Support

Lorem ipsum dolor sit amet:

24h / 365days

We offer support for our customers

Mon - Fri 8:00am - 5:00pm (GMT +1)

Get in touch

Cybersteel Inc.
376-293 City Road, Suite 600
San Francisco, CA 94102

Have any questions?
+44 1234 567 890

Drop us a line
info@yourdomain.com

About us

Lorem ipsum dolor sit amet, consectetuer adipiscing elit.

Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Donec quam felis, ultricies nec.

Risks and side effects of increased minimum quantity levels decided by Federal Committee of Physicians and Health Insurances

Surgical care in Brandenburg at risk?

Thyroid surgery at ukrb (Photo: MHB/ukrb, by Andreas Kunow)

Rüdersdorf, 8 September 2023

A student team at the Brandenburg Medical School Theodor Fontane (MHB) headed by Prof. Dawid Pieper has published a policy brief on risks and side effects on surgical care as a result of the increased minimum quantities for surgical interventions decided by the Federal Committee of Physicians and Health Insurances. The paper includes suggestions how to deal with these higher minimum levels.

Prof. Dawid Pieper, professor of health services and systems research at the MHB Center for Health Services Research, is in charge of the study. He quotes examples from other countries, like Switzerland, with a stronger impact of political activities on the care system: “Minimum quantities of pancreas or esophagus operations, for example, apply nationwide, but do not take considerable regional differences into account. The Brandenburg government, and its Ministry of Social Affairs, Health, Integration and Consumer Protection in particular, should specify for each hospital the category of surgeries to be performed in future, in consultation with the affected individuals in the respective hospitals.”      

A balanced regional distribution and regional networks, so the student team, may help to prevent a situation where most Brandenburg hospitals would narrowly miss the threshold for pancreas surgery. An active influence of the Brandenburg government in the matter might benefit all parties involved, says Prof. Pieper: “Patients would profit from acceptable travel distances and sufficiently available expertise at the hospital; prospective surgeons would find advanced training in Brandenburg more attractive; and politicians can make active contributions to the provision of health care.”   

In the current debate on the planned hospital reform and minimum quantities, much is said about expected improvements in surgery outcomes on the one hand, and longer trips to the hospital on the other. According to the recently completed study, the expectation among patient representatives, physicians and nursing staff involved in Brandenburg’s care system is that the minimum quantity requirement will have lots of further implications across the region, such as a decline in diagnostic quality and the treatment of complications, and aggravations for medical specialist training.    

For more detailed information on the policy brief and the study see here.


Background
:
The so called minimum quantities for operations of esophagus have been raised from 10 to 26 surgeries per year (starting 2023), and of pancreas from 10 to 20 (starting 2025); one result is the risk that only a very small number of hospitals for surgical treatment will remain in the sparsely populated state of Brandenburg. Nationwide statutory minimum quantities aim to concentrate complex interventions in specialized centers in order to guarantee a minimum quality standard. Pursuant to these regulations (§ 136b SGB V), hospitals are required to submit annual forecasts that they will reach the minimum number of surgeries in the following year and thus be entitled to perform surgery and claim remuneration.

Founded in 2019, the Center for Health Services Research is one of three science centers at the MHB. It fulfils scientific, educational and organizational assignments in the field of patient-oriented and population-related outcomes research, partly in collaboration with MHB hospitals and further cooperating clinics and partner institutions.

Media contact:
Prof. Dr. Dawid Pieper
Professor of Health Services and Health Systems Research
Brandenburg Medical School Theodor Fontane
Director (Brandenburg Center for Health Services Research and Institute of Health Services and Health Systems Research)
E-Mail: dawid.pieper@mhb-fontane.de
Phone: 033638 83992

Dr. Eric Alexander Hoffmann
Head of Communications, University Spokesperson
Brandenburg Medical School Theodor Fontane
E-Mail: presse@mhb-fontane.de
Phone: 03391 39-14160

Go back

© 2024 MEDIZINISCHE HOCHSCHULE BRANDENBURG Theodor Fontane
Settings saved
Privacy Settings

In order to be able to offer you a personalized and optimized user experience, we use optional, statistical cookies and localStorage entries for technical functions.

We use localStorage entries for technical functions that are necessary for a smooth and effective use of our website.

Our optional statistical cookies are used to collect information about the use of our website. These cookies help us understand how you, for example, access our website, how long you stay, and which pages you visit.

user_privacy_settings

Domain name: mhb-fontane.de
Expiration: 30 days
Storage location: Localstorage
Description: Stores the privacy level settings from the cookie consent tool "Privacy Manager".

user_privacy_settings_expires

Domain name: mhb-fontane.de
Expiration: 30 days
Storage location: Localstorage
Description: Stores the storage duration of the privacy level settings from the cookie consent tool "Privacy Manager".

ce_popup_isClosed

Domain name: mhb-fontane.de
Expiration: 30 days
Storage location: Localstorage
Description: Stores that the popup (content element - popup) has been closed by user click.

onepage_animate

Domain name: mhb-fontane.de
Expiration: 30 days
Storage location: Localstorage
Description: Stores that the scroll script for the onepage navigation has been initiated.

onepage_position

Domain name: mhb-fontane.de
Expiration: 30 days
Storage location: Localstorage
Description: Stores the offset position for the onepage navigation.

onepage_active

Domain name: mhb-fontane.de
Expiration: 30 days
Storage location: Localstorage
Description: Stores that the current page is an "Onepage" page.

view_isGrid

Domain name: mhb-fontane.de
Expiration: 30 days
Storage location: Localstorage
Description: Stores the current view mode of a grid layout on the website.

portfolio_MODULE_ID

Domain Name: mhb-fontane.de
Expiration: 30 days
Storage Location: Localstorage
Description: Stores the selected filter of the portfolio filter.

Eclipse.outdated-browser: "confirmed"

Domain Name: mhb-fontane.de
Expiration: 30 days
Storage Location: Localstorage
Description: Stores the state of the "Outdated Browser" notice bar.

PHPSESSID

Domain Name: mhb-fontane.de
Expiration: Session
Storage Location: Cookie (required)
Description: The "PHPSESSID" cookie is used by PHP applications to maintain the session state of a user across multiple page requests. It contains a unique identifier for the current session and allows the website to store information such as login status, settings, and other session data.

csrf_https-contao_csrf_token

Domain Name: mhb-fontane.de
Expiration: Session
Storage Location: Cookie (required)
Description: The "csrf_https-contao_csrf_token" cookie is used by the Contao web application to prevent cross-site request forgery attacks. It contains a randomly generated token used in form submissions to ensure that the request comes from the correct user and not from a malicious source.

_ga_L1WJ29L4GT

Domain Name: .mhb-fontane.de
Expiration: 400 days
Storage Location: Cookie (Statistics)
Description: This cookie is used by Google Analytics to distinguish users. It contains a randomly generated unique identifier.

_ga

Domain Name: .mhb-fontane.de
Expiration: 400 days
Storage Location: Cookie (Statistics)
Description: This cookie is used by Google Analytics to distinguish users. It contains a randomly generated unique identifier. It is typically used for analyzing website visits and can capture information such as the number of visits, duration of the visit, and pages visited.

_gid

Domain name: .mhb-fontane.de
Expiration: 24 hours
Location: Cookie (Statistics)
Description: This cookie is used by Google Analytics to distinguish users. It contains a randomly generated unique identifier. It is used for analyzing website visits, similar to the "_ga" cookie, but it has a shorter expiration time.

NAP

Domain name: .bing.com
Expiration: Session
Location: Cookie (Statistics)
Description: This cookie contains information about the user's activities and settings on the Bing website.

WLS

Domain name: .bing.com
Expiration: Session
Location: Cookie (Statistics)
Description: This cookie stores certain information about the user's settings on the Bing website.

_EDGE_S

Domain name: .bing.com
Expiration: Session
Location: Cookie (Statistics)
Description: This cookie contains a unique session ID and additional information for tracking the user session on the Bing website.

OIDI

Domain name: .bing.com
Expiration: 35 days
Location: Cookie (Statistics)
Description: This cookie is used to store user identification information on the Bing website.

_clck

Domain name: .bing.com
Expiration: 8 months
Location: Cookie (Statistics)
Description: This cookie stores a unique identifier for the user and is used for tracking and analyzing user activities on the Bing website.

OID

Here is the translation of the text values in the code:

Domain name: .bing.com
Expiration: 35 days
Location: Cookie (Statistics)
Description: This cookie contains user identification information and is used for various purposes on the Bing website.

SRCHHPGUSR

Domain Name: .bing.com
Expiration: 11 months
Location: Cookie (Statistics)
Description: This cookie stores information about user settings and preferences on the Bing homepage.

ABDEF

Domain Name: .bing.com
Expiration: 9 months
Location: Cookie (Statistics)
Description: This cookie contains information about A/B tests and experiments that the user has participated in on Bing search.

BCP

Domain Name: .bing.com
Expiration: 8 months
Location: Cookie (Statistics)
Description: This cookie stores information about the user's display settings on the Bing website.

BFB

Domain Name: .bing.com
Expiration: 9 months
Location: Cookie (Statistics)
Description: This cookie contains information about user activities and settings on the Bing website.

BFBUSR

Domain Name: .bing.com
Expiration: 9 months
Location: Cookie (Statistics)
Description: This cookie contains information about user activities and settings on the Bing website.

SRCHD

Domain Name: .bing.com
Expiration: 9 months
Location: Cookie (Statistics)
Description: This cookie stores information about user settings and preferences on the Bing website.

_SS

Here is the translation of the text values into English: ```plaintext

Domain Name: .bing.com
Expiration: Session
Location: Cookie (Statistics)
Description: This cookie contains a unique session ID and is used for tracking and analyzing user activities on the Bing website.

SRCHUID

Domain Name: .bing.com
Expiration: 9 months
Location: Cookie (Statistics)
Description: This cookie contains a unique user ID and is used for tracking and analyzing user activities on the Bing website.

dsc

Domain Name: .bing.com
Expiration: Session
Location: Cookie (Statistics)
Description: This cookie stores information about the user's activities and settings on the Bing website.

_HPVN

Domain Name: .bing.com
Expiration: 9 months
Location: Cookie (Statistics)
Description: This cookie stores various information about the user's status and is used for tracking and analyzing user activities on the Bing website.

SRCHUSR

Domain Name: .bing.com
Expiration: 11 months
Location: Cookie (Statistics)
Description: This cookie stores information about the user's status and is used for tracking and analyzing user activities on the Bing website.

_UR

Domain Name: .bing.com
Expiration: 9 months
Location: Cookie (Statistics)
Description: This cookie contains various information about the user's status and is used for tracking and analyzing user activities on the Bing website.

ipv6

Domain Name: .bing.com
Expiration: 2024-05-26T13:33:37.738Z
Location: Cookie (Statistics)
Description: This cookie stores information about the user's IP version and is used for tracking and analyzing user activities on the Bing website.

MUID

Domain name: .bing.com
Expiration: 400 days
Location: Cookie (Statistics)
Description: This cookie contains a unique user ID and is used for tracking and analyzing user activities on the Bing website.

_uetvid

Domain name: .mhb-fontane.de
Expiration: 24 hours
Location: Cookie (Statistics)
Description: This cookie contains a unique visitor ID and is used for tracking and analyzing user activities on the website.

_uetsid

Domain name: .mhb-fontane.de
Expiration: 24 hours
Location: Cookie (Statistics)
Description: This cookie contains a unique session ID and is used for tracking and analyzing user activities on the website.

_clsk

Domain name: .mhb-fontane.de
Expiration: 24 hours
Location: Cookie (Statistics)
Description: This cookie stores information about the visitor's status and is used for tracking and analyzing user activities on the website.

CLID

Domain name: www.clarity.ms
Expiration: 365 days
Location: Cookie (Statistics)
Description: This cookie contains a unique user ID and is used for tracking and analyzing user activities on the Clarity website.

xs

Domain name: .facebook.com
Expiration: 360 days
Location: Cookie (Statistics)
Description: This cookie is used by Facebook to maintain a user's session and verify their identity.

oo

Domain name: .facebook.com
Expiration: 360 days
Location: Cookie (Statistics)
Description: This cookie is used by Facebook to store information about the user, such as their language settings.

usida

Domain name: .facebook.com
Expiration: Session
Location: Cookie (Statistics)
Description: This cookie contains an encrypted user ID and is used by Facebook to store user information.

presence

Domain name: .facebook.com
Expiration: Session
Location: Cookie (Statistics)
Description: This cookie is used by Facebook to track a user's presence status, such as whether they are online.

sb

Domain name: .facebook.com
Expiration: 8 months
Location: Cookie (Statistics)
Description: This cookie is used by Facebook to store information about the user to ensure the security and integrity of the website.

datr

Domain name: .facebook.com
Expiration: 135 days
Location: Cookie (Statistics)
Description: This cookie is used by Facebook to identify users and detect security risks.

c_user

Domain name: .facebook.com
Expiration: 360 days
Location: Cookie (Statistics)
Description: This cookie stores the user ID of the Facebook user.

wd

Domain name: .facebook.com
Expiration: 4 days
Location: Cookie (Statistics)
Description: This cookie stores the device's screen size to adjust the layout of the Facebook page.

dpr

Domain name: .facebook.com
Expiration: 4 days
Location: Cookie (Statistics)
Description: This cookie stores the device's screen resolution to adjust the layout of the Facebook page.

_fbp

Domain name: .mhb-font ane.de
Expiration: 90 days
Location: Cookie (Statistics)
Description: This cookie is used by Facebook for tracking advertising activities.

 

You are using an outdated browser. The website may not be displayed correctly. Close