Jürgen Wasem

University of Duisburg-Essen | uni-due · Institute of Healthcare Management

Information about occurrence and affected groups of symptoms/diagnoses indicative of an HIV infection (so-called HIV indicator conditions; HIV-ICs) is lacking. We analyse HIV-IC incidence, transmission risks and immune status among people living with HIV (PLWH) antiretroviral therapy (ART) naive. Diagnoses reported for ART-naive PLWH from two multi...

Zusammenfassung Hintergrund Menschen mit einem Down-Syndrom (MmDS) haben ein genetisch bedingt stark erhöhtes Risiko, an einer früh beginnenden Alzheimer-Demenz zu erkranken. In einer Interviewstudie mit Ärzt:innen, Patientenvertretungen sowie Mitarbeitenden in Wohn- und Arbeitseinrichtungen wurden Defizite im medizinischen Versorgungsprozess und...

Zusammenfassung Beim innovativen Ansatz der rehabilitativen Kurzzeitpflege werden Leistungsinhalte der stationären Kurzzeitpflege um rehabilitative Maßnahmen ergänzt. Für eine Überleitung in die Regelversorgung wurden Vergütungs- und Finanzierungsmodelle auf Basis einer Literaturrecherche entwickelt, kriteriengestützt bewertet und in einem Stakehol...

Hintergrund: Geriatrische Patient*innen in Kurzzeitpflege (KZP) mit Rehabilitationsbedarf nach einem Krankenhausaufenthalt (KA) nehmen selten stationäre Rehabilitation (SR) in Anspruch und werden häufig in die Dauerpflege (DP) übergeleitet. Dies weist auf Optimierungsmöglichkeiten in der KZP hin. Ziel der Arbeit: Überprüfung der Wirksamkeit der Reh...

Background High-dose long-term opioid therapy (LTOT) has been associated with increased mortality and hospitalizations. Therefore, the evidence-based German guideline on LTOT for chronic non-cancer pain (CNCP) recommends to only exceed the maximum daily dose (MDD) of opioids in exceptional cases. This study aimed to determine the portion of LTOT pa...

Human immunodeficiency virus pre-exposure prophylaxis (PrEP) is considered as an effective protection against a human immunodeficiency virus (HIV) infection. However, it is still unclear, how PrEP use is associated with the incidence of sexually transmitted infections (STI) other than HIV. PrEP became reimbursable in Germany from September 1, 2019...

Background The number of cancer survivors has increased in recent decades, and the majority of them suffer from sequelae of their disease and treatment. This study, which is part of the larger research project OPTILATER, aims to explore different aspects of care services for long-term survivors (≥ 5 years after initial cancer diagnosis) in Germany....

BACKGROUND Artificial intelligence (AI)-based clinical decision support systems (CDSS) have been developed for several diseases. However, despite the potential to improve the quality of care and thereby positively impact patient-relevant outcomes, the majority of AI-based CDSS have not been adopted in standard care. Possible reasons for this includ...

Zusammenfassung Hintergrund Geriatrische Patient:innen mit Rehabilitationsbedarf, die im Anschluss an einen akutstationären Aufenthalt in Kurzzeitpflege (KZP) gehen, erhalten selten Rehabilitation. Die rehabilitative Kurzzeitpflege (REKUP) erweitert die KZP um rehabilitative Maßnahmen, u. a. um Dauerpflege (DP) zu vermeiden. Ziel der Arbeit Eine...

Introduction The number of mHealth apps has increased rapidly during recent years. Literature suggests a number of problems and barriers to the adoption of mHealth apps, including issues such as validity, usability, as well as data privacy and security. Continuous quality assessment and assurance systems might help to overcome these barriers. Aim o...

[This corrects the article DOI: 10.3389/frhs.2024.1372522.].

Zusammenfassung Eine stärkere Ambulantisierung der Versorgung wird politisch angestrebt. In der Konsequenz werden Leistungsbereiche zukünftig zunehmend „sektorenübergreifend“ sowohl von Krankenhäusern als auch von Vertragsärzten und medizinischen Versorgungszentren (MVZ) erbracht. Damit stellt sich die Frage nach der Notwendigkeit von Anpassungen d...

Background Since fall 2020, mobile health (mHealth) apps have become an integral part of the German health care system. The belief that mHealth apps have the potential to make the health care system more efficient, close gaps in care, and improve the economic outcomes related to health is unwavering and already partially confirmed. Nevertheless, pr...

Background Particularly in rural regions, factors such as lower physician density and long travel distances complicate adequate outpatient care. However, urban regions can also be affected by deficits in care, for example, long waiting times. One model of care intending to improve the situation is the implementation of video consultations. The stud...

In Germany, long-term opioid treatment (L-TOT) for chronic non-tumor pain (CNTP) is discussed as not being performed according to the German guideline on L-TOT for CNTP. In the present analysis, the occurrence and predictors of inappropriate care/overuse in a cohort of German insureds with L-TOT for CNTP by the presence of a contraindication with c...

Activity involvement is a central element of dementia care. However, few studies have examined preferences for types of activities for persons who may be in need of care in the future. In this study, a best–worst scaling (BWS) was conducted to gather insights on preferred activities in small-scale living arrangements for dementia in the general pop...

Internet Use Disorders (IUD) have a relevant effect on national economies. In the randomized, controlled, multicenter, prospective, and single-blinded OMPRIS study (pre-registration number DRKS00019925; Innovation Fund of the Joint Federal Committee of Germany, grant number 01VSF18043), a four-week online program to reduce media addiction symptoms,...

Dementia affects about 55 million people worldwide. Demographic change and shifting lifestyles challenge the organization of dementia care. A discrete choice experiment (DCE) was conducted to elicit preferences for living arrangements in dementia in urban and rural regions of Germany. Preliminary work included review of previous literature and focu...

Hintergrund und Stand der Forschung: Eine flächendeckende, vernetzte und qualitativ hochwertige Versorgung von Personen mit chronischen nicht-tumorbedingten Schmerzen (CNTS) mit Einnahme opioider Analgetika (OA) zu vertretbaren Kosten kann dauerhaft Über- und Fehlversorgung entgegenwirken. Das Projekt Op-Us (Opioidhaltige Analgetika – Untersuchung...

Im „Krankenversicherungsplanspiel“ lernen Studierende verschiedene Szenarien der Regulierung von Krankenversicherungsmärkten „spielerisch“ kennen und kalkulieren selbst Krankenversicherungsprämien. Die im Spiel gewonnenen Daten werden gemeinsam mit Blick auf gesundheitsökonomische Theorie ausgewertet – eine Art gesundheitsökonomischer Selbstversuch...

Background Despite the potentially accompanying negative clinical, epidemiologic, and health economic effects, a large proportion of persons living with the human immunodeficiency virus (HIV) are diagnosed late. Internationally, numerous diseases are known to be HIV indicator diseases. Adequate HIV testing in the presence of HIV indicator diseases...

Background: Alternative forms of housing for persons with dementia have been developed in recent decades. These concepts offer small groups of residents familiar settings combined with efforts to provide normal daily life. The aim of this systematic review is to collate and analyze these more innovative forms of housing regarding residents' qualit...

Introduction: In Germany, psychotherapy in outpatient statutory health care is regulated by the Psychotherapy Guideline (PT-GL). A discussion on waiting times and inadequate care for patients resulted in a structural reform of the PT-GL in 2017. The reform aims to improve access to psychotherapy and the entire course of care and treatment. The pur...

BACKGROUND Particularly in rural regions, factors such as lower physician density and long travel distances complicate adequate outpatient care. However, urban regions can also be affected by deficits in care, for example, long waiting times. One model of care intending to improve the situation is the implementation of video consultations. The stud...

Background: We investigated the impact of HIV pre-exposure prophylaxis (PrEP) as a new service of the statutory health insurance (SHI) on the incidence of HIV and other sexually transmitted infections (STIs) in Germany. In addition, PrEP needs and access barriers were analyzed. Methods: The following data were evaluated as part of the evaluation...

Background and Objective In Germany, influenza vaccination is mainly advised for persons aged 60 years and over and individuals with health risks. Since 2021, an inactivated, quadrivalent high-dose influenza vaccine (IIV4-HD) has been recommended for persons aged 60 years and over. The aim of this study was to calculate the impact of vaccinating th...

Background Allergic rhinitis (AR) and allergic asthma (AA) are chronic respiratory diseases that represent a global health problem. One aim of this study was to analyze the Health-related Quality of Life (HRQoL) of the patients in order to identify statistically significant influencing factors that determine HRQoL. Another aim was to assess and ana...

BACKGROUND Since fall 2020, mobile health (mHealth) apps have become an integral part of the German health care system. The belief that mHealth apps have the potential to make the health care system more efficient, close gaps in care, and improve the economic outcomes related to health is unwavering and already partially confirmed. Nevertheless, pr...

Zusammenfassung Der Beitrag untersucht die quantitative Entwicklung der verschiedenen Beschäftigtengruppen im Krankenhaus seit dem Jahr 2000. Eine Differenzierung nach Geschlechtern wird vorgenommen. Er setzt die Entwicklung in Relation zu den Kapazitäts- und Inanspruchnahme-Indikatoren der Krankenhäuser. Eine Differenzierung nach Größenklassen und...

Zusammenfassung Die Digitalisierung in deutschen Krankenhäusern offeriert viel Potential für Verbesserungen. Doch wo stehen wir auf dem Weg zum Krankenhaus 4.0 und welche internationalen Digitalisierungsstrategien sind in den Blick zu nehmen? Wo sind Rationalisierungseffekte beim Personaleinsatz denkbar und wie lassen sich Digitalisierungsmaßnahmen...

Zusammenfassung Hintergrund Psychische Erkrankungen verursachen sowohl individuelle als auch gesellschaftliche Belastungen. Zentrales Ziel der Strukturreform der Psychotherapie-Richtlinie (Inkrafttreten 2017) war die verbesserte Steuerung des Zugangs zur psychotherapeutischen Versorgung. Die hier vorgestellten Fokusgruppen, die im Rahmen des durch...

Introduction: Health apps offer an approach to improve the patients’ management of their medication. Although the Digital Healthcare Act (DVG) has created a claim in the statutory health insurance (SHI), the large number of health apps available and their varying quality make it difficult for service providers and especially for medical laypersons...

Introduction Angesichts steigender Verordnungszahlen von opioiden Analgetika (OA) in Deutschland, wird im vorliegenden Projekt die Versorgungssituation mit OA bei chronischen, nicht-tumorbedingten Schmerzen (CNTS) betrachtet. Im Rahmen der aus dem Innovationsfonds geförderten Studie Op-US (OA – Untersuchung zu Entwicklungstrends in der Versorgung...

Schwerpunkt: Personal • Open Access-Buch mit freiem und uneingeschränktem Zugang zu den Inhalten • Aktuelle Daten und Analysen zur Krankenhausversorgung in Deutschland • Schwerpunkt 2023: Personal im Krankenhaus Der Krankenhaus-Report, der jährlich als Buch und als Open-Access-Publikation erscheint, greift 2023 das Schwerpunktthema „Personal“ auf....

Background The amount of empirical research on whether people in fact include health-related changes in leisure time into health state valuations is limited and the results are inconclusive. In this exploratory study, we analyse whether time aspects of diabetes self-care might explain the ratings of the health state (HSR) in addition to the effects...

Background: The digitization of health care led to a steady increase in the adoption and use of mobile health (mHealth) apps. Germany is the first country in the world to cover the costs of mHealth apps through statutory health insurance. Although the benefits of mHealth apps are discussed in detail, aspects of problems and barriers are rarely stu...

BACKGROUND The digitization of health care led to a steady increase in the adoption and use of mobile health (mHealth) apps. Germany is the first country in the world to cover the costs of mHealth apps through statutory health insurance. Although the benefits of mHealth apps are discussed in detail, aspects of problems and barriers are rarely studi...

Hintergrund und Stand (inter)nationaler Forschung: Die Langzeitanwendung von opioidhaltigen Analgetika (OA) birgt das Risiko von Komplikationen. In Anbetracht steigender Verordnungszahlen OA in Deutschland wächst das Interesse für die Versorgungssituation mit OA bei chronischen nicht-tumorbedingten Schmerzen (CNTS). Die vom Innovationsfonds geförde...

Background The aim of this paper was to perform a mortality evaluation of skin cancer screening (SCS) in Germany using General Local Health Insurance Fund (AOK) data. Methods AOK-insured men and women aged 35–99 years who died of cutaneous malignant melanoma in 2015–2016 were identified. Controls were AOK-insured people who survived to the end of...

Aim Long-term therapy with opioid analgesics bears the risk of complications, such as misuse, abuse, and dependence. An evidence-based guideline addresses the long-term use of opioid analgesics for non-cancer pain. Recent studies observed an increase in opioid prescriptions over the past two decades in Germany. However, the exact circumstances of t...

Objectives: Considering the opioid epidemic in the US and increasing prescription numbers of opioid analgesics (OA) in Germany, the health care situation of long-term treatment of non-cancer pain (NCP) with OA in Germany attracts increasing attention. The long-term application of OA carries the risk of complications, including misuse, abuse, and de...

Background Routine skin cancer screening (SCS) is covered by the German statutory health insurance (SHI) since 2008. The objective of this study was to compare direct healthcare costs between patients in whom skin cancer was detected by routine SCS and patients in whom skin cancer was not detected by routine SCS. Methods A retrospective observatio...

Background: Allergen immunotherapy (AIT) represents the only possibility of causal therapy for allergic respiratory diseases. Although the prevailing high prevalence of allergic diseases and restrictions in the daily lives of patients, AIT is offered to a suboptimal number of patients in Germany. Methods: Insured patients with documented allergi...

Background A value of vaccination framework for economic evaluation (EE) identified unique value concepts for the broad benefits vaccination provides to individuals, society, healthcare systems and national economies. The objectives of this paper were to work with experts in developed countries to objectively identify three priority concepts to ext...

Zusammenfassung Der Beitrag analysiert den Umgang mit der Covid-19-Pandemie innerhalb der Krankenhäuser und leitet davon Handlungsempfehlungen für das Krankenhausmanagement ab. Dabei geht es sowohl um die Organisation und Ausgestaltung der Patienten- und Personalsteuerung (vorgelagerte Notaufnahmen, Aufnahmestationen, Triage, Covid-19-Testung etc.)...

Zusammenfassung Ziel der Studie Hauptziel der Studie ist der Vergleich der frühesten Erstattungszeitpunkte neuer Untersuchungs- und Behandlungsmethoden (NUB) in der ambulanten GKV-Versorgung und der PKV-Versorgung. Methodik Im Rahmen der Erstattung im GKV System wurde auf die Beschlüsse und weitergehende Dokumentation des G-BA und des Bewertungsaus...

Objective: The aim of the present work was to identify published methodological guidance for rapid reviews (RRs) and to analyze the recommendations with regard to time-saving measures. Study design and setting: A literature search was performed in PubMed and EMBASE in November 2020. In addition, a search based on Google Scholar and websites of g...

Background: All over the world, development and usage of mobile health (mHealth) apps is increasing. While apps offer numerous opportunities to improve health care, there are associated problems that differ significantly from those of traditional health care services. Further investigations on the quality of mHealth apps are needed to address thes...

BACKGROUND All over the world, development and usage of mobile health (mHealth) apps is increasing. While apps offer numerous opportunities to improve health care, there are associated problems that differ significantly from those of traditional health care services. Further investigations on the quality of mHealth apps are needed to address these...

A reduction in sedentary behavior (SB) can contribute to the prevention of chronic diseases. This is the first umbrella review that summarizes the effectiveness and monetary costs of different types of interventions to reduce SB across all age groups and populations in different settings. We comprehensively searched seven databases for systematic r...

Background Among potentially modifiable risk factors for delirium, transfers between wards, hospitals and other facilities have been mentioned with low evidence. TRADE (TRAnsport and DElirium in older people) was set up to investigate i) the impact of transfer and/or discharge on the onset of delirium in older adults and ii) feasibility and accepta...