Publikationen

Auszug der Publikationen vom Lehrstuhl für Gesundheitsökonomie, -Politik und -Management

  Wissenschaftliche Artikel
2023 Steinbeck, Viktoria; Langenberger, Benedikt; Schöner, Lukas; Wittich, Laura; Klauser, Wolfgang: Mayer, Martin; Kuklinski, David; Vogel, Justus; Geissler, Alexander; Pross, Christoph; Busse, Reinhard (2023) Electronic Patient-Reported Outcome Monitoring to Improve Quality of Life After Joint Replacement - Secondary Analyses of a Randomized Clinical Trial JAMA Network Open (2023)
2023 Langenberger, Benedikt; Steinbeck, Viktoria; Schöner, Lukas; Busse, Reinhard; Pross, Christoph; Kuklinski, David (2023) Exploring treatment effect heterogeneity of a PROMs alert intervention in knee and hip arthroplasty patients: A causal forest application Computers in Biology and Medicine (2023)
2023 Berger, Elke; Reichebner, Christoph; Eriksen, Astrid; Hildebrandt, Meik; Kuklinski, David; Busse, Reinhard (2023) Spezialisierte Behandlung ovn Darmkrebs in zertifizierten Krebszentren: Müssen Patient*innen wirklich weitere Wege auf sich nehmen? Gesundheitswesen (2023)
2023 Bischof, Anja Y. & Geissler, Alexander (2023) Making the cut on caesarean section: a logistic regression analysis on factors favouring caesarean sections without medical indication in comparison to spontaneous vaginal birth (unisg.ch) BMC Pregnancy and Childbirth
2023 Kuklinski, David; Vogel, Justus; Henschke, Cornelia; Pross Christoph & Geissler, Alexander (2023) Robotic-assisted surgery for prostatectomy - does the diffusion of robotic systems contribute to treatment centralization and influence patients' hospital choice? Health Economics Review (2023)
2023 Schöner, Lukas; Kuklinski, David; Geissler, Alexander; Busse, Reinhard & Pross, Christoph (2023)A composite measure for patient‑reported outcomes in orthopedic care: design principles and validity checks. Quality of Life Research, ISSN 0962-9343
2022 Moser, Dominik (2022) Quality aspects relating to giving birth in Switzerland: An analysis of quality indicators in inpatient obstetrics from 2013 to 2017. Front. Public Health.
2022 Bleibtreu, Elena; von Ahlen, Christine & Geissler, Alexander (2022) Service-, needs-, and quality-based hospital capacity planning – The evolution of a revolution in Switzerland. Health Policy, (126). 1277-1282. ISSN 0168-8510
2022 Enodien, Bassey; Moser, Dominik; Kessler,Florian: Taha-Mehlitz, Stephanie: Frey, Daniel M. & Taha Anas (2022)Cost and Quality Comparison of Hernia Surgery in Stationary, Day-Patient and Outpatient Care. Int. J. Environ. Res. Public Health 2022, 19, 12410.
2022 Quentin, Wilm; Stephani, Victor; Berenson, Robert A.; Bilde, Lone; Grasic, Katja; Sikkut, Riina; Touré, Mariama & Geissler, Alexander (2022) How Denmark, England, Estonia, France, Germany, and the USA Pay for Variable, Specialized and Low Volume Care: A Cross-country Comparison of In-patient Payment Systems International Journal of Health Policy and Management
2022 Vogel, Justus F. A.; Barkhausen, Max; Pross, Christoph M. & Geissler, Alexander (2022) Defining minimum volume thresholds to increase quality of care: a new patient-oriented approach using mixed integer programming. The European Journal of Health Economics, ISSN 1618-7598
2022 Kuklinski, David; Marques, Carlos J.; Bohlen, Karina; Westphal, Karl C.; Lampe, Frank & Geissler, Alexander (2022) Thresholds for meaningful improvement in WOMAC scores need to be adjusted to patient characteristics after hip and knee replacement. Journal of Orthopaedics, (29). 50-59. ISSN 0972-978X
2022 Strumann, Christoph; Geissler, Alexander; Busse, Reinhard & Pross, Christoph (2022) Can competition improve hospital quality of care? A difference-in-differences approach to evaluate the effect of increasing quality transparency on hospital quality. The European Journal of Health Economics, ISSN 1618-7601
2021 Kuklinski, D., Vogel, J. & Geissler, A. The impact of quality on hospital choice. Which information affects patients’ behavior for colorectal resection or knee replacement?. Health Care Manag Sci 24, 185–202 (2021).
2021 Moser, Dominik; von Ahlen, Christine & Geissler, Alexander (2021) Qualitätsvariation in der Schweiz: Analyse der Mamma-Resektionen bei Brustkrebs anhand des Qualitätsindikators der Brusterhaltung. Das Gesundheitswesen, ISSN 0941-3790
2021 von Ahlen, Christine; Moser, Dominik & Geissler, Alexander (2021) Qualitätstransparenz in der stationären Krankenhausversorgung der Schweiz. Gesundheitsökonomie und Qualitätsmanagement, 26 (03). ISSN 1432-2625
  Buchbeiträge
2022 Geissler, Alexander; Wiesmann, Anne & Thun, Sylvia: Messung des digitalen Reifegrades von deutschen Krankenhäusern - Status quo und Perspektiven. In Marx, Gernot & Meister, Sven (ed.): Die digitale Intensivstation - Handlungsfelder, Erfordernisse, Umsetzung. Berlin : Medizinisch Wissenschaftliche Verlagsgesellschaft, 2022, S. 156-161.
2022 Busse, Reinhard & Geissler, Alexander: Ziele des Gesundheitssystems, Strategien der Gesundheitspolitik und Herausforderungen für Krankenhäuser: eine kurze Einführung. In Debatin, Jörg F.; Ekkernkamp, Axel; Schulte, Barbara & Tecklenburg, Andreas (Hrsg.): Krankenhausmanagement.  Medizinisch Wissenschaftliche Verlagsgesellschaft, 2022, S. 3-8.
2020 Oschmann, Laura; Nimptsch, Ulrike; Möckel, Martin; Römer, Claudia & Geissler, Alexander: Notfallstufen: qualitative Unterschiede in der Notfallversorgung. In Dormann, Franz; Klauber, Jürgen & Kuhlen, Ralf (Hrsg.): Qualitätsmonitor 2020. Medizinisch Wissenschaftliche Verlagsgesellschaft, 2020, S. 33-61.
2020 Stephani, Victor; Geissler, Alexander & Quentin, Wilm: Vergütung von spezialisierten, seltenen und kostenvariablen Fällen außerhalb des DRG-Systems: Erfahrungen aus Deutschland, Dänemark, England, Estland, Frankreich und den USA. In Klauber, Jürgen; Geraedts, Max; Friedrich, Jörg; Wasem, Jürgen & Beivers, Andreas (Hrsg.): Krankenhaus-Report 2020. Springer-Verlag GmbH, 2020, S. 53-67.
2020 Vogel, Justus; Letzgus, Philipp & Geissler, Alexander: Paradigmenwechsel in der Krankenhausplanung – hin zu Leistungs-, Bedarfs- und Qualitätsorientierung für einen höheren Patientennutzen. In Klauber, Jürgen; Geraedts, Max; Friedrich, Jörg; Wasem, Jürgen & Beivers, Andreas (Hrsg.): Krankenhaus-Report 2020. Springer-Verlag GmbH, 2020, S. 327-358.
2019 Vogel, Justus; Polin, Katherine; Pross, Christoph & Geissler, Alexander: Implikationen von Mindestmengen und Zertifizierungsvorgaben: Auswirkungen verschiedener Vorgaben auf den deutschen Krankenhaussektor. In Dormann, F., Klauber, J., Kuhlen, R., Amon, M. (Hrsg.): Qualitätsmonitor 2019. Berlin: MWV Medizinisch Wissenschaftliche Vertragsgesellschaft, 2019, S. 63-88
2016 Van den Heede, Koen; Dubois, Cécile; Devriese, Stephan; Baier, Natalie; Camaly, Olivier; Depuijdt, Eveline; Geissler, Alexander; Ghesquiere, Annelies; Misplon, Sarah; Quentin, Wilm; Van Loon, Christophe & Van de Voorde, Carine : Organisation and payment of emergency care services in Belgium: current situation and options for reform. KCE Report 263. Belgian Health Care Knowledge Centre (KCE), 2016.
2014 Van de Voorde, Carine; Van den Heede, Koen; Obyn, Caroline; Quentin, Wilm; Geissler, Alexander; Wittenbecher, Friedrich; Busse, Reinhard; Magnussen, Jon; Camaly, Olivier; Devriese, Stephan; Gerkens, Sophie; Misplon, Sarah; Neyt, Mattias & Mertens, Raf : Conceptual framework for the reform of the Belgian hospital payment system. KCE Report 229. Belgian Health Care Knowledge Centre (KCE), 2014.
  Artikel in Fachzeitschriften
2020 Geissler, Alexander: Spitalplanung für mehr Patientennutzen. In: im dialog - Magazin über Gesundheitspolitik der CSS Gruppe (2020), 3, S. 19.
2020 Berger, Elke; Busse, Reinhard; Geissler, Alexander; Spies, Claudia & Weiss, Björn: Übertragbarkeit neuer Versorgungsformen in die Regelversorgung. In: Gesundheits- und Sozialpolitik 74 (2020), 1, S. 64-70.
2018 Berger, Elke; Busse, Reinhard; Finger, Benjamin; Focke, Klaus & Geissler, Alexander: Krankenhaus: Impulse aus Dänemark für Deutschland. In: Gesundheits- und Sozialpolitik 72 (2018), 3, S. 19-24.

Publikationsliste Prof. Dr. Alexander Geissler

Forschungsplattform Alexandria

Auf dieser Seite veröffentlichen wir in loser Reihenfolge Working Paper aus verschiedenen Forschungsprojekten am Lehrstuhl für Gesundheitsökonomie, -Politik und -Management

Titel Autoren Download
Price sensitivity and demand for healthcare services: Investigating demand-side financial incentives using anonymised claims data from Switzerland

Irene Salvi

Johannes Cordier

Dr. David Kuklinski 

Prof. Dr. Alexander Geissler  

Working Paper Series in Health Economics, Management and Policy
The power of knowledge: A survey on COPD patients' health literacy in Switzerland Anja Bischof WPS_202304_Survey_COPD
Auswirkungen der Krankenhausreform in Deutschland: Diskussion der Möglichkeiten einer Folgenabschätzung der Reform und des Potenzials der NRW-Qualitätsvorgaben Dr. Justus Vogel  Dr. David Kuklinski      Prof. Dr. Alexander Geissler   WPS_20230929_Auswirkungen Krankenhausreform DE
Analyse der Schweizer Spitallandschaft anhand der Zürcher Spitalleistungsbereiche und -gruppen: Ableitung von Empfehlungen für die Krankenhausreform in Deutschland Dr. David Kuklinski
Jonas Subelack
Prof. Dr. Alexander Geissler
Dr. Justus Vogel
WPS_20230822_Analyse CH_Spitallandschaft
Instrument zur Evaluierung des Reifegrades der Krankenhäuser hinsichtlich der Digitalisierung DigitalRadar Krankenhaus Konsortium

WPS_2021-01_DigitalRadar

DigitalRadar Fragebogen

Projektbeschrieb

Identifikation und Quantifizierung von Low Value Care mit anonymisierten Schweizer Versichertendaten am Beispiel von chronisch-obstruktiver Lungenerkrankung (COPD) und koronarer Herzkrankheit (KHK) Anja Bischof, M.A.
Johannes Cordier, M.A.
Dr. Justus Vogel
Prof. Dr. Alexander Geissler

WPS_2023-01_Identifikation und Quantifizierung von Low Value Care

Projektbeschrieb

Digitalization in MedTech: Understanding the Impact on Total Knee Arthroplasty Max Lorenz, Patrick Reinhard, Thomas Spring  WPS_2021-02_ Digitalization in MedTech

 

Auf dieser Seite veröffentlichen wir in loser Reihenfolge Poster oder Präsentationen aus verschiedenen Forschungsprojekten am Lehrstuhl für Gesundheitsökonomie, -Politik und -Management:

Cost-utility and cost-effectiveness of Rapid Recovery after knee replacement: The payer’s perspective
Literature on rapid recovery (mobilization within 6 hours after a knee replacement) has focused on its ability to decrease the length of stay, its cost savings for hospitals and patients benefit compared with conventional care. However, no study has so far investigated the payer’s perspective regarding the cost-utility and cost-effectiveness of rapid recovery after knee replacement. With this paper, we aim to evaluate the cost-effectiveness and the cost-utility of the rapid recovery care path for knee replacement as opposed to the conventional care path.

Poster presentation at ISPOR Europe, Copenhagen, November 14th, 2023

Irene Salvi Poster  

What happens after exceeding the deductible? Demand-side financial incentives for the overuse of healthcare services
Compulsory healthcare insurance in Switzerland entails a deductible system for cost-sharing between insurer and insuree up to a chosen deductible. No study has so far tested the presence of price sensitivity for healthcare resources consumption through demand-side induced financial incentives in Switzerland. We address this research gap by focusing on the effect of exceeding the deductible on healthcare consumption. We present three contributions: first, we determine the presence of price sensitivity for healthcare consumption; second, we identify whether this leads to a change in consumption for overuse-prone service groups; third, we explore whether supply side structures influence this change in consumption.

Paper presentation at EuHEA PhD Supervisor Conference, Bologna, September 8th, 2023

Irene Salvi
Johannes Cordier
Dr. Justus Vogel
Prof. Dr. Alexander Geissler
Poster  
Mammography Screening Program "Donna" significantly reduces overall mortality of women with breast cancer
Our research aims to compare the survival rates of women whose breast cancer was diagnosed through the "donna" mammography screening program to those who did not participate in the program. We presented the poster at the Congress of the Swiss Society of Senology in Zurich on September 21st, 2023.
Marcel Blum
Jonas Subelack
Dr. David Kuklinski
Prof. Dr. Alexander Geissler
Alena Eichenberger
Rudolf Morant
Poster  

Interval Carcinomas in the mammography screening program "Donna" (St.Gallen & Graubünden): A retrospective evaluation for quality control and improvement
Our research aims to assess how effective the "donna" mammography screening program is in screen-detecting carcinomas, and thus limiting interval carcinomas. Further, we evaluated whether there is a systematic difference in survival between interval carcinomas and screen-detected carcinomas. Finally, we analyzed which factors contribute to the development of interval carcinomas. We presented the poster at the Congress of the Swiss Society of Senology in Zurich on September 21st, 2023. 

Jonas Subelack
Prof. Dr. Alexander Geissler
Marcel Blum
Rudolf Morant
Alena Eichenberger
Dr. David Kuklinski
Poster  

What matters when interpreting patient-reported outcomes? - Adjusted minimal clinically important differences for hip and knee replacement patients


Research question: What are the minimal clinically important differences between pre-and post-surgery EQ-5D-3Lindicating a successful hip or knee replacement for different subgroups of patients?
Presentation at the dggö, Hannover, March 13th, 2023

Irene Salvi, M.A., PhD Candidate

Dr. David Kuklinski

Dr. Justus Vogel

Anja Bischof, M.A., PhD Candidate

Prof. Dr. Alexander Geissler

Präsentation  
Don’t cheat on your prescription! – A retrospective study on COPD patients’ medication adherence based on Swiss sickness fund data
Research question: How high is medication adherence among COPD patients in Switzerland and what is the impact of inadequate medication adherence with respect to exacerbation likelihood?
Presentation at the dggö, Hannover, March 13th, 2023

Anja Bischof, M.A., PhD Candidate 

Johannes Cordier, M.A., PhD Candidate 

Dr. Justus Vogel

Prof. Dr. Alexander Geissler  

Präsentation  
What is the association between gender and health-related quality of life in patients who underwent total hip or knee arthroplasty?
Total hip and knee arthroplasty (THA and TKA) provide effective relief for patients with osteoarthritis to increase functionality of the joint and to reduce pain. Although both are standardized treatments, differences in the health-related quality of life (HRQoL) between gender are observable. This study investigates the association between gender and the dimensions of HRQoL pre- and post-surgery measured by the EQ-5D-5L and the WOMAC. Our results confirmed that HRQoL significantly improves after surgery for both treatments. However, the different associations of gender with the individual dimensions of the EQ-5D-5L and the WOMAC indicate that the outcomes of orthopedic treatments need to be reported and analyzed separately concerning gender. Furthermore, we illustrate how a focus on the individual dimensions of HRQoL can reveal relevant gender differences, which might be missed today when using mere index-scores.
The paper was presented as a poster presentation at the 9th Annual Meeting of the EuHEA PhD Conference in Galway on August 29, 2022. 

Prof. Dr. Alexander Geissler

Dr. David Kuklinski

Anja Bischof, M.A., PhD Candidate 

Poster  
Socio-demographic factors associated with mild, moderate, and severe dementia in the Swiss psychiatric inpatient setting
The burden of mental health in old age aging societies is becoming an increasingly critical policy issue. Dementia is a neurocognitive disorder for which age is the main risk factor, and it is currently the seventh leading cause of death globally (Livingston et al., 2020).
With this paper we aim at providing an epidemiological insight on the socio-demographic risk factors associated with mild, moderate, and severe dementia in the Swiss psychiatric hospital setting. These results contribute to filling the research gap on this disorder in its three severity forms and may contribute to informing the policy discussion in Switzerland as well as at international level. Further research would profit from the investigation of the clinical factors and cost structures of psychiatric dementia cases in Switzerland.
The paper was presented as a poster presentation followed by a panel discussion at the 5th International Psychiatry Congress on Mental Health and Recovery, Bern, June 16, 2022.

Prof. Dr. Alexander Geissler

Irene Salvi, MSc in Economic and Social Sciences

Elena Bleibtreu, MSc in Economics

Poster  
Identifying Barriers to Access to Treatment with Hydroxyurea for Patients with Sickle Cell Disease – A Qualitative Analysis of the Supply Chain in Ghana
Hydroxyurea is an approved disease modifying therapy for patients with sickle cell disease (SCD), which reduces complications associated with SCD and therefore increases quality of life while prolonging life expectancy. Access to comprehensive disease management varies greatly between high- and low-resource countries (Kato et al, 2018, p.11). This study therefore aims to examine how patients with SCD in Ghana access hydroxyurea treatment. Since a country’s supply chain management plays a crucial role in enabling access to pharmaceutical products, this paper also addresses two sub-questions:
  • What is the status-quo of the supply chain of hydroxyurea in Ghana?
  • What barriers can be identified that hinder SCD patients from accessing treatment with hydroxyurea in Ghana?

Prof. Dr. Alexander Geissler

Anja Bischof, M.A., PhD Candidate

Simone Graven (Master's Thesis)

Poster  
What makes the difference on the decision for the delivery mode?
Elective cesarean sections (CS) are primary CS, which oftentimes do not have any medical indication, but are conducted due to psychological issues or woman’s personal preferences. This is the first paper to identify the elective CS ratio in Switzerland, based on a holistic assessment. To identify influencing factors on the decision for the delivery mode, literature was consulted and applied to the Swiss context. Around 8% of all conducted CS are classified as elective. Age, insurance class, movement score, number of nurses per bed, and income per capita are significantly higher for women with elective CS. Contrastingly, a high rurality score and the number of midwives per canton are negatively associated with elective CS. Based on these findings, countermeasures may be formulated to decrease the number of elective CS, as the risk of morbidity and mortality is higher for both the woman and the neonatal.

Prof. Dr. Alexander Geissler

Anja Bischof, M.A., PhD Candidate

Poster  
Admission and discharge management and related cost differences of dementia patients in Swiss psychiatric hospitals 
Dementia is the seventh leading cause of death globally. Besides age, mental illness is known as an important risk factor of dementia and therefore respective patients are often treated in psychiatric hospitals. In order to allow for a management of the treatment pathway and to gain insights on relevant cost structures, knowledge about the care situation before and after the hospital stay is important. 
In this paper, we first provide insights on the care situation of dementia patients before and after hospitals stay. Then, we investigate if admission and discharge variables explain differences in costs. If so, they could be considered for the further development of the tariff structure and management of patient pathways. With our research, we aim to contribute to the health policy discussion on management of dementia patients and facilitate the further development of the tariff structure for this patient group. 
Paper presentation at the Patient Classification Systems International (PCSI) Conference «Casemix as a foundation for sustainable health management» in Reykjavik, Iceland, September 27-30, 2022.
Paper award: Innovation Prize

Prof. Dr. Alexander Geissler

Elena Bleibtreu, MSc in Economics

Irene Salvi, MSc in Economic and Social Sciences 

Abstract  
Identifikation des Unterstützungsbedarfs von Patienten mit COPD zur Entwicklung eines Digital Health Assistants
Ziel dieser Studie ist die Identifikation des Unterstützungsbedarfs im Alltag von COPD-Patienten. Basierend darauf soll ein «Digital Health Assistant» entwickelt werden, durch den die Patientendisziplin gesteigert, der Krankheitsverlauf verlangsamt und Krankenhauseinweisungen reduziert werden.
Die Projektmethodik nutzt eine online Patientenumfrage. Die Umfrage dient zur Identifikation des Unterstützungsbedarfs, der dann durch den Digital Health Assistant abgebildet wird.

Prof. Dr. Alexander Geissler

Dr. Justus Vogel, Wissenschaftlicher Projektleiter

Anja Bischof, M.A., Doktorandin

Poster  
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