Library

Allgemeine Gynäkologie. Frauenheilkunde und Geburtshilfe in Deutschland – eine Marktübersicht im akutstationären Sektor / B. Augurzky, in Geburtshilfe und Frauenheilkunde, 69(2009)2 ([02/01/2009])  

[article] Allgemeine Gynäkologie. Frauenheilkunde und Geburtshilfe in Deutschland – eine Marktübersicht im akutstationären Sektor = Gynecology and Obstetrics in Germany – A Market Overview in the stationary acute care sector [printed text] / B. Augurzky,, Author ; S. Krolop, Author ; K. Römer, Author ; Christoph Schwierz, Author ; R. Kreienberg, Author . - 2009 . - 146-150. Languages : English (eng) German (ger) in Geburtshilfe und Frauenheilkunde > 69(2009)2 [02/01/2009] . - 146-150 Descriptors: Classification W 1 Serials. Periodicals Indexation Economics ; Germany ; Gynecology ; Health Care Costs ; Journal Article ; Obstetrics ; Peer Review Link for e-copy: https://www.thieme-connect.de/ejournals/toc/gebfra Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2086 [article]

Allgemeine Gynäkologie. Frauenheilkunde und Geburtshilfe in Deutschland / B. Augurzky, in Geburtshilfe und Frauenheilkunde, 69(2009)6 ([06/01/2009])  

[article] Allgemeine Gynäkologie. Frauenheilkunde und Geburtshilfe in Deutschland = Gynecology and Obstetrics in Germany – Costs and Revenues : Kosten und Erlöse [printed text] / B. Augurzky,, Author ; S. Krolop, Author ; K. Römer, Author ; Christoph Schwierz, Author ; R. Kreienberg, Author . - 2009 . - 560-563. Languages : English (eng) German (ger) in Geburtshilfe und Frauenheilkunde > 69(2009)6 [06/01/2009] . - 560-563 Descriptors: Classification W 1 Serials. Periodicals Indexation Costs and Cost Analysis ; Germany ; Gynecology ; Journal Article ; Obstetrics ; Peer Review Link for e-copy: https://www.thieme-connect.de/ejournals/toc/gebfra Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2073 [article]

Demand, Selection and Patient Outcomes in German Acute Care Hospitals / Christoph Schwierz / Essen [Germany] : Rheinisch-Westfälisches Institut für Wirtschaftsforschung (2008)  

Demand, Selection and Patient Outcomes in German Acute Care Hospitals [printed text] / Christoph Schwierz, Author ; B. Augurzky,, Author ; Axel Focke, Author ; Jürgen Wasem, Author . - Essen [Germany] : Rheinisch-Westfälisches Institut für Wirtschaftsforschung, 2008 . - 26 p. : ill. ; A4. - (Ruhr Economic Papers; 74) . ISBN : 978-3-86788-078-7 : € 0,00 Languages : English (eng) Descriptors: Indexation Germany ; Health Policy ; Hospitals ; Inpatients ; Outcome and Process Assessment (Health Care) ; Personnel Staffing and Scheduling ; Public Health ; Public Policy Classification W 84.4 Quality of health care (General) Abstract: In times of peak demand hospitals may fail to deliver the high standard of treatment quality that they are able to offer their patients at regular times. To assess the magnitude of these effects, this study analyzes the effects of low staff-to-patients ratios on patient outcomes empirically.We use the variation of patient admissions over time as a proxy for varying staff level. Further, we control for within diagnosis unobservable variation in severity across days with as opposed to days without excess demand.We find that when this variation is ignored in the regression framework, the effect of demand on outcomes is biased upwards. The reason is that when demand is high more patients with a higher unobservable frailty are admitted to the hospitals. After having controlled for this selection of patients, excess demand does not negatively affect patient outcomes. Link for e-copy: http://repec.rwi-essen.de/files/REP_08_074.pdf Format of e-copy: PDF [Open Access] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2091

Does the Quality of Hospital Treatment Vary by Days of the Week? / B. Augurzky, / Essen [Germany] : Rheinisch-Westfälisches Institut für Wirtschaftsforschung (2009)  

Does the Quality of Hospital Treatment Vary by Days of the Week? [printed text] / B. Augurzky,, Author ; Christoph Schwierz, Author ; Jürgen Wasem, Author . - Essen [Germany] : Rheinisch-Westfälisches Institut für Wirtschaftsforschung, 2009 . - 22 p. : ill. ; A4. - (Ruhr Economic Papers; 105) . ISBN : 978-3-86788-117-3 : € 0,00 Languages : English (eng) Descriptors: Classification W 84 Health services. Quality of health care (General) Indexation Germany ; Health Care ; Hospital Mortality ; Hospitals ; Outcome and Process Assessment (Health Care) ; Patients ; Personnel Management Abstract: This paper investigates the relationship between health outcomes and variations in staffing levels as approximated by admissions on weekdays versus admissions on weekends. Because days of admission are potentially endogenous, we instrument on emergency admissions only, which are reasonably exogenous to the time of admission. Further,we introduce a direct measure for within- diagnosis variation in severity across days of admission to control for the unobservable selection of patients.We find that after controlling for patient heterogeneity and endogeneity of the day of admission there is still a significant variation in mortality rates between weekend and weekday admissions. Patients admitted during the weekend exhibit higher in-hospital mortality rates. We also find signs of premature discharge, as patients with short lengths of stay tend to exhibit higher probability to be readmitted as emergency cases. Link for e-copy: http://repec.rwi-essen.de/files/REP_09_105.pdf Format of e-copy: PDF [Open Access] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2089

Ownership and Financial Performance in the German Hospital Sector / B. Augurzky, / Essen [Germany] : Rheinisch-Westfälisches Institut für Wirtschaftsforschung (2009)  

Ownership and Financial Performance in the German Hospital Sector [printed text] / B. Augurzky,, Author ; Dirk Engel, Author ; Christoph Schwierz, Author ; Christoph M. Schmidt, Author . - Essen [Germany] : Rheinisch-Westfälisches Institut für Wirtschaftsforschung, 2009 . - 27 p. : ill. ; A4. - (Ruhr Economic Papers; 123) . ISBN : 978-3-86788-137-1 : € 0,00 Languages : English (eng) Descriptors: Classification W 74 Medical economics. Health care costs (General) Indexation Financial Management, Hospital ; Germany ; Health ; Health Policy ; Hospitals ; Public Policy ; Welfare economics Abstract: This paper considers the role of ownership form for the financial performance of German acute care hospitals and its development over time.We measure financial performance by a hospital-specific yearly probability of default (PD). Using a panel of hospital data, our models allow for state dependence in the PD as well as unobserved individual heterogeneity. We find that private ownership is more likely to be associated with sound levels in financial performance than public ownership. Moreover, state dependence in the PD is substantial, albeit not ownership-specific.Finally, our evidence suggests that overall efficiency may be enhanced most by closing down some loss-making public hospitals rather than by their restructuring, especially because the German hospital market has substantial excess capacities. Link for e-copy: http://repec.rwi-essen.de/files/REP_09_123.pdf Format of e-copy: PDF [Open Access] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2090