Christoph Straub

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OBJECTIVE To estimate the 3-year incremental cost effectiveness and cost utility of introducing leflunomide into sequential therapy, consisting of the most frequently used disease-modifying antirheumatic drugs (DMARDs), for patients with rheumatoid arthritis in specialised, i.e. rheumatological, care in Germany. DESIGN AND SETTING The analysis was(More)
OBJECTIVE To quantify direct costs of medication and cost of illness (according to functional capacity) for patients with rheumatoid arthritis (RA) in Germany, allowing further use in a health economic evaluation of sequential therapy with disease-modifying antirheumatic drugs (DMARDs) in specialised, i.e. rheumatological, care in Germany. DESIGN AND(More)
By initiating disease management programmes (DMP) the German legislator aimed to optimize the provision of healthcare to chronically ill patients through increasing the competition between sickness funds and healthcare providers and to stimulate quality competition in the healthcare system by simultaneously connecting DMPs to compensatory (wraparound)(More)
Guidelines are efficient tools for the maintenance and improvement of the quality of care and contribute to the increase of the efficacy of care. However, the quality of guidelines has not been investigated or improved much in Germany. This is especially true for the formal assessment of guidelines regarding the collection and evaluation of evidence, their(More)
Disease Management Programmes represent a great challenge to the German statutory health insurance system. According to politicians, disease management programmes are an appropriate tool for increasing the level of care for chronically ill patients significantly, while at the same time they can slow down the cost explosion in health care. The statutory(More)
In the course of recent activities involving the bundling of healthcare institutions into so-called "Centers", many kinds of Healthcare Centers, Breast Centers, Comprehensive Cancer Centers etc. have been established. The term "Center" suggests expertise and superiority, and, without doubt, centers take medical care closer to higher quality and cost(More)
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