@article{SainiGarciaArmestoKlempereretal., author = {Saini, Vikas and Garcia-Armesto, Sandra and Klemperer, David and Paris, Valerie and Elshaug, Adam G. and Brownlee, Shannon and Ioannidis, John P. A. and Fisher, Elliott S.}, title = {Drivers of poor medical care}, series = {The Lancet}, volume = {390}, journal = {The Lancet}, number = {10090}, publisher = {Elsevier}, doi = {10.1016/S0140-6736(16)30947-3}, pages = {178 -- 190}, abstract = {The global ubiquity of overuse and underuse of health-care resources and the gravity of resulting harms necessitate an investigation of drivers to inform potential solutions. We describe the network of influences that contribute to poor care and suggest that it is driven by factors that fall into three domains: money and finance; knowledge, bias, and uncertainty; and power and human relationships. In each domain the drivers operate at the global, national, regional, and individual level, and are modulated by the specific contexts within which they act. We discuss in detail drivers of poor care in each domain.}, language = {en} } @article{KochStollKlempereretal., author = {Koch, Cora and Stoll, Marlene and Klemperer, David and Lieb, Klaus}, title = {Transparency of Conflicts of Interest: A Mixed Blessing? The Patients' Perspective}, series = {American Journal of Bioethics}, volume = {17}, journal = {American Journal of Bioethics}, number = {6}, publisher = {ROUTLEDGETAYLOR \& FRANCIS}, doi = {10.1080/15265161.2017.1313338}, pages = {27 -- 29}, language = {en} } @article{Klemperer, author = {Klemperer, David}, title = {{\"U}berversorgung und Unterversorgung}, series = {G \& S : Gesundheits- und Sozialpolitik}, volume = {71}, journal = {G \& S : Gesundheits- und Sozialpolitik}, number = {3-4}, publisher = {Nomos}, doi = {10.5771/1611-5821-2017-3-4-63}, pages = {63 -- 67}, abstract = {{\"U}berversorgung und Unterversorgung f{\"u}gen Patienten betr{\"a}chtliche Sch{\"a}den zu und bedeuten eine Verschleuderung von Ressourcen. Als Problem werden sie zunehmend anerkannt und nicht mehr ignoriert oder geleugnet. Die Entwicklung einer Strategie zur Minderung von {\"U}berversorgung und Unterversorgung und einer Gesundheitsversorgung, in der die Patienten darauf vertrauen k{\"o}nnen, Leistungen zu erhalten, die ihrem objektiven und subjektiven Bedarf entsprechen, steht aus und ist ein ethischer und politischer Imperativ. Dieser Beitrag fokussiert auf {\"U}berversorgung und Unterversorgung infolge unzureichende Ber{\"u}cksichtigung der Patientenpr{\"a}ferenz sowie auf Maßnahmen und Strategien, die Patientenorientierung in der Versorgung zu st{\"a}rken.}, language = {de} } @misc{NothackerSchaeferGogoletal., author = {Nothacker, Monika and Schaefer, Corinna and Gogol, Manfred and Klemperer, David and Lynen-Jansen, Petra and Kopp, Ina}, title = {Gemeinsam Klug Entscheiden - Initiative der AWMF und ihrer Fachgesellschaften - ein Werkstattberich}, series = {Zeitschrift f{\"u}r Gerontologie und Geriatrie}, volume = {50}, journal = {Zeitschrift f{\"u}r Gerontologie und Geriatrie}, number = {Suppl 1}, publisher = {Springer Nature}, pages = {S9}, abstract = {Gemeinsam Klug Entscheiden ist eine Initiative der AWMF und ihrer Fachgesellschaften, mit dem Ziel, Empfehlungen zu Versorgungsaspek- ten in die Versorgung zu bringen, f{\"u}r die ein großes Verbesserungspoten- tial besteht. Der Impuls daf{\"u}r wurde durch die TOP-5-Listen der Choosing Wisely Kampagne gegeben. Ziel des Posters ist es das Vorgehen und die Methodik f{\"u}r eine evidenzbasierte Entwicklung bekannt zu machen und zu diskutieren im Hinblick auf Machbarkeit und Verbesserungspotential.}, language = {en} } @article{HaerterDirmaierScholletal., author = {Haerter, Martin and Dirmaier, J{\"o}rg and Scholl, Isabelle and Donner-Banzhoff, Norbert and Dierks, Marie-Luise and Eich, Wolfgang and M{\"u}ller, Hardy and Klemperer, David and Koch, Klaus and Bieber, Christiane}, title = {The long way of implementing patient-centered care and shared decision making in Germany}, series = {Zeitschrift f{\"u}r Evidenz, Fortbildung und Qualit{\"a}t im Gesundheitswesen}, volume = {123}, journal = {Zeitschrift f{\"u}r Evidenz, Fortbildung und Qualit{\"a}t im Gesundheitswesen}, publisher = {Elsevier}, doi = {10.1016/j.zefq.2017.05.006}, pages = {46 -- 51}, abstract = {The main focus of the paper is on the description of the development and current state of research and implementation of patient-centered care (PCC) and shared decision making (SDM) after fifteen years of substantial advances in health policy and health services research. What is the current state of SDM in health policy? The "Patients' Rights Act" from 2013 standardizes all rights and responsibilities within the framework of medical treatment for German citizens and legal residents. This comprises the right to informed decisions, comprehensive and comprehensible information for patients, and decisions based on a clinician-patient-partnership. What is the current state of SDM interventions and patient decision support tools? SDM training programs for healthcare professionals have been developed. Their implementation in medical schools has been successful. Several decision support tools - primarily with support from health insurance funds and other public agencies - are to be implemented in routine care, specifically for national cancer screening programs. What is the current state of research and routine implementation? The German government and other public institutions are constantly funding research programs in which patient-centered care and shared decision-making are important topics. The development and implementation of decision tools for patients and professionals as well as the implementation of CME trainings for healthcare professionals require future efforts. What does the future look like? With the support of health policy and scientific evidence, transfer of PCC and SDM to practice is regarded as meaningful. Research can help to assess barriers, facilitators, and needs, and subsequently to develop and evaluate corresponding strategies to successfully implement PCC and SDM in routine care, which remains challenging.}, language = {en} }