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Biomedical subjects

F Beske

Publications and source records attributed to F Beske.

At least 19 recordsLinked to original sources
PubMed1993

Minimally invasive surgery in the Federal Republic of Germany.

In the Federal Republic of Germany 67 experts were questioned concerning the diffusion of 10 procedures in minimally invasive surgery (MIS). Most of the ten procedures have potential economic advantages and benefits for the patient. Informants state that more randomized controlled trials are needed. Extra-corporeal shock wave lithotripsy, percutaneous transluminal coronary balloon angioplasty, sclerosing of sites of upper gastrointestinal bleeding (including esophageal varices), and arthroscopic meniscectomy are well-established; laparoscopic cholecystectomy made a breakthrough in 1990. The diffusion process of the others is promising. Main obstacles to further diffusion are high investment and maintenance costs, long delivery time for special instruments, lack of systematic training in MIS, performance regulations, and conservatism. Investigations into total costs are necessary. Since the present financing of hospital services through per diem payment is detrimental to the diffusion of MIS, lump-sum payments could remove barriers to diffusion. New methods of interlinking hospital and out-patient care should be tested.

Angioplasty, Balloon, Coronary↗
PubMed1993

Health policy in a changing world.

Perhaps never has the world changed--politically, economically and socially--as much as it is at present. With this in mind, Dr Beske asks how can adequate healthcare provision be guaranteed world-wide, and how can intensive co-operation to combat the inequity of health care be achieved? It is well known that the level of health care differs greatly throughout the world, but the author draws the conclusion that 'The organization of the health service is one of the tasks of each country. But just as solidarity is demanded on a national level, international solidarity is also required'.

Global Health↗
PubMed1993

[Home care: responsibilities and importance, present situation and future prospects].

Home care enables those in need of care to be looked after in their home environment for as long as is in their interest. This is not necessarily always more economical than inpatient care. Regardless of this, it may be in the interest of those in need of care or their relatives that they be looked after in a nursing home. The need for care is defined differently in various laws. When the need for care is established, certain services including financial support are granted. Approximately 80 per cent of those in need of care are looked after at home by their relatives, often supported by neighbours and home help services. The older those in need become, the more care is necessary and therefore more are admitted into nursing homes. The future perspectives of home care are determined by four factors. (i) Demographic developments are such that there is an increase in the number of people in need of care, whereas the size of the working population is on the decrease. (ii) The changing family structure means a possible reduction in the ability and even willingness to care for those in need in the family environment. (iii) A drop in nursing staff potential. (iv) Financing nursing care so that it can support home care. All in all, the looking after of those in need of care in the future brings with it problems for society, the solutions for which have not yet been found. The socio-political and humanitarian aim of looking after those in need of care in their home environment whenever possible still remains.

Adult↗
PubMed1992

A pilot project on quality assurance in nursing care in the state of Schleswig-Holstein, Federal Republic of Germany.

As a direct result of the law passed in Germany requiring the practice of quality assurance in health care which has been in effect since 1 January 1989, the Institute for Health Systems Research in Kiel piloted a project on quality assurance in medicine in 12 hospitals in Schleswig-Holstein from September 1989 to February 1991. Two procedures for measuring the quality of nursing care were also developed in two of these hospitals. These procedures were oral care aided by nursing staff and oral care carried out by nursing staff. The pilot project was then evaluated by the Institute. An extension of the medical side of the project to cover all 80 hospitals in Schleswig-Holstein was planned to begin on 1 January 1992. As far as the nursing side is concerned, approximately 10 procedures will be developed and tested in eight hospitals.

Germany↗
PubMed1992

[Quality assurance: introduction and legal principles].

Quality assurance has been part of clinical medicine and public health for decades, but only recently have structured and well documented procedures of quality assurance been introduced. Industry has been a model. Since 1. 1. 1989 quality assurance in Germany has been a legal requirement for a wide range of health services. Structure, process and outcome as part of quality assurance is defined as well as criteria, standards and norms. The development of quality assurance in Germany is described. The importance of quality assurance for the efficacy, efficiency and the aim-orientated work of the public health services and for the medical service of the compulsory health insurance is stressed.

Delivery of Health Care↗
PubMed1991

[Quality assurance in health care. With special reference to the the pilot project quality assurance in Schleswig-Holstein hospitals].

Quality assurance is growing in significance in health care world wide. The European Office of the World Health Organization has included quality assurance in its 38 health-policy targets for health care. Most experience in this field has hitherto been gained in the USA and in the Netherlands. In West Germany, the most extensive step which has been taken to provide quality assurance has been the perinatal study which is a record of approximately 80 per cent of births. Apart from this, there are pilot studies in existence in particular in the areas of surgery, of operative gynecology and of paediatry. Quality assurance in in-patient and out-patient care has been laid down by law in West Germany since 1st January 1989. Using this as a basis, the Institute for Health-Systems Research is acting as advisor for a pilot study ("Pilot Study for Quality Assurance in Hospitals of Schleswig-Holstein") which is at present being carried out in Schleswig-Holstein and in which 12 hospitals are participating. The pilot study is so structured that it has developed methods for measuring quality assurance in the fields of surgery, internal medicine, gynecology and obstetrics, nosocomial infections, haemotherapy and nursing. Quality assurance is a sensitive area. Indications will be given to what should be heeded when introducing measures for quality assurance in hospitals. Institutes with clearly defined functions are required in order to carry out quality assurance.

Germany↗
PubMed1986

[Status of self medication in West Germany].

The position of self-medication in the health care system of the Federal Republic of Germany has become more important during the last years. The possibility of self-treatment of minor illnesses is accepted by the majority of the consumers. Associations concerned and the legislature are in favour of self-medication particularly in view of political principles and health economical reasons within a limit which does not endanger the security of medication. At present self-medication medicines amount to 18 per cent of the sale of medicines in pharmacies. There has been a lot of discussion lately on the distinction between prescribed and non-prescribed medicines as well as on the risks of pharmaceuticals available for self-service. But the principle of self-medication itself is not in doubt.

Drug Prescriptions↗