scholarly journals Impact of Digital Supported Process Workflow Optimization for Hip Joint Endoprosthesis Implantation on Hospital - Specific Process and Quality Ratios

2020 ◽  
Vol 68 (4) ◽  
pp. 755-763
Author(s):  
Benjamin Lahmann ◽  
David Hampel
Keyword(s):  
Hip Joint ◽  
Logit Model ◽  
Quality Standards ◽  
Continuous Change ◽  
German Health Care System ◽  
Workflow Optimization ◽  
German Health ◽  
Hip Joint Endoprosthesis ◽  
Stay Time ◽  
Endoprosthesis Implantation

Considering the continuous change within the German health care system, German hospitals are forced to realize efficiency gains and, at the same time, try to enhance their quality standards. Digital support systems in surgery rooms intend to improve operational efficiency and reduce failure quotas. A dataset with 383 hip joint endoprosthesis surgeries from a German hospital was analysed using statistical methods, among others logit model, odds ratio and ANCOVA. Results show that digitally supported surgery results in a shorter hospital stay time and reduces acute hemorrhagic anemia as a postoperative complication. Finally, it is possible to conclude that the Surgical Procedure Manager reduces surgical risks.

ANALYSIS OF CONTACT PRESSURE BETWEEN THE PARTS OF TOTAL HIP JOINT ENDOPROSTHESIS WITH SHAPE DEVIATIONS

2007 ◽  
Vol 40 ◽  
pp. S558 ◽  
Author(s):  
V. Fuis ◽  
T. Návrat ◽  
P. Hlavon ◽  
M. Koukal ◽  
M. Houfek
Keyword(s):  
Contact Pressure ◽  
Hip Joint ◽  
Total Hip ◽  
Shape Deviations ◽  
Hip Joint Endoprosthesis

scholarly journals Utilization, satisfaction and barriers of medical care among adults of Turkish descent in Germany

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C Dornquast ◽  
S Solak ◽  
M Durak ◽  
L Krist ◽  
K H Jöckel ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Medical Care ◽  
Health Care System ◽  
Self Report ◽  
German Health Care System ◽  
Screening Programs ◽  
Preliminary Results ◽  
German Health ◽  
Care System

Abstract Background The growing proportion of people with a migration background poses major challenges for public health and the health care system in Germany. People of Turkish descent represent the largest group within this specific population. The aim of this study was therefore to examine the use and satisfaction of medical services and barriers to health care access among adults of Turkish descent in Germany. Methods A cohort study of a group of nearly 1200 Turkish adults in Berlin and Essen constitutes the basis of this analysis. The baseline examination was carried out as part of the pretests of the German National Cohort study. This follow-up survey assessed utilization, satisfaction and subjectively perceived barriers in the German health care system, as well as socio-demography, lifestyle, health status and quality of life via self-report (paper based or online) in Turkish or German. Descriptive preliminary results are presented in this abstract. Results The first 287 participants interviewed until December 31, 2018 were on average 49 years old, with 64% being female. 90% of the participants had a family doctor and in the last 12 months, 17% were in a hospital for in-patient treatment and 23% in an emergency room. The use of screening programs varied from 15% (skin cancer screening) to 87% (mammography). The most frequently visited physician was the general practitioner (86%). The participants were satisfied regarding many aspects, with the best values for the communication with their doctor. However, 22% reported problems or barriers in the context of medical care in the last five years. Conclusions These preliminary results provide a first insight into the utilization behaviour among adults of Turkish descent, their satisfaction as well as barriers with the German health care system. However, possible consequences of our study should only be discussed after all analyses have been completed. Key messages This is one of the few cohort studies in a migrant population in Germany. Knowledge of barriers could provide indications of problems of adults of Turkish descent in the German health care system.

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