Der Königsweg zum Herzen: der Einfluss nichtmedizinischer Merkmale auf die Versorgung mit invasiven kardiologischen Leistungen

Brause M. Der Königsweg zum Herzen: der Einfluss nichtmedizinischer Merkmale auf die Versorgung mit invasiven kardiologischen Leistungen. Verlag Hans Huber: Programmbereich Gesundheit. Bern: Huber; 2009

Gesundheitsförderung in der stationären Langzeitversorgung - Teil II

Brause M, Horn A, Schaeffer D. Gesundheitsförderung in der stationären Langzeitversorgung - Teil II. Veröffentlichungsreihe des Instituts für Pflegewissenschaft an der Universität Bielefeld. Vol P10-144. Bielefeld: Institut für Pflegewissenschaft an der Universität Bielefeld; 2010

Gesundheitsförderung in der stationären Langzeitversorgung. Ergebnisse einer Expertenbefragung

Horn A, Brause M, Schaeffer D. Gesundheitsförderung in der stationären Langzeitversorgung. Ergebnisse einer Expertenbefragung. Prävention und Gesundheitsförderung. 2011;6(4):262-269

[Health promotion in long-term inpatient care: possibilities and opportunities]

Brause M, Horn A, Büscher A, Schaeffer D. [Health promotion in long-term inpatient care: possibilities and opportunities]. Pflege Z. 2010;63(1):8-10

The impact of social and institutional characteristics on the appropriateness of invasive cardiologic procedures

Brause M, Grande G, Mannebach H, Badura B. Der Einfluss sozialer und struktureller Faktoren auf die Angemessenheit invasiver kardiologischer Prozeduren. MEDIZINISCHE KLINIK. 2006;101(3):226-234.Background and Purpose: Germany has the highest per capita rate of invasive cardiologic procedures in Europe. An ami of the SULEIKA study was to present a clearer picture of this important area of health care. Methods: Clinical data along with social characteristics of patients were acquired by means of questionnaires. An additional survey was established to collect data about the treating institution. Clinical information was used to define the appropriateness of coronary angiographies and percutaneous coronary interventions. A possible impact of social or institutional characteristics on the appropriateness was examined. Results: 549 of 709 diagnostic coronary angiographies (77.4%) were rated "appropriate", 54 (7.6%) as "equivocal", and 106 (15%) as "inappropriate". 245 of 317 coronary interventions (77.3%) were rated "appropriate", 40 (12.6%) as "equivocal", and 32 (10.1%) as "inappropriate". Social and institutional impact were found for invasive diagnostics but not for PCI. Conclusion: Social characteristics of patients and institutional characteristics have only a marginal impact on the indication of invasive cardiologic procedures. A trend toward "overdiagnostics" within the group of younger patients has been noticed, even in the case of missing hard medical evidence. A serious deficit of health care research can be found. Consented criteria to assess the appropriateness of medical treatments are missing. More research has to be done in the field of concepts and processes controlling the distribution and movement of patients into different sections of the health care system. Validated, standardized and comprehensive data for aninternational comparison of decisions about medical treatments are needed

Rehabilitation Results of Turkish Immigrants - An Analysis of Routine Data from the Rhineland and Westfalia Pension Insurance

Brause M, Reutin B, Razum O, Schott T. Rehabilitationserfolg bei Menschen mit türkischem Migrationshintergrund - Eine Auswertung von Routinedaten der Deutschen Rentenversicherungen Rheinland und Westfalen. Die Rehabilitation. 2012;51(05):282-288.Aims of the study: Approximately 3 million Turkish immigrants are living in Germany, in North Rhine-Westfalia their share amounts to 4.7%. They use the same rehabilitation services as Germans, but their treatment usually shows less positive results - as other studies have shown. The aims of the research project "Immigration and Health Inequalities in Rehabilitation" were (a) to quantify the use of medical rehabilitation by Turkish immigrants in different diagnosis groups, (b) to compare outcomes in different diagnosis groups and (c) to find out whether the results will be explained by immigrant status, or by socio-economic factors accompanying immigrant status. Methods and Results: An analysis of routine data from Deutsche Rentenversicherung Rheinland and Deutsche Rentenversicherung Westfalen (Rhineland and Westfalia Pension Insurances) was carried out, pertaining to 363 855 persons who had participated in at least one rehabilitation procedure between 2000 and 2006.4.8% of all rehabilitees were identified as being of Turkish origin. A modified name-based algorithm was used to help to identify Turkish rehabilitees. The outcome of rehabilitation was measured by comparing the medical discharge assessments. Turkish people were in need of rehabilitation more often because of mental disorders/behavioural disturbances (Turkish men=22.0% vs. non-Turkish men=18.4% [p<0.001]; Turkish women=30.8% vs. non-Turkish women=21.6% [p<0.001]) and less often because of neoplasms (Turkish men=4.7% vs. non-Turkish men=7.8% [p<0.001]; Turkish women=6.4% vs. non-Turkish women=13.9% [p<0.001]). Concerning treatment results in several diagnosis groups Turkish rehabilitees benefitted less from treatment than non-Turkish rehabilitees did (musculoskeletal disorders: OR=2.08 [95%-CI=1.97-2.20]; mental disorders/behavioural disturbances: OR=1.70 [95%-CI = 1.57-1.84]; respiratory diseases: OR=1.41 [95%-CI = 1.14-1.75]; digestive disorders/metabolic diseases: OR=1.36 [95%-CI = 1.11-1.66]). Non-Turkish rehabilitees had higher chances of success, even adjusted by social and performance-related factors. The differences were non-significant only in cardio-vascular disease and neoplasm treatment. Conclusions: Rehabilitation outcomes are significantly less favourable for Turkish people. The differences found can partially be traced to factors related to their migration background and not only to other social differences or performance-related factors of the health services. Immigrant status, hence, affects rehabilitation outcome and must receive attention in both rehabilitation plans and rehabilitation facilities

Möglichkeiten und Chancen. Gesundheitsförderung in der stationären Langzeitversorgung

Brause M, Horn A, Büscher A, Schaeffer D. Möglichkeiten und Chancen. Gesundheitsförderung in der stationären Langzeitversorgung. Pflegezeitschrift. 2010;63(1):8-10

Gesundheitsförderung in der stationären Langzeitversorgung - Teil I

Horn A, Brause M, Büscher A, Schaeffer D. Gesundheitsförderung in der stationären Langzeitversorgung - Teil I. Veröffentlichungsreihe des Instituts für Pflegewissenschaft an der Universität Bielefeld. Vol P10-143. Bielefeld: Institut für Pflegewissenschaft an der Universität Bielefeld; 2010

Gesundheits- und Arbeitssituation von Pflegenden in der stationären Langzeit­versorgung

Brause M, Kleina T, Cichocki M, Horn A. Gesundheits- und Arbeitssituation von Pflegenden in der stationären Langzeit­versorgung. Pflege &amp; Gesellschaft. 2013;18(1):19-34