Oliver Schöffski

Oliver Schöffski
Friedrich-Alexander-University of Erlangen-Nürnberg | FAU · School of Business and Economics

Prof. Dr., MPH

About

195
Publications
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Introduction
Skills and Expertise

Publications

Publications (195)
Conference Paper
Introduction According to the literature presenteeism (defined as people turning up at work despite illness) is closely related to work related factors such as high job demands, time pressure or difficulties in staff replacement. On the other hand, there is growing evidence that managers and supervisors have a huge impact on employees’ health and w...
Chapter
Die ambulante Implantation von Herzschrittmachern und ICDs ist in der Kardiologie mittlerweile ein gut etabliertes Verfahren. Durch die Implementierung der Telemedizin ist zudem eine hohe perioperative Sicherheit und Qualitätssicherung möglich. Obwohl die ambulante Erbringung sowohl für die Patienten als auch das Gesundheitssystem mit nachgewiesene...
Article
Zielsetzung: In Projekten zur Frühintervention werden eine Vielzahl unterschiedlicher Instrumente zur Messung von Interventionseffekten auf den Erhalt bzw. die Wiederherstellung von Arbeitsfähigkeit eingesetzt. Ziel dieser Arbeit ist es, ein geeignetes Instrument bzw. eine Auswahl geeigneter Instrumente vorzuschlagen, damit in Zukunft verschiedene...
Article
Full-text available
Background Considering the inadequate financing of German emergency departments, the aim of this investigation was to analyze the economic situation of an emergency department (ED) when treating outpatients. Several medical categorization systems were used in order to determine the treatment costs from an ex ante perspective. Methodology Based on t...
Article
Aim: Our aim was to make a detailed evaluation and cost analysis of the 10 most frequent angiography interventions in outpatients and inpatients at a university hospital. Material and Methods: Based on a detailed process-oriented model we calculated the cost and income for port and dialysis catheter implantation, PTA at the upper (UL) and lower leg...
Article
Whenever people act, mistakes are made. In Germany, it is thought that a total of 40 000 cases of malpractice occur per year. In recent years, costs for liability insurance have risen significantly in almost all spheres of medicine as a whole. Liability in the health care sector is founded on the contractual relationship between doctor and patient....
Article
PurposeSeveral economic evaluations of adverse drug events (ADEs) exist, but the underlying methodology has not been standardized so far. The aim of the study was to combine prospective, intensive pharmacovigilance methods, and standardized accounting data to calculate direct costs of community-acquired ADEs (caADEs) contributing to emergency depar...
Article
To date, relatively little is known about the economic and medical impact of Lyme borreliosis (LB) on European health care systems, especially for the inpatient sector. This retrospective analysis is based on data provided for the years 2007–2011 by a German statutory health insurance company (DAK-Gesundheit) covering approximately 6 million insure...
Article
The aim of the memorandum on the development of health services research (HSR) in Bavaria is to operationalise the global objectives of the State Working Group "Health Services Research" (LAGeV) and to collectively define future topics, specific implementation steps, methods as well as ways of working for the future course of the LAGeV. The LAGeV i...
Article
Purpose: The aim of this study was to evaluate the quality of care and interdisciplinary cooperation in the palliative treatment of colorectal cancer (CRC), including the associated costs. Patients and methods: 103 patients were enrolled from 13 institutions to reflect the existing clinical treatment reality and costs of palliative CRC treatment...
Article
Integrierte Behandlungspfade sind ein geeignetes Mittel, um die Behandlungs- und Ergebnisqualität durch Prozessoptimierung zu steigern. Am Beispiel der POLIKUM-Gesundheitszentren soll an der Indikation Anämie gezeigt werden, wie die Umsetzung durchgeführt werden kann.Die Entwicklung und Umsetzung erfolgte durch eine interdisziplinäre Arbeitsgruppe...
Article
Clinical/methodical issue: Cost-intensive measures and procedures, such as also employed in radiology, have far-reaching economic implications in respect to increasing expenditure with limited resources. Standard radiological methods: Health technology assessment (HTA) describes the systematic evaluation of medical procedures and technologies wh...
Article
Full-text available
Integrated treatment pathways are an appropriate means for increasing the quality of treatment and outcome via process optimization. Taking the POLIKUM Health Centers as an example, we intend to demonstrate how the implementation can be effected for the indication of anemia. The development and implementation were executed by an interdisciplinary w...
Article
A high disease prevalence, the presentation in older age, a frequently slowly progressing course of disease, and high costs make diagnosis and therapy of prostate cancer a special challenge for urologists. Effective prevention of the disease may help to resolve some of the problems mentioned above. Two randomised, controlled studies prove that effe...
Article
Objective The objective of the study was to calculate the cost-effectiveness of recombinant FSH and urinary hMG in assisted reproduction techniques regarding the success parameter “birth”. Methods In a decision tree covering 3 treatment cycles, the probabilities of a study of more than 24,000 treatment cycles representative for medical care in Germ...
Article
Objectives: On 01 January 2011 the bill for the reorganisation of the pharmaceutical market became effective. Since that time there is a European reference pricing (ERP) system for vaccines in order to bring down the German vaccine prices to an assumed lower European level. This study describes the implementation, functioning and effect of this ne...
Article
Objective: Due to an increasing number of economic evaluations, critical assessments are gaining in importance. To date, the available assessment tools possess different focuses, making their results difficult to compare. After identifying and comparing the currently applied tools, we present an aggregated checklist which can be used as a guideline...
Article
Zielsetzung: Im Rahmen der vorliegenden Arbeit wird die Wirtschaftlichkeit parenteraler Eisenpräparate in der ambulanten Versorgung aus der Perspektive der GKV untersucht. Methodik: Als Ausgangspunkt der Untersuchung dienten die Abrechnungsdaten der Apothekenrechenzentren. Für die weiteren Berechnungen wurden die Vorgaben der jeweiligen Fachinforma...
Article
Objective: The cytochrome P450 superfamily is an important enzyme complex which aids in the metabolization of approximately 80% of pharmaceuticals currently on the market. Genetic variation leads to different phenotypes of metabolization: extensive metabolizer (EM), intermediate metabolizer (IM), poor metabolizer (PM) and ultra-rapid metabolizer (U...
Article
Full-text available
Einleitung Im klinischen Alltag sprechen medizinische und ökonomische Gründe gegen den allzu sorglosen Einsatz von Fremdblutkonserven. Auf der Suche nach Alternativen, wie beispielsweise die Therapie der Anämie (z. B. Eisensubstitution, Folsäuresubstitution, Stimulation der Erythropoese etc.), müssen daher die Gesamtkosten von Bluttransfusionen ber...
Article
Full-text available
INTRODUCTION: In clinical practice there are medical and economic reasons against the thoughtless use of packed red blood cells (rbc). Therefore, in searching for alternatives (therapy of anemia) the total costs of allogeneic blood transfusions must be considered. Using a practical example this article depicts the actual costs and possible alternat...
Article
Background: The increasing medical-technical progress as well as the dramatic demographic changes cause problems with regard to rapid enlargement of medical service offers, allocation of resources and a financing shortfall in the German public health system. The economization in the German Health System can also be perceived in ENT departments. M...
Article
Objectives: Studies assessing the quality of the German health-care system in an international comparison come to different results. Therefore, this review aims to investigate how the German health-care system is evaluated in comparison to other health-care systems by reviewing international publications. Results show starting points for ways to i...
Article
Einleitung: Mit der in 10/2003 in Kraft getretenen Ärztlichen Approbationsordnung (ÄAppO) für Humanmediziner ist unter anderem ein Querschnittsfach 3 namens „Gesundheitsökonomie, Gesundheitssystem, öffentliche Gesundheitspflege“ eingeführt worden. Das Fach beabsichtigt, grundlegendes Wissen über die Rahmenbedingungen des deutschen Gesundheitswesens...
Article
Full-text available
Introduction Persistent infections with human papillomavirus (HPV) are a necessary cause of cervical cancer and are responsible for important morbidity in men and women. Since 2007, HPV vaccination has been recommended and funded for all girls aged 12 to 17 in Germany. A previously published cost-effectiveness analysis, using a static model, showed...
Data
Table S1. Sexual parameters. Table S2: Estimated cervical cancer mortality rates by age and disease state. Table S3: Treatment patterns for each CIN/CIS stage and for genital warts. Table S4: Percentage of the German female population that undergo hysterectomy annually by age group. Table S5: Health utility values by age and gender for individuals...
Article
Introduction: To estimate the costs of palliative care for colorectal cancer (CRC) from the perspective of German statutory health insurance and to measure the patients' quality of life (QoL) for a 2-year time period. Methods: A prospective observational multicentre study was carried out to estimate the direct costs of care over a 2-year period....
Article
Background: Diagnostic provocation tests (ICD Z01.5) have a low cost weight in the German DRG system. We aimed at investigating a possible economic impact on the number of provocation tests in German university medical centers (UMC) for dermatology. Methods: We review quality records of 35 German UMC for 2008 and 2010 (ICD Z01.5, total number of...
Article
In recent years scientific progress has dramatically raised the potential of genetic services, but the actual benefits of these developments are not universally shared. In countries of low and middle incomes, improvements in genetic services frequently lag behind. Since this is generally caused by lack of resources and not by the lack of political...
Article
The high disease prevalence, the presentation in older age, a frequently slowly progressing course of disease, and high costs make the diagnosis of and therapy for prostate cancer a special challenge for urologists. Effective prevention of the disease may help to improve some of the problems mentioned above. Two randomised, controlled studies have...
Article
Nationwide analyses of drug use can provide a prevalence estimate of the underlying disease and can help in understanding the characteristics of treatment. This study aimed for such analyses regarding the utilization of antiepileptic drugs (AED) for epilepsy in Germany. In 2009, all 4,115,705 AED prescriptions of all German patients with statutory...
Article
Full-text available
A health economic analysis was conducted to evaluate the program "Telemedicine for the Heart," which the German Foundation for the Chronically Ill organizes for the Techniker Krankenkasse, one of the biggest German statutory health insurance funds. The program consists of nurse-calls to motivate patients to perform regular self-measurements (blood...
Article
Medicine has changed dramatically in the past ten decades thanks to the introduction of innovative diagnostic and therapeutic procedures. However, besides the unmistakable advances achieved in medicine, the costs of all health care systems have risen dramatically. In contrast to the escalation in expenditures, only moderate gains in proceeds have b...
Article
Internet healthcare rating has become a viable tool for guiding patients in making health decisions and already established for medical practitioners. Rating has recently been extended to hospitals. The aim of this study is to describe the basic features of internet healthcare rating sites, to show different approaches and their implementation, and...
Article
Mit leeren Pipelines und generischen Blockbustern suchen Pharmaunternehmen zunehmend nach neuen Methoden, um ihre Prozesse effizienter zu gestalten. Marktforschung wird hier primär von externen Anbietern erbracht und reagiert damit besonders stark auf ökonomische Veränderungen. Dieser Beitrag basiert auf qualitativen Interviews mit weltweiten Entsc...
Article
Full-text available
Objective: To compare the diabetes related direct treatment costs of insulin glargine and DPP-4 inhibitors on top of an oral therapy with metformin and/or sulfonylureas in patients with type 2 diabetes mellitus under reallife conditions in Germany. Methods: The analysis was performed as a retrospective cohort study based on IMS® Disease Analyzer da...
Article
Physician rating websites (PRWs) are gaining in popularity among patients seeking quality information about physicians. However, little knowledge is available about the quantity and type of information provided on the websites. Objective: To determine and structure the quantity and type of information about physicians in the outpatient sector provi...
Article
Public reporting (PR) has been gaining more weight as a mechanism for patient steerage. According to the theory of PR, patients use information about the quality of health care providers before making decisions and selecting health-care providers. This paper contributes further knowledge on the effectiveness of PR and identifies critical success fa...
Article
The relationship between motivation, performance, and incentives in the context of health care delivery is of high interest for the rising number of networks and other provider groups under pay-for-performance programs. Because recent literature suggests that intrinsic motivation plays a decisive role, this study analyzes the intrinsic motivational...
Article
Full-text available
Background: Pay-for-performance (P4P) intents to stimulate both more effective and more efficient health care delivery. To date, evidence on whether P4P itself is an efficient method has not been systematically analyzed. Objective: To identify and analyze the existing literature regarding economic evaluation of P4P. Data sources: English, Germ...
Article
Erythropoiesis stimulating agents (ESAs) are commonly used for the treatment of anemia in patients with chronic renal insufficiency. Different short-acting and long-acting ESAs are available in Germany, including ESA biosimilars which were launched in 2007. ESAs differ in characteristics, for example, in dosing, frequency of application or route of...
Article
Objective: Due to an increasing number of economic evaluations, critical assessments are gaining in importance. To date, the available assessment tools possess different focuses, making their results difficult to compare. After identifying and comparing the currently applied tools, we present an aggregated checklist which can be used as a guideline...
Article
Objective In pharmacotherapy „personalised medicine“ based on genetic information has developed in recent years. To assess its implications a review was conducted on its current status, its prospective potential and its impact on health expenditures. Study design A systematic literature review was conducted to assess personalised/individualised med...
Conference Paper
PURPOSE To compare the total direct costs of whole-body MRI versus established sequential, multi-modal diagnostic algorithm for pretherapeutic TNM staging of rectal cancer. METHOD AND MATERIALS In a study including 33 patients (25 male, 8 female; mean age, 62.5 years) the direct fixed and variable costs of a sequential, multimodal diagnostic algor...
Article
Fragestellung Mit Einführung des § 116 b SGB V im Zuge des GKV-Modernisierungsgesetzes (GMG) wurden von bundespolitischer Seite strukturelle Voraussetzungen geschaffen, die Versorgungssituation von Patienten mit neuromuskulären Erkrankungen zu verbessern. Vor allem die Abrechnungsmöglichkeiten nach dem Einheitlichen Bewertungsmaßstab (EBM) sollen d...
Article
Full-text available
Ziel: Evaluation der Kosten einer kontrastmittelgestützten MRT des Schädels (c-ceMRT) bei ambulanten, stationären und intensivpflichtigen Patienten sowie intubierten Kindern an einem deutschen Universitätsklinikum. Material und Methoden: Auf der Basis eines Prozessmodells der 4 genannten Szenarien wurde nach Datenerfassung der Gemein- sowie Persona...
Article
Full-text available
Detailed evaluation and cost analysis of a cranial contrast-enhanced MRI (c-ceMRI) in outpatients, inpatients, patients in an intensive care unit and children under anesthesia. Based on a detailed process-oriented model, we calculated the cost of a cranial MRI for the four situations mentioned above. A comprehensive evaluation of the overhead and p...
Article
To compare the direct costs of two diagnostic algorithms for pretherapeutic TNM staging of rectal cancer. In a study including 33 patients (mean age: 62.5 years), the direct fixed and variable costs of a sequential multimodal algorithm (rectoscopy, endoscopic and abdominal ultrasound, chest X-ray, thoracic/abdominal CT in the case of positive findi...
Article
Zielsetzung: In Deutschland verordnete kortikosteroidhaltige Nasensprays enthalten am häufigsten Budesonid (BHN) oder Mometason (MHN) als Wirkstoff. Trotz bestehender pharmakologischer Unterschiede wird für die beiden Substanzen eine einheitliche definierte Tagesdosis (DDD) angenommen. Ziel dieser Analyse war es, für beide Nasensprays den tatsächli...
Article
The discrepancies between the need and the number of organs donated in Germany lead to a search for the causes of this deficit. In the present study, 78 small hospitals in Germany were interviewed about the difficulties with the organ donation process. Data were acquired by means of a structured telephone interview. No organ donor between 2004 and...
Article
The carrying out of cost-benefit analyses of innovative drugs is a complex venture accompanied by various methodological challenges. The German Institute for Quality and Efficiency in Health Care (IQWiG) uses the response rate to indicate benefit, i.e., the number of patients reaching the therapeutic target of any given intervention. We attempted t...
Article
Ziel der Studie: Die Kosteneffektivitätsanalyse vergleicht ein ambulantes Hilfeangebot für pflegende Angehörige mit Standardpflege. Methodik: Durch Literaturrecherchen wurden die Daten für das Kosteneffektivitätsmodell bezüglich der qualitätsadjustierten Lebensjahre (QALYs) und Kosten ermittelt. Die Evaluierung erfolgte durch ein Entscheidungsbaumv...
Article
Objective: In pharmacotherapy "personalised medicine" based on genetic information has developed in recent years. To assess its implications a review was conducted on its current status, its prospective potential and its impact on health expenditures. Study design: Asystematic literature review was conducted to assess personalised/ individualised m...
Article
Full-text available
Suboptimal compliance and failure to persist with antidiabetes therapies are of potential economic significance. The present research aims to describe the impact of poor compliance and persistence with antidiabetes medications on the cost of healthcare or its components for patients with type 2 diabetes mellitus (T2DM). Literature search was conduc...