well as the impact on market prices of German goods. Objective: To quantify the health-related labour costs for employers in seven countries and different industries, and identify the effects of current reforms in Germany on the financial burden of employers. Methods: We calculated the spending on health in Germany and the burden on German employers (by branch of production). We then compared the total burden with that of six other countries. A univariate analysis was then conducted to examine the connection between health-related labour costs and employment. Results: In 2000, employers paid 41.2% of the total of €283.3 billion spent on health matters in Germany. These total costs account for 3.2% of the gross output (UK: 1.8%, Switzerland: 1.9%, Poland: 2.1%, US: 3.2%, France: 3.6%, The Netherlands: 3.7%). Health-related labour costs account for 10.6% of the total labour costs. The health-related labour costs per employee are on average €3013 (from €2752 to €4793 in healthcare and the chemical industry, respectively). In the UK and the US there are corresponding labour costs of €1836 and €4256 per employee, respectively. The current health reform (2003) would reduce the labour costs by only 0.7% after 4 years (based on 2000, with all factors remaining constant). Employment increased by 3.7% from 1995 to 2000 (textile industry:-26.8%, vehicle manufacture: +18.3%). There is no empirical connection between employment and health-related labour costs. Labour costs increased by a higher amount than the health-related labour costs. Conclusions: The burden on German employers is moderate when compared internationally. The current reform of the German health system is not expected to improve companies' financial situation or German competitiveness. Restrictions on the range of medical services would provide a relatively small amount of relief for employers.
Diabetologie und Stoffwechsel, 2007
Der Diabetologe, 2006
ABSTRACT Zusammenfassung Die Versorgung von Menschen mit Diabetes mellitus wurde bis dato in Deut... more ABSTRACT Zusammenfassung Die Versorgung von Menschen mit Diabetes mellitus wurde bis dato in Deutschland nicht systematisch und umfassend untersucht. In einem Weißbuch wird jetzt aktuell der Kenntnisstand zu Epidemiologie, Versorgung und gesundheitsökonomischer Bedeutung zusammengefasst. Ausgangspunkt hierfür waren eine systematische Recherche und die strukturierte Bewertung von Studien zur Versorgungssituation von Menschen mit Diabetes. Diese Datenerhebung wurde durch Zukunftsszenarien ergänzt, die gemeinsam mit Experten entwickelt wurden. Die Studienlage ist im Hinblick auf existierende Diabetesrisiken und die Prozessqualität insgesamt unbefriedigend. Die Versorgungsstrukturen zeigen sich gut gegliedert, auch wenn regionale Vergleiche nicht möglich sind. Die Ergebnisqualität ist zumindest im internationalen Vergleich nicht schlecht. Zukünftige Studien sollten sich mit den Determinanten von Folgeerkrankungen auseinandersetzen. Modellbasierte gesundheitsökonomische Studien und morbiditätsadjustierte Vergütungsmodelle können helfen, auch zukünftig die Versorgung qualitativ hochwertig zu gestalten.
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Deutsche medizinische Wochenschrift (1946), 2009
The purpose of this study was to review studies reporting on quality of life and treatment satisf... more The purpose of this study was to review studies reporting on quality of life and treatment satisfaction of patients with diabetes mellitus being treated with long-acting insulin analogues. A systematic literature search was made of trials published between January 1, 2000 and June 28, 2007. Retrieved studies were analysed, using predefined inclusion criteria as well as methodological and quality aspects. Twelve studies were included, all of them dealing with insulin glargine as the trial drug or for comparison. With regard to treatment satisfaction, insulin glargine was superior in one head-to-head comparison with NPH (neutral protamine Hagedorn) and one head-to-head comparison with NPH as an add-on to oral glimepiride. There was no difference in comparisons with continuous subcutaneous insulin infusion (CSII), insulin aspart or exenatide. Regarding health related quality of life (HRQoL), insulin glargine was shown to be superior to rosiglitazone as an add-on to metformin and sulfon...
Schmerz (Berlin, Germany), 2008
Opioid prescriptions have increased in Germany in recent years. The usage of transdermal therapeu... more Opioid prescriptions have increased in Germany in recent years. The usage of transdermal therapeutic systems has substantially driven this growth. The analysis was based on claims data of a German statutory health insurance (2001-2003). Statistical analysis applied univariate comparisons (exploratively only) as well as a multivariate logistic regression models. Patients in the transdermal group were older and the percentage of women was higher than in the oral group. Patients in the transdermal group received their opioids significantly more often from a GP. They had significantly less prescriptions for laxatives and antidepressants. The patients in both groups differed significantly with regard to a number of characteristics. The results indicate that GPs prefer transdermal opioids if prescribing strong-acting opioids.
Medizinische Klinik (Munich, Germany : 1983), Jan 15, 2006
Psychiatric services (Washington, D.C.), 2002
M any mental health advocates and practitioners in the United States look enviously at the health... more M any mental health advocates and practitioners in the United States look enviously at the health care systems of other countries. The American Psychiatric Association's "wish list" for health care reform (1) includes universal coverage, unconstrained access to specialists in a fee-for-service setting, and generous mental health benefits such as psychotherapy without copayments. Germany's health care system meets these criteria. We compared 1997-1998 data on outpatient mental health care provided by physicians in Germany and the United States. We focused on data for patients with a primary diagnosis of a
Sozial- und Präventivmedizin, 1989
Based on public health routine data, a study on the incidence of appendectomies was carried out i... more Based on public health routine data, a study on the incidence of appendectomies was carried out in the Federal Republic of Germany. The result of 130 appendectomies per 100,000 inhabitants per annum comes very close to the findings made in England and Wales though it only represents one fifth of the figure, Lichtner and Pflanz had established for some other region about 20 years ago. Duration of hospitalization averaged 10.6 days, thus showing a reduction of 2 days compared to the earlier study. In England and Wales however, the average length of stay in hospital came up to only 5.6 days. The length of stay, standardized by age and sex, showed differences of more than 4 days on the various wards. The possible influences of institution inherent factors on the frequency of operations and on the duration of hospitalization are discussed.
European Journal of Cancer Supplements, 2006
Poster Sessions assessed the risk of brain metastases in a large unselected sedes of HER2positive... more Poster Sessions assessed the risk of brain metastases in a large unselected sedes of HER2positive MBC patients Material and Method: Study group included 173 consecutive HER2positive (immunohistochemistry 3+ or FISH+) MBC patients from five Polish institutions Patient age ranged from 30 to 81 years (median 49 years): 83 patients were premenopausal (47 9%). 88-postmenopausal (50 9%) and in 2 patients menopausal status was unknown (1.2%). Dominant site of disease induded viscera in 130 (75.1%), suit tissue in 21 (12.1%), bones in 19 (11.0%) and was unknown in 3 patients (1.7%). Data on EPJPR status were available for 151 patients (87.3%). ER+/PgR+, ER+IPgR , ER /PgR+, ERVPgR phenotypes were represented by lg.g%, 13.g%, 4.0% and 62.3% of this group, respectively. 66 patients (38.2%) had received prior (neo)adJuvant chemotherapy, 11 (6.4%) adjuvant hormonotherapy, and 53 patients (30 6%)-a combination thereo[ Disease-free interval to the development of MBC ranged between 0 and 124 months (median 14 months) A total of 126 patients (72 8%) recaived trastuzumab for MBC. usually in combination with chemo-and/or endocrine therapy Statistical analysis included contingency tables, chi-square test, Kaplan-Meier survival analysis and Cox proportional hazard model Results: Median follow-up from the development of MBC was 3 8 years (range 0.5-12.3 years). 45 patients (26.0%) developed brain metastases including 26.2% and 25.5% who did and did not receive trastuzumab (p = 0.93). Median time to brain relapse frum the diagnosis of MBC was 10 months (range, 0 to 65 months). Detailed analysis of factors related to the risk of CNS metastases will be presented during the conference. Conclusion: HER2 positive MBC patients carry increased nsk of brain relapse which does not seem to be reduced with trastuzumab treatment. This calls for more effective preventive measures 403 Poster Oral bisphosphonates are associated with low persistence and compliance (adherence) in patients with breast cancer
Diabetologie und Stoffwechsel, 2009
Transplantation, 2004
solution (UW) and histidine-tryptophan-ketoglutarate solution (HTK) in the protection of human he... more solution (UW) and histidine-tryptophan-ketoglutarate solution (HTK) in the protection of human hepatocytes against ischemia-reperfusion injury.
Osteoporosis International, 2006
Das Gesundheitswesen, 2006
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Papers by Bertram Haeussler