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Die ultraschallgesteuerte Shuntpunktion: Eine gesundheitsökonomische Betrachtung by Drähne, Angela

Die ultraschallgesteuerte Shuntpunktion: Eine gesundheitsökonomische Betrachtung

by Angela Drähne
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Book cover type: Paperback
  • ISBN13: 9783668623828
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Grin Verlag
  • Publisher Imprint: Grin Verlag
  • Publication Date:
  • Pages: 108
  • Original Price: USD 67.9
  • Language: German
  • Edition: 1. Auflage
  • Item Weight: 150 grams
  • BISAC Subject(s): Economics / General

Masterarbeit aus dem Jahr 2017 im Fachbereich VWL - Gesundheitsökonomie, Note: 1,0, APOLLON Hochschule der Gesundheitswirtschaft in Bremen (Gesundheitsökonomie), Veranstaltung: Gesundheitsökonomie M.A., Sprache: Deutsch, Abstract: Das Thema dieser Arbeit ist in der Nephrologie verortet. Die gesundheitsökonomische Relevanz des Themas ergibt sich aus der transsektoralen Gliederung unseres Gesundheitssystems mit unterschiedlichen Zuständigkeiten, Versorgungsbrüchen und Abrechnungssystemen. Ferner aus dem Versuch der Akteure, das eigene Budget zu optimieren, ohne dabei eine gesamtwirtschaftliche Optimierung des Versorgungsprozesses zu erreichen oder auch nur anzustreben. Der Einsatz neuer Technologien oder auch neuer Versorgungsstrukturen erfordert eine Evaluation der Kosten und des Nutzens. Ziel der Thesis war es, den Einsatz der ultraschallgesteuerten Shuntpunktion aus Kosten-Nutzen-Sicht in Bezug zur Neuanlage und Revision von Gefä zugängen, zu den finanziellen Folgen für die Kostenträger, zum Erlösausfall für die einzelnen Dialyseeinrichtungen, zur Erhaltung einer hochwertigen Punktionsqualität der Gefä zugänge und zur Lebensqualität der Patienten zu untersuchen. Die Arbeit untersucht den Nutzen der ultraschallgesteuerten Shuntpunktion aus Sicht der Kostenträger und Leistungserbringer. Folgende Fragen sollen beantwortet werden: Bietet der Einsatz der ultraschallgesteuerten Shuntpunktion für die Kostenträger und für die einzelne Dialyseeinrichtung einen konkreten monetären Nutzen? Wird die Akzeptanz der Shuntpunktionen durch die Patienten bei Einsatz der Ultraschall-Technik verbessert? Ist der Einsatz der Ultraschalltechnik mit einer Verbesserung der Punktionsqualität und einem längeren Shuntüberleben verbunden? Die Grundmethodik der Arbeit stellt eine strukturierte Literaturanalyse dar. Kosten und Erlöse der unterschiedlichen Interventionsformen wurden auf Grundlage von Krankenhaus- und Dialyseabrechnungsdaten ermittelt. Es liegen nur wenige Untersuchungen zur A

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