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  1. Book ; Online: Einführung von medizintechnischen Innovationen im Krankenhaus

    Panteli, Dimitra / Henschke, Cornelia / Eckhardt, Helene / Busse, Reinhard

    Eine systematische Analyse von 27 neuen Untersuchungs- und Behandlungsmethoden zwischen 2005 und 2017: Diffusion, Evidenz und Forschungsaktivitäten

    (Working papers in health services research)

    2023  

    Series title Working papers in health services research
    Keywords Public health & preventive medicine ; health technologies ; benefit assessment ; evidenced based medicine ; inpatient care ; regulation
    Language German
    Size 1 electronic resource (306 pages)
    Publisher Universitätsverlag der Technischen Universität Berlin
    Publishing place Berlin
    Document type Book ; Online
    Note German
    HBZ-ID HT030374979
    ISBN 9783798332614 ; 3798332614
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article: Medical Devices: Incentives and Impact of Regulatory Instruments. Medizinprodukte: Anreize und Auswirkungen von Regulierungsinstrumenten

    Henschke, Cornelia

    Public Health Forum

    2022  Volume 30, Issue 3, Page(s) 161

    Language German
    Document type Article
    ZDB-ID 1171359-8
    ISSN 0944-5587
    Database Current Contents Medicine

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3940: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Patients' preferences in dental care: A discrete-choice experiment and an analysis of willingness-to-pay.

    Felgner, Susanne / Henschke, Cornelia

    PloS one

    2023  Volume 18, Issue 2, Page(s) e0280441

    Abstract: Introduction: Dental diseases are a major problem worldwide. Costs are a burden on healthcare systems and patients. Missed treatments can have health and financial consequences. Compared to other health services, dental treatments are only covered in ... ...

    Abstract Introduction: Dental diseases are a major problem worldwide. Costs are a burden on healthcare systems and patients. Missed treatments can have health and financial consequences. Compared to other health services, dental treatments are only covered in parts by statutory health insurance (SHI). Using the example of dental crowns for a cost-intensive treatment, our study aims to investigate whether (1) certain treatment attributes determine patients' treatment choice, and (2) out-of-pocket payments represent a barrier to access dental care.
    Methods: We conducted a discrete-choice-experiment by mailing questionnaires to 10,752 people in Germany. In presented scenarios the participants could choose between treatment options (A, B, or none) composed of treatment attribute levels (e.g., color of teeth) for posterior (PT) and anterior teeth (AT). Considering interaction effects, we used a D-efficient fractional factorial design. Choice analysis was performed using different models. Furthermore, we analyzed willingness-to-pay (WTP), preference of choosing no and SHI standard care treatment, and influence of socioeconomic characteristics on individual WTP.
    Results: Out of n = 762 returned questionnaires (response rate of r = 7.1), n = 380 were included in the analysis. Most of the participants are in age group "50 to 59 years" (n = 103, 27.1%) and female (n = 249, 65.5%). The participants' benefit allocations varied across treatment attributes. Aesthetics and durability of dental crowns play most important roles in decision-making. WTP regarding natural color teeth is higher than standard SHI out-of-pocket payment. Estimations for AT dominate. For both tooth areas, "no treatment" was a frequent choice (PT: 25.7%, AT: 37.2%). Especially for AT, treatment beyond SHI standard care was often chosen (49.8%, PT: 31.3%). Age, gender, and incentive measures (bonus booklet) influenced WTP per participant.
    Conclusion: This study provides important insights into patient preferences for dental crown treatment in Germany. For our participants, aesthetic for AT and PT as well as out-of-pocket payments for PT play an important role in decision-making. Overall, they are willing to pay more than the current out-of-pockt payments for what they consider to be better crown treatments. Findings may be valuable for policy makers in developing measures that better match patient preferences.
    MeSH term(s) Female ; Humans ; Middle Aged ; Administrative Personnel ; Dental Care ; Esthetics ; Health Care Costs ; Mouth, Edentulous ; Patient Preference
    Language English
    Publishing date 2023-02-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0280441
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Thesis: Langzeitkultur von humanen Langerhanszellen

    Henschke, Cornelia

    phänotypische Eigenschaften und Apoptose

    2001  

    Author's details von Cornelia Henschke
    Language German
    Size 86 Bl., Ill., graph. Darst.
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Berlin, Humboldt-Univ., Diss., 2001
    HBZ-ID HT013223187
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    2001 E 3904 order for loan Magazin

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  5. Article ; Online: Changing roles of health insurers in France, Germany, and the Netherlands: any lessons to learn from Bismarckian systems?

    Schut, Frederik T / Henschke, Cornelia / Or, Zeynep

    Health economics, policy, and law

    2023  Volume 18, Issue 4, Page(s) 362–376

    Abstract: Bismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health ... ...

    Abstract Bismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for efficiency. Both Germany and the Netherlands have introduced competition among insurers to foster efficiency. However, the rationale of insurer competition in Germany is unclear because contracts are mostly concluded at a collective level and individual insurers have little power to influence health system efficiency. In the Netherlands, insurer competition is substantially more effective, but primarily focused on price and cost containment. In all three countries, the role of insurers has been transforming slowly to respond to common challenges of assuring care quality and continuity for an ageing population. To assure sustainability, they need to ensure that care providers cooperate with the same quality and efficiency objectives, but their capacity to do so has been limited by insufficient support to enforce public information on provider quality.
    Language English
    Publishing date 2023-09-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2214936-3
    ISSN 1744-134X ; 1744-1331
    ISSN (online) 1744-134X
    ISSN 1744-1331
    DOI 10.1017/S1744133123000191
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Medizintechnische Großgeräte – Eine Analyse der Versorgungsstrukturen 20 Jahre nach Aufhebung der Standortplanung.

    Dreger, Marie / Henschke, Cornelia

    Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))

    2021  Volume 84, Issue 7, Page(s) 603–610

    Abstract: Aim: The aim of this study was to examine the supply structures of computer tomographs (CT) and positron emission tomographs (PET) 20 years after abolishing site planning of large-scale medical equipment in the German inpatient sector.: Methodology: ... ...

    Title translation Large-Scale Medical Equipment - An Analysis of Supply Structures 20 Years after the Abolition of Site Planning.
    Abstract Aim: The aim of this study was to examine the supply structures of computer tomographs (CT) and positron emission tomographs (PET) 20 years after abolishing site planning of large-scale medical equipment in the German inpatient sector.
    Methodology: Cartographic analyses were used to visualize the inpatient supply with CT and PET between 2010 and 2017. Regional differences were investigated in relation to population and disease burden to identify potentially over- and under-served areas.
    Results: Almost German-wide coverage was observed for CT. Only 0.3 percent of the population did not have access to a device within 30 minutes of driving distance. In contrast, larger segments of the population in extensive regions did not have timely access to PET. In addition, there was a high degree of regional variation in supply, which could not be explained either by population density or the disease burden of the region.
    Conclusion: The supply structures of large-scale medical equipment over decades without concrete regulatory interventions reveal regional variation. This is to be viewed critically from both an economic and a medical perspective. The extent to which strengthening competitive elements or cross-sectoral site planning can lead to a demand-oriented and efficient supply of large-scale medical equipment still needs to be investigated in more detail.
    MeSH term(s) Germany ; Positron-Emission Tomography ; Tomography, X-Ray Computed
    Language German
    Publishing date 2021-12-10
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1101426-x
    ISSN 1439-4421 ; 0941-3790 ; 0949-7013
    ISSN (online) 1439-4421
    ISSN 0941-3790 ; 0949-7013
    DOI 10.1055/a-1676-3792
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Un I Zs.402: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Correction: Digital health applications and the fast-track pathway to public health coverage in Germany: challenges and opportunities based on first results.

    Lantzsch, Hendrikje / Eckhardt, Helene / Campione, Alessandro / Busse, Reinhard / Henschke, Cornelia

    BMC health services research

    2023  Volume 23, Issue 1, Page(s) 637

    Language English
    Publishing date 2023-06-14
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-023-09679-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Robotic-assisted surgery for prostatectomy - does the diffusion of robotic systems contribute to treatment centralization and influence patients' hospital choice?

    Kuklinski, David / Vogel, Justus / Henschke, Cornelia / Pross, Christoph / Geissler, Alexander

    Health economics review

    2023  Volume 13, Issue 1, Page(s) 29

    Abstract: Background: Between 2008 and 2018, the share of robotic-assisted surgeries (RAS) for radical prostatectomies (RPEs) has increased from 3 to 46% in Germany. Firstly, we investigate if this diffusion of RAS has contributed to RPE treatment centralization. ...

    Abstract Background: Between 2008 and 2018, the share of robotic-assisted surgeries (RAS) for radical prostatectomies (RPEs) has increased from 3 to 46% in Germany. Firstly, we investigate if this diffusion of RAS has contributed to RPE treatment centralization. Secondly, we analyze if a hospital's use of an RAS system influenced patients' hospital choice.
    Methods: To analyze RPE treatment centralization, we use (bi-) annual hospital data from 2006 to 2018 for all German hospitals in a panel-data fixed effect model. For investigating RAS systems' influence on patients' hospital choice, we use patient level data of 4614 RPE patients treated in 2015. Employing a random utility choice model, we estimate the influence of RAS as well as specialization and quality on patients' marginal utilities and their according willingness to travel.
    Results: Despite a slight decrease in RPEs between 2006 and 2018, hospitals that invested in an RAS system could increase their case volumes significantly (+ 82% compared to hospitals that did not invest) contributing to treatment centralization. Moreover, patients are willing to travel longer for hospitals offering RAS (+ 22% than average travel time) and for specialization (+ 13% for certified prostate cancer treatment centers, + 9% for higher procedure volume). The influence of outcome quality and service quality on patients' hospital choice is insignificant or negligible.
    Conclusions: In conclusion, centralization is partly driven by (very) high-volume hospitals' investment in RAS systems and patient preferences. While outcome quality might improve due to centralization and according specialization, evidence for a direct positive influence of RAS on RPE outcomes still is ambiguous. Patients have been voting with their feet, but research yet has to catch up.
    Language English
    Publishing date 2023-05-10
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2634483-X
    ISSN 2191-1991
    ISSN 2191-1991
    DOI 10.1186/s13561-023-00444-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Applying a data-driven population segmentation approach in German claims data.

    Pioch, Carolina / Henschke, Cornelia / Lantzsch, Hendrikje / Busse, Reinhard / Vogt, Verena

    BMC health services research

    2023  Volume 23, Issue 1, Page(s) 591

    Abstract: Background: Segmenting the population into homogenous groups according to their healthcare needs may help to understand the population's demand for healthcare services and thus support health systems to properly allocate healthcare resources and plan ... ...

    Abstract Background: Segmenting the population into homogenous groups according to their healthcare needs may help to understand the population's demand for healthcare services and thus support health systems to properly allocate healthcare resources and plan interventions. It may also help to reduce the fragmented provision of healthcare services. The aim of this study was to apply a data-driven utilisation-based cluster analysis to segment a defined population in the south of Germany.
    Methods: Based on claims data of one big German health insurance a two-stage clustering approach was applied to group the population into segments. A hierarchical method (Ward's linkage) was performed to determine the optimal number of clusters, followed by a k-means cluster analysis using age and healthcare utilisation data in 2019. The resulting segments were described in terms of their morbidity, costs and demographic characteristics.
    Results: The 126,046 patients were divided into six distinct population segments. Healthcare utilisation, morbidity and demographic characteristics differed significantly across the segments. The segment "High overall care use" comprised the smallest share of patients (2.03%) but accounted for 24.04% of total cost. The overall utilisation of services was higher than the population average. In contrast, the segment "Low overall care use" included 42.89% of the study population, accounting for 9.94% of total cost. Utilisation of services by patients in this segment was lower than population average.
    Conclusion: Population segmentation offers the opportunity to identify patient groups with similar healthcare utilisation patterns, patient demographics and morbidity. Thereby, healthcare services could be tailored for groups of patients with similar healthcare needs.
    MeSH term(s) Humans ; Delivery of Health Care ; Patient Acceptance of Health Care ; Health Services ; Insurance, Health ; Patients
    Language English
    Publishing date 2023-06-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-023-09620-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Reasons for (not) choosing dental treatments-A qualitative study based on patients' perspective.

    Felgner, Susanne / Dreger, Marie / Henschke, Cornelia

    PloS one

    2022  Volume 17, Issue 5, Page(s) e0267656

    Abstract: Oral health is increasingly seen as a public health challenge due to the remarkable prevalence of oral diseases worldwide, the impact on general health, and health consequences that can arise for individuals. Compared to other health services, oral ... ...

    Abstract Oral health is increasingly seen as a public health challenge due to the remarkable prevalence of oral diseases worldwide, the impact on general health, and health consequences that can arise for individuals. Compared to other health services, oral health services are usually not fully covered by statutory health insurance, which is seen as one reason in decision-making on dental treatments. Nevertheless, patients' reasons for treatment decisions are not well understood although they can provide valuable insights. The objective of this study was to identify reasons of choice for dental treatments and to explore patients' view on cost coverage in Germany. We conducted four focus group interviews with a total of 27 participants. The interviews were audiotaped and transcribed verbatim. Data was analyzed performing conventional content analysis. As part of a qualitative analysis, subcategories and categories were formed from identified reasons using an inductive approach. Our study supports and expands research in exploring patients' decision-making on dental treatments. It highlights a variety of 53 reasons of choice for dental treatments from patients' perspective, split in two categories "health care service", and "dentist & dental office". First category includes reasons regarding dental care performance (subcategories: "preconditions", "treatment", "costs", and "outcomes"). Second category demonstrates reasons regarding dentists, office structures and processes (subcategories: "professional skills", "social skills", "office staff & equipment", and "office processes"). Reasons named "most important" by the participants are out-of-pocket payments, dentists' training, and a relationship of trust between patient and dentist. Although the participants use incentive measures to lower financial burden, several perceived challenges exist. Identified reasons for choosing dental treatments provide a basis for further studies to quantify the relevance of these reasons from patients' perspective. Based on this, the various reasons identified can be considered in future policies to improve patients' utilization behavior, which can range from improved information sources to increased incentive measures.
    MeSH term(s) Contracts ; Dental Care ; Dentists ; Focus Groups ; Humans ; Oral Health ; Qualitative Research
    Language English
    Publishing date 2022-05-25
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0267656
    Database MEDical Literature Analysis and Retrieval System OnLINE

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