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Erfassung der Versorgungsqualität und Realität

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Zusammenfassung

Die Überprüfung von regionalen Abweichungen in Diagnose und Therapie dient dazu, Sektoren von Unterversorgung, aber auch von Überversorgung aufzudecken, um so das Gesundheitssystem effizienter und effektiver zu gestalten. Damit ist die Analyse von regionalen Unterschieden in der Versorgung ein wichtiges Hilfsmittel, um den Behandlungsstandard zu definieren und Qualitätsziele festzumachen. Dies gelingt auf diese Weise sogar oft besser als mit randomisierten Studien und ihren (zu) zahlreichen Ausschlusskriterien. Auch lässt sich mit regionalen Unterschieden die Etablierung von Behandlungszentren begründen. Wie die folgenden Beispiele zeigen werden, gilt dies für die operative und nichtoperative Krankenhausbehandlung gleichermaßen.

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  • DOI: 10.1007/978-3-662-60423-6_1
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Abb. 1.1

(Nach Castro-Ferreira et al. 2019)

Abb. 1.2

(Nach Hemschemeier et al. (Bertelsmann Stiftung 2018))

Literatur

  • Abdelsattar ZM, Krell RW, Campbell DA Jr, Hendren S, Wong SL (2014) Differences in hospital performance for noncancer vs cancer colorectal surgery. J Am Coll Surg 219:450–459

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Ahmad N, Thomas GN, Gill P, Chan C, Torella F (2014) Lower limb amputation in England: prevalence, regional variation and relationship with revascularisation, deprivation and risk factors. A retrospective review of hospital data. J R Soc Med 107:483–489

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Akintoye E, Briasoulis A, Egbe A, Adegbala O, Sheikh M, Singh M, Alliu S, Ahmed A, Asleh R, Kushwaha S, Levine D (2017) Regional variation in mortality, length of stay, cost, and discharge disposition among patients admitted for heart failure in the united states. Am J Cardiol 120:817–824

    PubMed  CrossRef  Google Scholar 

  • Altieri MS, Yang J, Yin D, Frenkel C, Talamini M, Telem DA, Pryor A (2017) Presence of a fellowship improves perioperative outcomes following hepatopancreatobiliary procedures. Surg Endosc 31:2918–2924

    PubMed  CrossRef  Google Scholar 

  • Aquina CT, Fleming FJ, Becerra AZ, Xu Z, Hensley BJ, Noyes K, Monson JRT, Jusko TA (2017) Presence of a fellowship improves perioperative outcomes following hepatopancreatobiliary procedures. Surg Endosc 31:2918–2924

    CrossRef  Google Scholar 

  • Austin JM, Jha AK, Romano PS, Singer SJ, Vogus TJ, Wachter RM, Pronovost PJ (2015) National hospital ratings systems share few common scores and may generate confusion instead of clarity. Health Aff (Millwood) 34:423–340

    CrossRef  Google Scholar 

  • Azagury D, Morton JM (2016) Bariatric surgery outcomes in US accredited vs non-accredited centers: a systematic review. J Am Coll Surg 223:469–477

    PubMed  CrossRef  Google Scholar 

  • Barnett ML, Olenski AR, Jena AB (2017) Patient mortality during unannounced accreditation surveys at US hospitals. JAMA Intern Med 177:693–700

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Beck AW, Sedrakyan A, Mao J, International Consortium of Vascular Registries et al (2016) Variations in abdominal aortic aneurysm care: a report from the International consortium of vascular registries. Circulation 134:1948–1958

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Beckmann MW, Brucker C, Hanf V, Rauh C, Bani MR, Knob S, Petsch S, Schick S, Fasching PA, Hartmann A, Lux MP, Häberle L (2011) Quality assured health care in certified breast centers and improvement of the prognosis of breast cancer patients. Onkologie 34:362–7

    PubMed  CrossRef  Google Scholar 

  • Bekelis K, Missios S, Coy S, MacKenzie TA (2018) Association of hospital teaching status with neurosurgical outcomes: an instrumental variable analysis. World Neurosurg 110:e689–e698

    PubMed  CrossRef  Google Scholar 

  • Bernheim SM, Grady JN, Lin Z, Wang Y, Wang Y, Savage SV, Bhat KR, Ross JS, Desai MM, Merrill AR, Han LF, Rapp MT, Drye EE, Normand SL, Krumholz HM (2010) National patterns of risk-standardized mortality and readmission for acute myocardial infarction and heart failure. Update on publicly reported outcomes measures based on the 2010 release. Circ Cardiovasc Qual Outcomes 3:459–467

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Birkmeyer NJ, Goodney PP, Stukel TA, Hillner BE, Birkmeyer JD (2005) Do cancer centers designated by the National Cancer Institute have better surgical outcomes? Cancer 10:435–441

    CrossRef  Google Scholar 

  • Birkmeyer JD, Finks JF, O’Reilly A, Oerline M, Carlin AM, Nunn AR, Dimick J, Banerjee M, Birkmeyer NJ, Michigan Bariatric SurgeryCollaborative (2013) Surgical skill and complication rates after bariatric surgery. N Engl J Med 369:1434–1442

    CAS  PubMed  CrossRef  Google Scholar 

  • Bogh SB, Falstie-Jensen AM, Bartels P, Hollnagel E, Johnsen SP (2015) Accreditation and improvement in process quality of care: a nationwide study. Int J Qual Health Care 27:336–343

    PubMed  CrossRef  Google Scholar 

  • Bonow RO, Adams DH (2016) The time has come to define centers of excellence in mitral valve repair. J Am Coll Cardiol 67:499–501

    PubMed  CrossRef  Google Scholar 

  • Bottle A, Mariscalco G, Shaw MA, Benedetto U, Saratzis A, Mariani S, Bashir M, Aylin P, Jenkins D, Oo AY, Murthy GJ, UK Aortic Forum (2017) Unwarranted variation in the quality of care for patients with diseases of the thoracic aorta. J Am Heart Assoc 6(3):e004913. https://doi.org/10.1161/jaha.116.004913

    CrossRef  PubMed  PubMed Central  Google Scholar 

  • Brady JT, Xu Z, Scarberry KB, Saad A, Fleming FJ, Remzi FH, Wexner SD, Winchester DP, Monson JRT, Lee L, Dietz DW, Consortium for Optimizing the Treatment of Rectal Cancer (OSTRiCh) (2018) Evaluating the current status of rectal cancer care in the us: where we stand at the start of the commission on cancer’s national accreditation program for rectal cancer. J Am Coll Surg 226:881–890

    PubMed  CrossRef  Google Scholar 

  • Breitkreuz J, Brückner G, Burgard JP et al (2019) Schätzung kleinräumiger Krankheitshäufigkeiten für die deutsche Bevölkerung anhand von Routinedaten am Beispiel von Typ-2-Diabetes. AStA Wirtsch Sozialstat Arch. https://doi.org/10.1007/s11943-019-00241-z

    CrossRef  Google Scholar 

  • Brooke BS, Perler BA, Dominici F, Makary MA, Pronovost PJ (2008) Reduction of in-hospital mortality among California hospitals meeting Leapfrog evidence-based standards for abdominal aortic aneurysm repair. J Vasc Surg 47:1155–1156 (discussion 1163–1164)

    PubMed  CrossRef  Google Scholar 

  • Brubakk K, Vist GE, Bukholm G, Barach P, Tjomsland O (2015) A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. BMC Health Serv Res 15:280

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Burke LG, Frakt AB, Khullar D, Orav EJ, Jha AK (2017) Association between teaching status and mortality in us hospitals. JAMA 317:2105–2113

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Burt LM, Shrieve DC, Tward JD (2018) Factors influencing prostate cancer patterns of care: An analysis of treatment variation using the SEER database. Adv Radiat Oncol 3:170–180

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Castro-Ferreira R, Lachat M, Schneider PA, Freitas A, Leite-Moreira A, Sampaio SM (2019) Disparities in contemporary treatment rates of abdominal aortic aneurysms across western countries. Eur J Vasc Endovasc Surg 58:200–205

    PubMed  CrossRef  Google Scholar 

  • Chen Q, Bagante F, Merath K, Idrees J, Beal EW, Cloyd J, Dillhoff M, Schmidt C, Diaz A, White S, Pawlik TM (2018) Hospital teaching status and medicare expenditures for Hepato-Pancreato-Biliary surgery. World J Surg 42:2969–2979

    PubMed  CrossRef  Google Scholar 

  • Chiu AS, Arnold BN, Hoag JR, Herrin J, Kim CH, Salazar MC, Monsalve AF, Jean RA, Blasberg JD, Detterbeck FC, Gross CP, Boffa DJ (2018) Quality versus quantity: the potential impact of public reporting of hospital safety for complex cancer surgery. Ann Surg 270:281–287

    PubMed  CrossRef  Google Scholar 

  • Cobb AN, Erickson TR, Kothari AN, Eguia E, Brownlee SA, Yao W, Choi H, Greenberg V, Mboya J, Voss M, Raicu DS, Settimi-Woods R, Kuo PC (2018) Commercial quality „awards“ are not a strong indicator of quality surgical care. Surgery 164:379–386

    PubMed  CrossRef  Google Scholar 

  • Corallo AN, Croxford R, Goodman DC, Bryan EL, Srivastava D, Stukel TA (2014) A systematic review of medical practice variation in OECD countries. Health Policy 114:5–14

    PubMed  CrossRef  Google Scholar 

  • David EA, Cooke DT, Chen Y, Perry A, Canter RJ, Cress R (2015) Surgery in high-volume hospitals not commission on cancer accreditation leads to increased cancer-specific survival for early-stage lung cancer. Am J Surg 210:643–647

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Derogar M, Blomberg J, Sadr-Azodi O (2015) Hospital teaching status and volume related to mortality after pancreatic cancer surgery in a national cohort. Br J Surg 102:548–557 (discussion S 557)

    CAS  PubMed  CrossRef  Google Scholar 

  • Dimick JB, Cowan JA Jr, Colletti LM, Upchurch GR Jr (2004) Hospital teaching status and outcomes of complex surgical procedures in the United States. Arch Surg 139:137–141

    PubMed  CrossRef  Google Scholar 

  • Dimick JB, Staiger DO, Hall BL, Ko CY, Birkmeyer JD (2013) Composite measures for profiling hospitals on surgical morbidity. Ann Surg 257:67–72

    PubMed  CrossRef  Google Scholar 

  • Divi V, Ma Y, Rhoads KF (2016) Regional variation in head and neck cancer mortality: role of patient and hospital characteristics. Head Neck 38(Suppl 1):E1896–1902

    PubMed  CrossRef  Google Scholar 

  • Elferink MA, Wouters MW, Krijnen P, Lemmens VE, Jansen-Landheer ML, van de Velde CJ, Siesling S, Tollenaar RA (2010) Disparities in quality of care for colon cancer between hospitals in the Netherlands. Eur J Surg Oncol 36(Suppl 1):64–73

    CrossRef  Google Scholar 

  • Elrod JK, Fortenberry JL Jr (2017) Centers of excellence in healthcare institutions: what they are and how to assemble them. BMC Health Serv Res 17(Suppl 1):425

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Emmert M, Taheri-Zadeh F, Kolb B, Sander U (2017) Public reporting of hospital quality shows inconsistent ranking results. Health Policy 121:17–26

    PubMed  CrossRef  Google Scholar 

  • Fairfield KM, Black AW, Lucas FL, Siewers AE, Cohen MC, Healey CT, Briggs AC, Han PKJ, Wennberg JE (2018) Behavioral risk factors and regional variation in cardiovascular health care and death. Am J Prev Med 54:376–384

    PubMed  CrossRef  Google Scholar 

  • Falstie-Jensen AM, Larsson H, Hollnagel E, Nørgaard M, Svendsen ML, Johnsen SP (2015) Compliance with hospital accreditation and patient mortality: a Danish nationwide population-based study. Int J Qual Health Care 27:165–174

    PubMed  CrossRef  Google Scholar 

  • Falstie-Jensen AM, Bogh SB, Hollnagel E, Johnsen SP (2017) Compliance with accreditation and recommended hospital care-a Danish nationwide population-based study. Int J Qual Health Care 29:625–633

    PubMed  CrossRef  Google Scholar 

  • Falstie-Jensen AM, Bogh SB, Johnsen SP (2018) Consecutive cycles of hospital accreditation: persistent low compliance associated with higher mortality and longer length of stay. Int J Qual Health Care 30:382–389

    PubMed  CrossRef  Google Scholar 

  • Flodgren G, Gonçalves-Bradley DC, Pomey MP (2016) External inspection of compliance with standards for improved healthcare outcomes. Cochrane Database Syst Rev 12:CD008992

    PubMed  Google Scholar 

  • Gebhart A, Young M, Phelan M, Nguyen NT (2014) Impact of accreditation in bariatric surgery. Surg Obes Relat Dis 10:767–773

    PubMed  CrossRef  Google Scholar 

  • Gifford ED, de Virgilio C (2016) Aortic centers of excellence: shifting the focus. JAMA Surg 151:845

    PubMed  CrossRef  Google Scholar 

  • Girotti ME, Ko CY, Dimick JB (2013) Hospital morbidity rankings and complication severity in vascular surgery. J Vasc Surg 57:158–164

    PubMed  CrossRef  Google Scholar 

  • Gopaldas RR, Bakaeen FG, Dao TK, Coselli JS, LeMaire SA, Huh J, Chu D (2012) Outcomes of concomitant aortic valve replacement and coronary artery bypass grafting at teaching hospitals versus nonteaching hospitals. J Thorac Cardiovasc Surg 143:648–655

    PubMed  CrossRef  Google Scholar 

  • Goshima KR, Mills JL Sr, Awari K, Pike SL, Hughes JD (2008) Measure what matters: institutional outcome data are superior to the use of surrogate markers to define “center of excellence” for abdominal aortic aneurysm repair. Ann Vasc Surg 22:328–334

    PubMed  CrossRef  Google Scholar 

  • Greenfield D, Braithwaite J (2008) Health sector accreditation research: a systematic review. Int J Qual Health Care 20:172–183

    PubMed  CrossRef  Google Scholar 

  • Gupta T, Kalra A, Kolte D et al (2017) Regional variation in utilization, in-hospital mortality, and health-care resource use of transcatheter aortic valve implantation in the United States. Am J Cardiol 120:1869–1876

    PubMed  CrossRef  Google Scholar 

  • Hall SF, Irish J, Groome P, Griffiths R, Hurlbut D (2017) Do lower-risk thyroid cancer patients who live in regions with more aggressive treatments have better outcomes? Thyroid 27:1246–1257

    PubMed  CrossRef  Google Scholar 

  • Healy MA, Regenbogen SE, Kanters AE, Suwanabol PA, Varban OA, Campbell DA Jr, Dimick JB, Byrn JC (2017) Surgeon variation in complications with minimally invasive and open colectomy: results from the michigan surgical quality collaborative. JAMA Surg 152:860–867

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Hemschemeier M, Meik Bittkowski M, Stollorz V (2018) Knieprothesen – starker Anstieg und große regionale Unterschiede. Science Media Center Germany. Bertelsmann-Stiftung. https://www.sciencemediacenter.de/fileadmin/user_upload/Operation-Explorer/Knieprothesen-Report_SMC-Operation-Explorer_2018-06-19.pdf

  • Henneman D, van Bommel AC, Snijders A, Snijders HS, Tollenaar RA, Wouters MW, Fiocco M (2014) Ranking and rankability of hospital postoperative mortality rates in colorectal cancer surgery. Ann Surg 259:844–849

    PubMed  CrossRef  Google Scholar 

  • Hicks CW, Wick EC, Canner JK, Black JH 3rd, Arhuidese I, Qazi U, Obeid T, Freischlag JA, Malas MB (2015) Hospital-Level Factors Associated With Mortality After Endovascular and Open Abdominal Aortic Aneurysm Repair. JAMA Surg 150:632–636

    PubMed  CrossRef  Google Scholar 

  • Hicks CW, Canner JK, Arhuidese I, Obeid T, Black JH 3rd, Malas MB (2016) Comprehensive Assessment of Factors Associated With In-Hospital Mortality After Elective Abdominal Aortic Aneurysm Repair. JAMA Surg 151:838–845

    PubMed  CrossRef  Google Scholar 

  • Holena DN, Hadler R, Wirtalla C, Carr B, Morris JB, Kelz RR (2011) Teaching status: the impact on emergency and elective surgical care in the US. Ann Surg 253:1017–1023

    PubMed  CrossRef  Google Scholar 

  • Hyder O, Sachs T, Ejaz A, Spolverato G, Pawlik TM (2013) Impact of hospital teaching status on length of stay and mortality among patients undergoing complex hepatopancreaticobiliary surgery in the USA. J Gastrointest Surg 17:2114–2122

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Ibrahim AM, Ghaferi AA, Thumma JR, Dimick JB (2017) Variation in outcomes at bariatric surgery centers of excellence. JAMA Surg 152:629–636

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Inaba CS, Koh CY, Sujatha-Bhaskar S, Lee Y, Pejcinovska M, Nguyen NT (2017) The effect of hospital teaching status on outcomes in bariatric surgery. Surg Obes Relat Dis 13:1723–1727

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Jacobs JP, He X, O’Brien SM, Welke KF, Filardo G, Han JM, Ferraris VA, Prager RL, Shahian DM (2013) Variation in ventilation time after coronary artery bypass grafting: an analysis from the society of thoracic surgeons adult cardiac surgery database. Ann Thorac Surg 96:757–62

    PubMed  CrossRef  Google Scholar 

  • Kabnick LS, Passman M, Zimmet SE, Blebea J, Khilnani N, Dietzek A (2016) Exploring the value of vein center accreditation to the venous specialist. J Vasc Surg Venous Lymphat Disord 4:119–124

    PubMed  CrossRef  Google Scholar 

  • Karthikesalingam A, Holt PJ, Vidal-Diez A, Ozdemir BA, Poloniecki JD, Hinchliffe RJ, Thompson MM (2014) Mortality from ruptured abdominal aortic aneurysms: clinical lessons from a comparison of outcomes in England and the USA. Lancet 383(9921):963–969

    CrossRef  Google Scholar 

  • Karthikesalingam A, Grima MJ, Holt PJ, Vidal-Diez A, Thompson MM, Wanhainen A, Bjorck M, Mani K (2018) Comparative analysis of the outcomes of elective abdominal aortic aneurysm repair in England and Sweden. Br J Surg 105:520–528

    CAS  PubMed  PubMed Central  CrossRef  Google Scholar 

  • Kasumova GG, Eskander MF, de Geus SWL, Neto MM, Tabatabaie O, Ng SC, Miksad RA, Mahadevan A, Rodrigue JR, Tseng JF (2017) Regional variation in the treatment of pancreatic adenocarcinoma: decreasing disparities with multimodality therapy. Surgery 162:275–284

    PubMed  CrossRef  Google Scholar 

  • Kolte D, Khera S, Aronow WS, Mujib M, Palaniswamy C, Ahmed A, Frishman WH, Fonarow GC (2014) Regional variation across the United States in management and outcomes of ST-elevation myocardial infarction: analysis of the 2003 to 2010 nationwide inpatient sample database. Clin Cardiol 37:204–212

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Kreienberg R, Wöckel A, Wischnewsky M (2018) Highly significant improvement in guideline adherence, relapse-free and overall survival in breast cancer patients when treated at certified breast cancer centres: An evaluation of 8323 patients. Breast 40:54–59

    PubMed  CrossRef  Google Scholar 

  • Kuehnl A, Salvermoser M, Erk A, Trenner M, Schmid V, Eckstein HH (2018a) Spatial analysis of hospital incidence and in hospital mortality of abdominal aortic aneurysms in germany: secondary data analysis of nationwide hospital episode (DRG) data. Eur J Vasc Endovasc Surg 55:852–859

    PubMed  CrossRef  Google Scholar 

  • Kuehnl A, Salvermoser M, Knipfer E, Zimmermann A, Schmid V, Eckstein HH (2018b) Regional frequency variation of revascularization procedures for carotid stenosis in Germany: secondary data analysis of DRG data from 2012 to 2014. Gefasschirurgie 23(Suppl 2):56–65

    CAS  PubMed  PubMed Central  CrossRef  Google Scholar 

  • Liu JB, Berian JR, Liu Y, Ko CY, Weber SM (2018) Trends in perioperative outcomes of hospitals performing major cancer surgery. J Surg Oncol 118:694–703

    CAS  PubMed  CrossRef  Google Scholar 

  • Malmivaara A, Meretoja A, Peltola M, Numerato D, Heijink R, Engelfriet P, Wild SH, Belicza É, Bereczki D, Medin E, Goude F, Boncoraglio G, Tatlisumak T, Seppälä T, Häkkinen U (2015) Comparing ischaemic stroke in six European countries. The EuroHOPE register study. Eur J Neurol 22:284–291

    CAS  PubMed  CrossRef  Google Scholar 

  • Mehrotra A, Dimick JB (2015) Ensuring excellence in centers of excellence programs. Ann Surg 261:237–239

    PubMed  CrossRef  Google Scholar 

  • Mehrotra A, Sloss EM, Hussey PS, Adams JL, Lovejoy S, Soohoo NF (2013a) Evaluation of centers of excellence program for knee and hip replacement. Med Care 51:28–36

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Mehrotra A, Sloss EM, Hussey PS, Adams JL, Lovejoy S, SooHoo NF (2013b) Evaluation of a center of excellence program for spine surgery. Med Care 51:748–57

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Melling N, Drabik A, El Gammal A, Antonakis F, Darmann I, Izbicki JR, Bockhorn M (2015) Zertifizierungen in der onkologischen Chirurgie. Bedeutung für die Wahl der Behandlungsstätte. Chirurg 86:687–95

    CAS  PubMed  CrossRef  Google Scholar 

  • Merchant RM, Berg RA, Yang L, Becker LB, Groeneveld PW, Chan PS; American Heart Association’s Get With the Guidelines-Resuscitation Investigators (2014) Hospital variation in survival after in-hospital cardiac arrest. J Am Heart Assoc 3:e000400

    Google Scholar 

  • Merkow RP, Bentrem DJ, Winchester DP, Stewart AK, Ko CY, Bilimoria KY (2013a) Effect of including cancer-specific variables on risk-adjusted hospital surgical quality comparisons. Ann Surg Oncol 20:1766–1773

    PubMed  CrossRef  Google Scholar 

  • Merkow RP, Bentrem DJ, Chung JW, Paruch JL, Ko CY, Bilimoria KY (2013b) Differences in patients, surgical complexity, and outcomes after cancer surgery at National Cancer Institute-designated cancer centers compared to other hospitals. Med Care 51:606–613

    PubMed  CrossRef  Google Scholar 

  • Merkow RP, Chung JW, Paruch JL, Bentrem DJ, Bilimoria KY (2014) Relationship between cancer center accreditation and performance on publicly reported quality measures. Ann Surg 259:1091–1097

    PubMed  CrossRef  Google Scholar 

  • Møller H, Coupland VH, Tataru D, Peake MD, Mellemgaard A, Round T, Baldwin DR, Callister MEJ, Jakobsen E, Vedsted P, Sullivan R, Spicer J (2018) Geographical variations in the use of cancer treatments are associated with survival of lung cancer patients. Thorax 73:530–537

    PubMed  CrossRef  Google Scholar 

  • Nennecke A, Geiss K, Hentschel S, Vettorazzi E, Jansen L, Eberle A, Holleczek B, Gondos A, Brenner H5 GEKID cancer survival working group (2014) Survival of cancer patients in urban and rural areas of Germany–a comparison. Cancer Epidemiol 38:259–265

    Google Scholar 

  • OECD (2014) Geographic variations in health care: what do we know and what can be done to improve health system performance? OECD Health Policy Studies. OECD Publishing, Paris

    CrossRef  Google Scholar 

  • Ohinmaa A, Zheng Y, Jeerakathil T, Klarenbach S, Häkkinen U, Nguyen T, Friesen D, Ruseski J, Kaul P, Ariste R, Jacobs P (2016) trends and regional variation in hospital mortality, length of stay and cost in hospital of ischemic stroke patients in alberta accompanying the provincial reorganization of stroke care. J Stroke Cerebrovasc Dis 25:2844–2850

    PubMed  CrossRef  Google Scholar 

  • Osborne NH, Nicholas LH, Ghaferi AA, Upchurch GR Jr, Dimick JB (2010) Do popular media and internet-based hospital quality ratings identify hospitals with better cardiovascular surgery outcomes? J Am Coll Surg 210:87–92

    PubMed  CrossRef  Google Scholar 

  • Otsubo T, Goto E, Morishima T, Ikai H, Yokota C, Minematsu K, Imanaka Y (2015) Regional variations in in-hospital mortality, care processes, and spending in acute ischemic stroke patients in Japan. J Stroke Cerebrovasc Dis 24:239–251

    PubMed  CrossRef  Google Scholar 

  • Ozdemir BA, Karthikesalingam A, Sinha S, Poloniecki JD, Vidal-Diez A, Hinchliffe RJ, Thompson MM, Holt PJ (2015) Association of hospital structures with mortality from ruptured abdominal aortic aneurysm. Br J Surg 102:516–524

    CAS  PubMed  CrossRef  Google Scholar 

  • Paulson EC, Mitra N, Sonnad S, Armstrong K, Wirtalla C, Kelz RR, Mahmoud NN (2008) National Cancer Institute designation predicts improved outcomes in colorectal cancer surgery. Ann Surg 248:675–86

    Google Scholar 

  • Quin JA, Sheng S, O’Brien SM, Welke KF, Grover FL, Shroyer AL (2011) Regional variation in patient risk factors and mortality after coronary artery bypass grafting. Ann Thorac Surg 92:1277–1282

    PubMed  CrossRef  Google Scholar 

  • Quinn CM, Bilimoria KY, Chung JW, Ko CY, Cohen ME, Stulberg JJ (2018) Creating Individual Surgeon Performance Assessments in a Statewide Hospital Surgical Quality Improvement Collaborative. J Am Coll Surg 227:303–312

    PubMed  CrossRef  Google Scholar 

  • QZ-online.de. Qualitätsmanagement im Krankenhaus – KTQ oder ISO 9001? https://www.qz-online.de/qualitaets-management/qm-basics/recht_normen/branchenspezifische_anforderungen_qm_systeme/artikel/qualitaetsmanagement-im-krankenhaus-ktq-iso9001-722333

  • Rosenberg BL, Kellar JA, Labno A, Matheson DH, Ringel M, VonAchen P, Lesser RI, Li Y, Dimick JB, Gawande AA, Larsson SH, Moses H 3rd (2016) Quantifying geographic variation in health care outcomes in the united states before and after risk-adjustment. PLoS ONE 11:e0166762

    PubMed  PubMed Central  CrossRef  CAS  Google Scholar 

  • Roth GA, Dwyer-Lindgren L, Bertozzi-Villa A, Stubbs RW, Morozoff C, Naghavi M, Mokdad AH, Murray CJL (2017) Trends and patterns of geographic variation in cardiovascular mortality among us counties, 1980–2014. JAMA 317:1976–1992

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Rovers KP, Simkens GA, Dutch Peritoneal Oncology Group (DPOG) et al (2017) Survival of patients with colorectal peritoneal metastases is affected by treatment disparities among hospitals of diagnosis: a nationwide population-based study. Eur J Cancer 75:132–140

    Google Scholar 

  • Sack C, Scherag A, Lütkes P, Günther W, Jöckel KH, Holtmann G (2011) Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37,000 patients treated by 73 hospitals. Int J Qual Health Care 23:278–283

    CAS  PubMed  CrossRef  Google Scholar 

  • Schmaltz SP, Williams SC, Chassin MR, Loeb JM, Wachter RM (2011) Hospital performance trends on national quality measures and the association with Joint Commission accreditation. J Hosp Med 6:454–461

    PubMed  CrossRef  Google Scholar 

  • Schoppy DW, Rhoads KF, Ma Y, Chen MM, Nussenbaum B, Orosco RK, Rosenthal EL, Divi V (2017) Measuring institutional quality in head and neck surgery using hospital-level data: negative margin rates and neck dissection yield. JAMA Otolaryngol Head Neck Surg 143:1111–1116

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Schrodi S, Tillack A, Niedostatek A, Werner C, Schubert-Fritschle G, Engel J (2015) No survival benefit for patients with treatment in certified breast centers-a population-based evaluation of german cancer registry data. Breast J 21:490–500

    PubMed  CrossRef  Google Scholar 

  • Schroeck F, Kaufman SR, Jacobs B, Skolarus TA, Hollingsworth JM, Shahinian VB, Hollenbeck BK (2014) Regional variation in quality of prostate cancer care. J Urol 191:957–962

    PubMed  CrossRef  Google Scholar 

  • Shaw CD (2003) Evaluating accreditation. Int J Qual Health Care 15:455–456

    PubMed  CrossRef  Google Scholar 

  • Shean KE, McCallum JC, Soden PA, Deery SE, Schneider JR, Nolan BW, Rockman CB, Schermerhorn ML; Society for Vascular Surgery Vascular Quality Initiative (2017) Regional variation in patient selection and treatment for carotid artery disease in the Vascular Quality Initiative. J Vasc Surg 66:112–121

    CrossRef  Google Scholar 

  • Shean KE, O’Donnell TFX, Deery SE, Pothof AB, Schneider JR, Rockman CB, Nolan BW, Schermerhorn ML; Society for Vascular Surgery Vascular Quality Initiative (2018) Regional variation in patient outcomes in carotid artery disease treatment in the Vascular Quality Initiative. J Vasc Surg 68:749–759

    Google Scholar 

  • Sheth SG, Conwell DL, Whitcomb DC et al (2017) Academic Pancreas Centers of Excellence: guidance from a multidisciplinary chronic pancreatitis working group at PancreasFest. Pancreatology 17:419–430

    PubMed  CrossRef  Google Scholar 

  • Shih T, Cole AI, Al-Attar PM, Chakrabarti A, Fardous HA, Helvie PF, Kemp MT, Lee C, Shtull-Leber E, Campbell DA Jr, Englesbe MJ (2015) Reliability of surgeon-specific reporting of complications after colectomy. Ann Surg 261:920–925

    PubMed  CrossRef  Google Scholar 

  • Skolarus LE, Meurer WJ, Shanmugasundaram K, Adelman EE, Scott PA, Burke JF (2015) Marked regional variation in acute stroke treatment among medicare beneficiaries. Stroke 46:1890–1896

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Soden PA, Zettervall SL, Curran T, Vouyouka AG, Goodney PP, Mills JL, Hallett JW Jr, Schermerhorn ML; Society for Vascular Surgery Vascular Quality Initiative (2017a) Regional variation in patient selection and treatment for lower extremity vascular disease in the Vascular Quality Initiative. J Vasc Surg 65:108–118

    Google Scholar 

  • Soden PA, Zettervall SL, Shean KE, Vouyouka AG, Goodney PP, Mills JL, Hallett JW Jr, Schermerhorn ML; Society for Vascular Surgery Vascular Quality Initiative (2017b) Regional variation in outcomes for lower extremity vascular disease in the Vascular Quality Initiative. J Vasc Surg 66:810–818

    Google Scholar 

  • Stewart DB, Hollenbeak C, Desharnais S, Camacho F, Gladowski P, Goff VL, Wang L (2013) Rectal cancer and teaching hospitals: hospital teaching status affects use of neoadjuvant radiation and survival for rectal cancer patients. Ann Surg Oncol 20:1156–1163

    PubMed  CrossRef  Google Scholar 

  • Stroh C, Köckerling F, Lange V, Wolff S, Knoll C, Bruns C, Manger T; Obesity Surgery Working Group, Competence Network Obesity (2017) Does certification as bariatric surgery center and volume influence the outcome in rygb -data analysis of german bariatric surgery registry. Obes Surg 27:445–453

    CrossRef  Google Scholar 

  • Swords DS, Mulvihill SJ, Skarda DE, Finlayson SRG, Stoddard GJ, Ott MJ, Firpo MA, Scaife CL (2019) Hospital-level Variation in utilization of surgery for clinical stage I-II Pancreatic Adenocarcinoma. Ann Surg 269:133–142

    PubMed  CrossRef  Google Scholar 

  • Telem DA, Talamini M, Altieri M, Yang J, Zhang Q, Pryor AD (2015) The effect of national hospital accreditation in bariatric surgery on perioperative outcomes and long-term mortality. Surg Obes Relat Dis 11:749–757

    PubMed  CrossRef  Google Scholar 

  • Telila T, Akintoye E, Ando T, Merid O, Palla M, Mallikethi-Reddy, Briasoulis A, Grines C, Afonso L (2017) Hospital teaching status and transcatheter aortic valve replacement outcomes in the United States: Analysis of the national inpatient sample. Catheter Cardiovasc Interv 90: 1200–1205

    PubMed  CrossRef  Google Scholar 

  • Thompson MP, Zhao X, Bekelis K, Gottlieb DJ, Fonarow GC, Schulte PJ, Xian Y, Lytle BL, Schwamm LH, Smith EE, Reeves MJ (2017) Regional variation in 30-day ischemic stroke outcomes for medicare beneficiaries treated in get with the guidelines-stroke hospitals. Circ Cardiovasc Qual Outcomes 10. pii: e003604. https://doi.org/10.1161/circoutcomes.117.003604

  • Trautmann F, Reißfelder C, Pecqueux M, Weitz J, Schmitt J (2018) Evidence-based quality standards improve prognosis in colon cancer care. Eur J Surg Oncol 44:1324–1330

    PubMed  CrossRef  Google Scholar 

  • Tyson MD, Graves AJ, O’Neil B, Barocas D, Chang SS, Penson DF, Resnick MJ (2017) Urologist-level correlation in the use of observation for low- and high-risk prostate cancer. JAMA Surg 152:27–34

    PubMed  CrossRef  Google Scholar 

  • van Dishoeck AM, Koek MB, Steyerberg EW, van Benthem BH, Vos MC, Lingsma HF (2013) Use of surgical-site infection rates to rank hospital performance across several types of surgery. Br J Surg 100: 628–636 (discussion 637)

    CAS  PubMed  CrossRef  Google Scholar 

  • van Groningen JT, Eddes EH, Fabry HFJ, van Tilburg MWA, van Nieuwenhoven EJ, Snel Y, Marang-van de Mheen PJ, de Noo ME; Dutch Surgical Colorectal Cancer Audit Group and the Co-operating General Hospitals (2018) Hospital teaching status and patients’ outcomes after colon cancer surgery. World J Surg 42:3372–3380

    PubMed  PubMed Central  CrossRef  Google Scholar 

  • Venermo M, Wang G, Sedrakyan A et al (2017) Editor’s choice – carotid stenosis treatment: variation in international practice patterns. Eur J Vasc Endovasc Surg 53:511–519

    CAS  PubMed  CrossRef  Google Scholar 

  • Vist GE, Nøstberg AM, Brubakk K, Munkeby BH. Oslo, Norway: Knowledge Centre for the Health Services at The Norwegian Institute of Public Health (NIPH); 2009. Effect of certification and accreditation of hospitals [Internet]. Report from Norwegian Knowledge Centre for the Health Services (NOKC) No. 30-2009

    Google Scholar 

  • Völkel V, Draeger T, Gerken M, Fürst A, Klinkhammer-Schalke M (2019) Langzeitüberleben von Patienten mit Kolon- und Rektumkarzinomen: Ein Vergleich von Darmkrebszentren und nicht zertifizierten Krankenhäusern. Gesundheitswesen 81:801–807

    PubMed  Google Scholar 

  • Wellner UF, Grützmann R, Keck T, Nüssler N, Witzigmann HE, Buhr HJ, Deutsche Gesellschaft für Allgemein- und Viszeralchirurgie e. V., Qualitätskommission (2018) Qualitätsindikatoren für die Pankreaschirurgie -Wissenschaftliche Herleitung und klinische Relevanz. Chirurg 89:32–39

    Google Scholar 

  • Wiegering A, Buhr HJ, Klinger C, Fürst A, Schiedeck T, Schwandner O, Stelzner S, Germer CT (2018) Qualitätsindikatoren für die Chirurgie des Rektumkarzinoms – Evidenzbasierte Entwicklung eines Indikatorensets für die Ergebnisqualität. Chirurg 89:26–31

    CAS  PubMed  CrossRef  Google Scholar 

  • Wolfson JA, Sun CL, Wyatt LP, Hurria A, Bhatia S (2015) Impact of care at comprehensive cancer centers on outcome: results from a population-based study. Cancer 121:3885–3893

    PubMed  CrossRef  Google Scholar 

  • Xu T, Makary MA, Al Kazzi E, Zhou M, Pawlik TM, Hutfless SM (2016) Surgeon-level variation in postoperative complications. Gastrointest Surg 20:1393–1399

    CrossRef  Google Scholar 

  • Zettervall SL, Soden PA, Buck DB, Cronenwett JL, Goodney PP, Eslami MH, Lee JT, Schermerhorn ML; Society for Vascular Surgery Vascular Quality Initiative (2017) Significant regional variation exists in morbidity and mortality after repair of abdominal aortic aneurysm. J Vasc Surg 65:1305–1312

    CrossRef  Google Scholar 

  • Zich K, Tisch T (2017) Faktencheck Rücken – Rückenschmerzbedingte Krankenhausaufenthalte und operative Eingriffe – Mengenentwicklung und regionale Unterschiede. IGES Institut Berlin/Bertelsmann Stiftung. http://www.bertelsmann-stiftung.de/fileadmin/files/BSt/Publikationen/GrauePublikationen/VV_FC_Rueckenoperationen_Studie_dt_final.pdf

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Grundmann, R.T., Debus, E.S. (2020). Erfassung der Versorgungsqualität und Realität. In: Debus, E., Grundmann, R. (eds) Versorgungsqualität in der operativen Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60423-6_1

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