TY - CHAP A1 - Schildmann, Jan A1 - Böttcher, Miriam A1 - Gabriel, Maria A1 - Ganser, Arnold A1 - Hessel, Franz A1 - Gottwald, Sina T1 - "Personalised medicine": Multidisciplinary perspectives and interdisciplinary recommendations on a framework for future research and practice BT - critical perspectives T2 - The Ethics of Personalised Medicine N2 - ‘Personalised medicine’ (PM) has raised great hopes and expectations among researchers, patients, health-care providers and politicians in past years. Although the term ‘person’ in PM suggests an approach of medicine which takes into account psychosocial and value aspects of the patient as human being, most articles refer to PM as strategies limited to biological features of individuals which are used to stratify patient groups for the purposes of prevention, diagnosis and treatment of disease. KW - Medicine Y1 - 2015 N1 - Volltext aus urheberrechtlichen Gründen nicht verfügbar. Fulltext due to copyright no available. SP - keine Angabe EP - keine Angabe PB - Ashgate CY - Farnham ER - TY - CHAP A1 - Hessel, Franz T1 - HTA in Personalized Medicine Technologies BT - Technological, Clinical and Commercial Aspects T2 - Biomarker Validation N2 - Beyond the proof of efficacy and safety for approval purposes health technology assessment (HTA) is a more comprehensive evaluation of all relevant short- and long-term consequences of the application of a specific medical technology. HTA is performed for the purpose of reimbursement decision making. It covers clinical, societal, economic, ethical and legal aspects based on the available scientific evidence. Although there are some special issues to be considered all principles of HTA are equally valid for the evaluation of biomarker tests and personalized medicine technologies. All requirements of evidence-based medicine remain and causality should and could only be demonstrated with high-quality controlled studies, preferably with randomized design. The multimodality of the intervention and by tendency smaller sample sizes lead to an increased amount of uncertainty. Besides the test strategy, itself also questions of test or sample quality, laboratory size, or the platform used, and the specific technology must be taken into consideration. Economic evaluations should also include these aspects. In summary the fundamental principles of HTA and health economic evaluation are also valid and feasible for the evaluation of personalized medicine and genetic biomarker tests, but careful adaptations of the existing HTA and health economic guidelines are required. KW - Medicine KW - Technology Y1 - 2015 N1 - Online: https://www.researchgate.net/publication/300912255_HTA_in_Personalized_Medicine_Technologies SP - 95 EP - 106 PB - Wiley-VCH CY - Weinheim ER - TY - JOUR A1 - Schermuly, Carsten C. A1 - Meyer, Bertolt T1 - Good relationships at work: The effects of Leader–Member Exchange and Team–Member Exchange on psychological empowerment, emotional exhaustion, and depression JF - Journal of Organizational Behavior N2 - Emotional exhaustion and depression pose a threat to employees' psychological health. Social relationships at work are important potential buffers against these threats, but the corresponding psychological processes are still unclear. We propose that the subjective experience of high-quality relationships with supervisors (i.e., Leader–Member Exchange [LMX]) is one of the protective factors against psychological health issues at work and that this effect is mediated by psychological empowerment. We tested these assumptions with two studies (one cross-sectional and one time lagged) on diverse samples of employees from different organizations. The first study employed emotional exhaustion as the outcome measure; the second used depression. Results from both studies support the proposed process by showing that LMX positively affects empowerment, which negatively affects emotional exhaustion (Study 1) and depression (Study 2). Additionally, Study 2 also showed that Team–Member Exchange is as important as LMX for preventing psychological health issues among employees. KW - Depression KW - Mental Health Y1 - 2015 N1 - Online: https://www.researchgate.net/publication/283507876_Good_relationships_at_work_The_effects_of_Leader-Member_Exchange_and_Team-Member_Exchange_on_psychological_empowerment_emotional_exhaustion_and_depression VL - 37 IS - 5 SP - 673 EP - 691 PB - Wiley CY - Hoboken, NJ ER -