Literature DB >> 23903284

Health technology assessment of utilization, practice and ethical issues of self-pay services in the German ambulatory health care setting.

Theresa Hunger1, Petra Schnell-Inderst, Katharina Hintringer, Ruth Schwarzer, Vanadin Seifert-Klauss, Holger Gothe, Jürgen Wasem, Uwe Siebert.   

Abstract

OBJECTIVES: The provision of self-pay medical services is common across health care systems, but understudied. According to the German Medical Association, such services should be medically necessary, recommended or at least justifiable, and requested by the patient. We investigated the empirical evidence regarding frequency and practice of self-pay services as well as related ethical, social, and legal issues (ELSI).
METHODS: A systematic literature search in electronic databases and a structured internet search on stakeholder websites with qualitative and quantitative information synthesis.
RESULTS: Of 1,345 references, we included 64 articles. Between 19 and 53 % of insured persons received self-pay service offers from their physician; 16-19 % actively requested such services. Intraocular pressure measurement was the most common service, followed by ultrasound investigations. There is a major discussion about ELSI in the context of individual health services.
CONCLUSIONS: Self-pay services are common medical procedures in Germany. However, the empirical evidence is limited in quality and extent, even for the most frequently provided services. Transparency of their provision should be increased and independent evidence-based patient information should be supplied.

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Year:  2013        PMID: 23903284     DOI: 10.1007/s00038-013-0494-x

Source DB:  PubMed          Journal:  Int J Public Health        ISSN: 1661-8556            Impact factor:   3.380


  8 in total

Review 1.  Diversity and dynamics of patient cost-sharing for physicians' and hospital services in the 27 European Union countries.

Authors:  Marzena Tambor; Milena Pavlova; Piotr Woch; Wim Groot
Journal:  Eur J Public Health       Date:  2010-09-30       Impact factor: 3.367

2.  [Extended medical services to the inpatient sector--"medical services on individual demand" in the hospital. General legal conditions, 10 basic rules, and practical examples].

Authors:  Thomas Kersting; Alexander Pillokat
Journal:  Z Arztl Fortbild Qualitatssich       Date:  2006

3.  Helping Doctors and Patients Make Sense of Health Statistics.

Authors:  Gerd Gigerenzer; Wolfgang Gaissmaier; Elke Kurz-Milcke; Lisa M Schwartz; Steven Woloshin
Journal:  Psychol Sci Public Interest       Date:  2007-11-01

4.  Ovarian cancer screening in the Prostate, Lung, Colorectal and Ovarian (PLCO) cancer screening trial: findings from the initial screen of a randomized trial.

Authors:  Saundra S Buys; Edward Partridge; Mark H Greene; Philip C Prorok; Douglas Reding; Thomas L Riley; Patricia Hartge; Richard M Fagerstrom; Lawrence R Ragard; David Chia; Grant Izmirlian; Mona Fouad; Christine C Johnson; John K Gohagan
Journal:  Am J Obstet Gynecol       Date:  2005-11       Impact factor: 8.661

5.  Sensitivity and specificity of multimodal and ultrasound screening for ovarian cancer, and stage distribution of detected cancers: results of the prevalence screen of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS).

Authors:  Usha Menon; Aleksandra Gentry-Maharaj; Rachel Hallett; Andy Ryan; Matthew Burnell; Aarti Sharma; Sara Lewis; Susan Davies; Susan Philpott; Alberto Lopes; Keith Godfrey; David Oram; Jonathan Herod; Karin Williamson; Mourad W Seif; Ian Scott; Tim Mould; Robert Woolas; John Murdoch; Stephen Dobbs; Nazar N Amso; Simon Leeson; Derek Cruickshank; Alistair McGuire; Stuart Campbell; Lesley Fallowfield; Naveena Singh; Anne Dawnay; Steven J Skates; Mahesh Parmar; Ian Jacobs
Journal:  Lancet Oncol       Date:  2009-03-11       Impact factor: 41.316

6.  Individual health services and the limits to service provision in insurance registered German medical practices: patient experiences.

Authors:  Susanne Richter; Heinke Rehder; Heiner Raspe
Journal:  Dtsch Arztebl Int       Date:  2009-06-26       Impact factor: 5.594

7.  Effect of screening on ovarian cancer mortality: the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Randomized Controlled Trial.

Authors:  Saundra S Buys; Edward Partridge; Amanda Black; Christine C Johnson; Lois Lamerato; Claudine Isaacs; Douglas J Reding; Robert T Greenlee; Lance A Yokochi; Bruce Kessel; E David Crawford; Timothy R Church; Gerald L Andriole; Joel L Weissfeld; Mona N Fouad; David Chia; Barbara O'Brien; Lawrence R Ragard; Jonathan D Clapp; Joshua M Rathmell; Thomas L Riley; Patricia Hartge; Paul F Pinsky; Claire S Zhu; Grant Izmirlian; Barnett S Kramer; Anthony B Miller; Jian-Lun Xu; Philip C Prorok; John K Gohagan; Christine D Berg
Journal:  JAMA       Date:  2011-06-08       Impact factor: 157.335

Review 8.  Defining the "Health Benefit Basket" in nine European countries. Evidence from the European Union Health BASKET Project.

Authors:  J Schreyögg; T Stargardt; M Velasco-Garrido; R Busse
Journal:  Eur J Health Econ       Date:  2005-12
  8 in total

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