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Many clinics lack the routine for the operations performed
Some operations are such a complicated procedure that they should only be carried out in specialized clinics. However, a current study by researchers from the University of Witten / Herdecke (UW / H) shows that the hospitals often lack the necessary routine for the operations performed. According to the university, the scientists checked compliance with the so-called minimum quantity requirements from 2004 to 2010 and found that several hospitals disregarded these.
As part of the investigation, the researchers from the Chair of Health System Research at UW / H evaluated the quality reports of almost 2,000 hospitals from 2004, 2006, 2008 and 2010. Her focus was on compliance with the quantity regulations for complicated operations on the esophagus and pancreas, the installation of full knee prostheses and the transplantation of liver, kidney or stem cells. They come to the conclusion that many hospitals without the required routine still carry out operations that, according to the will of the legislator, should only be carried out in specialized clinics. The researchers at the University of Witten / Herdecke have therefore found the minimum quantity requirements "not very effective."
Clinics do not adhere to the minimum quantity requirements "We found in our study that the violations of the minimum quantity regulation remained the same over the entire period from 2004 to 2010, ie at least six years," emphasized study author Dr. Werner de Cruppé. This suggests that "the patient's quality of care was not positively influenced as hoped by this." Actually, the minimum quantity requirements should be ensured. "That only experienced clinics can perform certain complicated procedures," the expert explained and added: "But we found that many hospitals do not stick to it." Thus, more than half of all German hospitals carry out at least one of the treatments mentioned, although " depending on the type of intervention, five to 45 percent of the clinics should not be able to do this. ”According to this,“ depending on the operation, one to 15 percent of the patients in hospitals who do not meet the requirements would be treated. ”The study was published in the“ Deutschen Ärzteblatt ”. (fp)
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