Evidence map›Paper›PMID 39177688›Full record

ArticleResearch in health services & regions2023

Differences in healthcare structures, processes and outcomes of neighbouring European countries: the example of Germany and the Netherlands.

Lars Schwettmann, Axel Hamprecht, Gesine H Seeber, Stefan Pichler, Andreas Voss, Lena Ansmann, Falk Hoffmann

Abstract read
In one paragraph

Article in Research in health services & regions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lars SchwettmannDivision Health Economics, Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, 26111, Germany. lars.schwettmann@uni-oldenburg.de.ORCID http://orcid.org/0000-0003-0935-6989
Axel HamprechtCross-Border Institute of Healthcare Systems and Prevention (CBI), University of Oldenburg, Oldenburg, Germany.
Gesine H SeeberUniversity Hospital for Orthopaedics and Trauma Surgery Pius-Hospital, Medical Campus University of Oldenburg, Oldenburg, Germany.ORCID http://orcid.org/0000-0003-3343-9151
Stefan PichlerCross-Border Institute of Healthcare Systems and Prevention (CBI), University of Groningen, Groningen, Netherlands.
Andreas VossCross-Border Institute of Healthcare Systems and Prevention (CBI), University of Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0002-0689-3773
Lena AnsmannDepartment of Health Services Research, School of Medicine and Health Sciences, Division Organisational Health Services Research, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.
Falk HoffmannDivision Outpatient Care and Pharmacoepidemiology, Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.

Funding

Niedersächsische Ministerium für Wissenschaft und Kultur ZN3730
6 · The paper itself

Abstract

Although healthcare systems across Europe face rather similar challenges, their organization varies widely. Even neighbouring countries substantially differ with respect to healthcare structures, processes, and resulting outcomes. Focusing on Germany and the Netherlands as examples of such neighbouring countries, this paper will first identify and discuss similarities and major differences between both systems on the macro-level of healthcare. It further argues that it is often unknown how these differences trickle down to individual healthcare organizations, providers, patients or citizens, i.e., to the meso- and micro-level of healthcare. Hence, in a second step, potential implications of macro-level differences are described by considering the examples of total hip arthroplasty, antibiotic prescription practices and resistance, and nursing home care in Germany and the Netherlands. The paper concludes with an outlook on how these differences can be studied using the example of the project "Comparison of healthcare structures, processes and outcomes in the Northern German and Dutch cross-border region" (CHARE-GD). It further discusses potential prospects and challenges of corresponding cross-national research.

Indexed as

Cross-borderDelivery of health careGermanyHealth systemsNetherlands

Identifiers

PMID39177688
PMCPMC11281766

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.