Poster Chair of Health Care Management On this page we publish working posters from different research projects at the Chair of Health Care Management. Content Autors Download 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. from University of St.Gallen: 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? from University of St.Gallen: 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 More posters can be found on the German language site.