Karin Boukamp

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Die kathetergestützte Aortenklappenimplantation („transcatheter aortic valve implantation“, TAVI) ist ein innovatives Verfahren für Patienten mit schwerer symptomatischer Aortenklappenstenose. Ungeachtet des fehlenden Nutzenbelegs verglichen zum Goldstandard der offenen Operation und offener Fragen zu Sicherheit und Langzeitresultaten ist eine(More)
AIMS Internationally, the implementation of diagnosis-related group systems has underlined the importance of quality assurance and improvement in health care systems. Support is expected by various concepts based on different theories and traditions. Published experience and knowledge of other countries with long-standing DRG systems and data in literature(More)
In Germany, the Federal Committee of Physicians and Health Insurance Agencies is responsible for assessing which medical procedures are covered by the insurance agencies (therapeutic/economic value). The failure to evaluate certain medical procedures which promise therapeutic benefit may be considered a failure in the system of statutory health insurance as(More)
BACKGROUND Transcatheter aortic valve implantation (TAVI) is a new treatment option for patients with severe symptomatic aortic stenosis. Despite a lack of scientific evidence for a benefit of the procedure compared with surgical valve replacement or repair as the current gold standard and pending questions about safety and long-term results, a continuous(More)
In Germany, the increasing relevance of Evidence-based medicine (EbM) is not only a consequence of growing economic limitations in the health care system but of a changed jurisdiction, too: liability of the statutory health insurances (SHI) to pay for medical care depends on the proof of its effectiveness. This is of special importance for the Medical(More)
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