Extract of publications Prof. Dr. Alexander Geissler & Team, Chair of Health Care Management
| Scientific articles | |
| 2023 | Kuklinski, David; Vogel, Justus; Henschke, Cornelia; Pross Christoph & Geissler, Alexander (2023) Robotic-assisted surgery for prostatectomy - does the diffusion of robotic systems contricute 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 | 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. |
| 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. |
On this page we publish working papers from different research projects at the Chair of Health Care Management.
| Titel | Autoren | Download |
| Instrument zur Evaluierung des Reifegrades der Krankenhäuser hinsichtlich der Digitalisierung | DigitalRadar Krankenhaus Konsortium | |
| 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 |
| Digitalization in MedTech: Understanding the Impact on Total Knee Arthroplasty | Max Lorenz, Patrick Reinhard, Thomas Spring | WPS_2021-02_ Digitalization in MedTech |
On this page we publish working posters and presentations from different research projects at the Chair of Health Care Management..
| Titel / Inhalt | Autoren | Download |
| 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:
| 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 |