Konrad Obermann

Konrad Obermann
Universität Heidelberg · Mannheim Institute of Public Health

MD, PhD

About

72
Publications
11,691
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407
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Introduction
Medical doctor and economist with more than 25 years experience in clinical work, research, and strategic planning and consulting. Focus of work on international health economics, health system development and health care financing / social health insurance, and rationing health care, as well as internet-based empirical health systems research. More than 15 years experience in international cooperation in non-European countries. Wide-ranging international training and teaching experience.
Additional affiliations
September 2008 - present
Universität Heidelberg
Position
  • Senior staff scientist

Publications

Publications (72)
Article
Introduction Medicine faces significant cost pressure in most developed countries. Health economists recommend QALYs as a key instrument for allocating scarce health care resources. However, many European countries (e.g., Italy, Spain, Belgium, Germany, and others) have a natural-law-based constitution, which makes it questionable whether QALY-base...
Article
Full-text available
Integrated care programmes are increasingly being put in place to provide care to older people living at home. However, knowledge about further improving integrated care is limited. In fourteen integrated care sites in Europe, plans to improve existing ways of working were designed, implemented and evaluated to enlarge the understanding of what wor...
Article
Full-text available
Integrated care programmes are increasingly being put in place to provide care to older people living at home. However, knowledge about further improving integrated care is limited. In fourteen integrated care sites in Europe, plans to improve existing ways of working were designed, implemented and evaluated to enlarge the understanding of what wor...
Article
Full-text available
Background: Achieving Universal Health Coverage (UHC) has by now become a key health policy goal in many countries and some form of National Health Insurance (NHI) is often used for this. The Philippines has had more than 50 years’ experience with social health insurance and in 1995 established PhilHealth, the country’s national health insurer. Obj...
Article
Full-text available
Abstract Managers and administrators in charge of social protection and health financing, service purchasing and provision play a crucial role in harnessing the potential advantage of prudent organization, management and purchasing of health services, thereby supporting the attainment of Universal Health Coverage. However, very little is known abou...
Article
Full-text available
Background Use of malaria rapid diagnostic test (mRDT) enhances patient management and reduces costs associated with the inappropriate use of antimalarials. Despite its proven clinical effectiveness, mRDT is not readily available at licensed chemical shops in Ghana. Therefore, in order to improve the use of mRDT, there is the need to understand the...
Article
Buy Article Permissions and Reprints Zusammenfassung Seit 2005 hat sich die Zahl der akuten Nierenversagen (ANV) in Deutschland beinahe verdreifacht. Trotz substanzieller ANV-Komplikationen fehlt eine entsprechende Sensibilisierung für das Krankheitsbild. Trotz fehlendem Verfahrensvorteil sind kostenintensive CRRT-Verfahren die dominierende Behand...
Chapter
Full-text available
Niedergelassene Ärzte sind der Dreh- und Angelpunkt im deutschen Gesundheitssystem – sie veranlassen direkt oder indirekt etwa 80% der Ausgaben der Gesetzlichen Krankenversicherung. Die Rolle der niedergelassenen Ärzte in Deutschland hat sich in vielerlei Hinsicht stark verändert, nicht zuletzt in einem Wandel vom „Patienten“ zum „Kunden“ mit entsp...
Article
Full-text available
Governance in health is cited as one of the key factors in balancing the concerns of the government and public sector with the interests of civil society/private players, but often remains poorly described and operationalized. Richard Saltman and Antonio Duran look at two aspects in the search for new provider models in a context of health markets...
Article
Full-text available
Healthcare reforms are often not coupled with a relevant and appropriate monitoring framework, leaving policymakers and the public without evidence about the implications of such reforms. Kazakhstan has embarked on a large-scale reform of its healthcare system in order to achieve Universal Health Coverage. The health-related 2020 Strategic Developm...
Article
Full-text available
We compared the cost-utility analysis for edoxaban at both doses with that of dabigatran at both doses, rivaroxaban, and apixaban (non vitamin K antagonist oral anticoagulants, NOAC) in a German population. Data of clinical outcome events were taken from edoxaban's ENGAGE-AF, dabigatran's RE-LY, rivaroxaban's ROCKET, and apixaban's ARISTOTLE trials...
Presentation
Background: The CE mark is a mandatory European conformity marking for medical devices (MD) sold within European Economic Area. After meeting the requirements of the CE mark MD are subject to further national appraisals leading to differences in methodologies in France and Germany. HTA (Health Technology Assessment) reports aim to inform government...
Article
Full-text available
We did a cost-utility analysis for the new oral anticoagulants (NOACs) in the German population based on the quality-adjusted life years (QALY), total costs, and incremental cost-effectiveness ratios (ICER). The aim of our investigation was to examine cost-utility for current German drug market costs and compared to other countries. Outcome data we...
Article
1164 The three new oral anticoagulants (NOAC) dabigatran 110mg bid and 150mg bid, investigated in the RE-LY trial, rivaroxaban 20mg od of the ROCKET trial, and apixaban 5mg bid of the ARISTOTLE trial showed equivalent or superior efficacy and safety compared to warfarin in these patients. We performed a cost-effectiveness analysis for these NOACs i...
Article
The rationing debate is often confused by dealing with several different issues concurrently. This paper introduces a typology and matrix that separate two of the most important of these issues: the transparency of the debate and the mode of rationing itself. The transparency of the debate is the need to think about how to deal with the following p...
Article
Full-text available
International technical and financial cooperation for health-sector reform is usually a one-way street: concepts, tools and experiences are transferred from more to less developed countries. Seldom, if ever, are experiences from less developed countries used to inform discussions on reforms in the developed world. There is, however, a case to be ma...
Article
Quality management (QM) will soon become mandatory for private practice physicians in Germany. We aimed to assess the knowledge about and state of implementation of QM in German private practices. In cooperation with the Stiftung Gesundheit (Foundation for Health), Hamburg, a stratified sample of 15,383 physicians was requested via e-mail in 2006 t...
Article
Full-text available
Making drugs available and accessible to the poor remains an important health care objective in developing countries. The Bamako Initiative has introduced the concept of a revolving fund, where users pay for medicines, thereby contributing to the replenishment of the fund. However, the inability of the poor to pay for drugs remains a major problem...
Article
Qualitätsmanagement (QM) ist für niedergelassene Ärzte gesetzlich vorgeschrieben – der gemeinsame Bundesausschuss hat detaillierte Richtlinien dazu veröffentlicht. Wie sind die Kenntnisse und Stand der Durchführung in den Praxen?In Zusammenarbeit mit der Stiftung Gesundheit wurden im Jahr 2006 15.383 Ärzte repräsentativ ausgewählt und angeschrieben...
Article
Full-text available
Very little is known about the Philippine health care system, and in particular its experience with social health insurance (SHI). Having initiated an SHI programme 35 years ago, the Philippines hold many lessons for the development of such schemes in other low and middle-income countries. We analyse the challenges currently facing PhilHealth, the...
Article
Background At present, Germany is experiencing major reforms of its health care system. Health care providers are facing tight budgets, rising expectations and demands from patients as well as substantial administrative work. Most outpatient medical care is provided by general practitioners and specialists in private practice. Many of these doctors...
Article
Looking in-depth at health care reform experiences in less developed countries can stimulate ongoing debates in developed countries and offer a fresh look at seemingly insurmountable obstacles. International technical and financial cooperation for health sector reform is usually a one-way street: concepts, tools and experiences are transferred fro...
Article
The health policy debate about rationing is often confused by dealing with several different issues concurrently. This contribution introduces a typology and matrix that separates two of the most important of these issues in order to improve the clarity of the debate. The first of these issues, the mode of rationing, concerns how the responsible pa...
Article
Full-text available
OBJECTIVE: Kidney transplantation technology has reached a very high standard in the last decades. In the industrialised countries it belongs to the services which are offered by high-level hospitals besides university clinics. The number of transplantations is limited almost exclusively by the scarce graft supply. As health care budgets are increa...
Article
The rationing of medical care is inevitable. The economic term "rationing" describes in a value-neutral manner that goods and services have to be withhold if financial means are limited. A changing demographic structure of society, rising expectations of patients as well as relatives and medical-technological progress are the main reasons for the r...
Article
The rationing of medical care is inevitable. The economic term 'rationing' describes in a value-neural manner that goods and services have to be withhold it financial means are limited. A changing demographic structure of society, rising expectations of patients as well as relatives and medical-technological progress are the main reasons for the ri...
Article
□ Rationierung in der Medizin ist unvermeidlich. Dieser ökonomische Terminus beschreibt wertneutral die Beschränkung der zuteilung von Gütern und Dienstleistungen angesichts knapper Mittel. Ursachen für den zunehmenden Rationierungsdruck in der Medizin sind der sich ändernde Altersaufbau der Bevölkerung, zunehmende Erwartungshaltung von Patienten u...
Article
It is widely argued that decision about how to allocate scarce health care resources should be guided by cost-benefit analysis, the most elaborate form of which is the cost-utility analysis, leading to cost per quality- adjusted life-years (QALYs). The QALY approach has been criticised, since a) it does not account for distributional issues and b)...
Article
Genitale Chlamydien werden heute als die Haupterreger aszendierender Infektionen und ihrer Folgeschaden angesehen. Wegen des besonderen Vermehrungszyklus verlaufen ca. 90% der Infektionen asymptomatisch oder symptomarm. Im ersten Teil werden Haufigkeit, Bedeutung und Stand der Diagnostik der genitalen Chlamydieninfektionen dargestellt. Im zweiten T...
Article
Genital Chlamydiae are now considered to be the principal cause of ascending infections and their sequels. Due to their unique, obligately intracellular developmental cycle approximately 90 per cent of these infections progress asymptomatically or with only few and/or mild symptoms. In the first part of this article the incidence, significance and...
Article
Transplantation of solid organs has become a widely performed and accepted procedure. This type of high-performance medicine has led to vigorous debates on ethical and economic issues and most of this discussion can be seen as an example of the different opinions about highly individualised and technologised approaches in health care. The paper foc...
Article
Coronary artery disease (CAD) has enormous financial, medical, as well as economical consequences in Germany. Important risk factors include raised total cholesterol and LDL cholesterol blood levels. The 4S Study has demonstrated the clinical effectiveness in the secondary prevention of CAD. Based on the health economics data of this study, we unde...
Article
Hintergrund Die koronare Herzkrankheit hat in Deutschland enorme medizinische und ökonomische Auswirkungen. Wichtige Risikofaktoren sind erhöhtes Gesamtcholesterin und LDL-Cholesterin-Spiegel im Blut. Simvastatin hat in der 4S-Studie eine klare klinische Effektivität in der Sekundärprävention der koronaren Herzkrankheit gezeigt. □ Methode Basier...
Article
In this retrospective study of 24 patients who were treated at our clinic during the last 22 years after having attempted suicide, we evaluated aspects concerning abdominal- and transplantation surgery. There was a predominance of "hard" (70%) versus "soft" (30%) methods for suicide attempt. Intra-abdominal injuries resulting from attempted suicide...
Article
Sowohl die abdominal-als auch die transplantationschirurgisch relevanten Aspekte des Suizidversuchs werden anhand der eigenen Patienten retrospektiv über einen Zeitraum von 22 Jahren analysiert und dargestellt. Die Untersuchung der Methoden der Suizidversuche von 24 Patienten zeigte ein deutliches Überwiegen der sog. harten (70%) gegenüber den weic...
Article
In this retrospective study of 24 patients who were treated at our clinic during the last 22 years after having attempted suicide, we evaluated aspects concerning abdominal-and transplantation surgery. There was a predominance of “hard” (70%) versus “soft” (30%) methods for suicide attempt. Intra-abdominal injuries resulting from attempted suicide...
Article
In this retrospective study of 24 patients who were treated at our clinic during the last 22 years after having attempted suicide, we evaluated aspects concerning abdominal-and transplantation surgery. There was a predominance of "hard" (70%) versus "soft" (30%) methods for suicide attempt. Intra-abdominal injuries resulting from attempted suicide...
Article
Full-text available
A structured questionnaire survey of all 131 health authorities in England, Wales and Scotland was carried out between September 1995 and January 1996. The priority setting questionnaire was sent to chairpersons or chief executives of each health authority, although respondents had a variety of job titles. The objectives of the survey was to assess...
Article
Economic aspects of medical care play an increasingly more important part in evaluation of diagnostics and therapeutics. Therefore it seems necessary to examine the present studies and their results carefully. In meta-analysis of cancer care, different techniques of economic analysis are used. Stage-specific analyses of direct costs in patients wit...
Conference Paper
Economic aspects of medical care play an increasingly more important part in evaluation of diagnostics and therapeutics. Therefore it seems necessary to examine the present studies and their results carefully. In meta-analysis of cancer care, different techniques of economic analysis are used. Stage-specific analyses of direct costs in patients wit...

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