Ralf Busse
Dados Biográficos
| ID | 1100461 |
|---|---|
| NOME | Ralf Busse |
| PRENOMES | Ralf |
| SOBRENOME | Busse |
| ASSINATURA | BUSSE R |
| AFILIAÇÕES | Technische Universität Berlin |
| ORCID | 0000-0003-4961-9130 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 43 |
| TOTAL DE CITAÇÕES | 13 |
| TOTAL COMO AUTOR | 43 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1997 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Germany’s 2024 Hospital Transparency Act
BACKGROUND: Germany's 2024 Hospital Transparency Act (Krankenhaustransparenzgesetz) represents a foundational step in a four-pillar hospital reform strategy to enhance hospital planning, optimize financial incentives, and strengthen rescue and emergency care services. The Act responds to longstanding calls for greater transparency in hospital performance and quality, aiming to empower patients and referring doctors with accessible, independent an…
Magnet4Europe Intervention to Improve Clinician and Patient Well-Being
BACKGROUND: Descriptive studies have documented high hospital nurse burnout and turnover but there are few, if any, large-scale evaluations of organizational interventions to improve clinician retention. The Magnet model is an organizational hospital intervention associated with better clinician and patient outcomes but there is insufficient evidence as to whether the Magnet model based on structural empowerment of clinicians results in better ou…
The introduction of maximum reimbursement prices for digital health applications in Germany in 2022
Germany serves as a pioneering example for the integration of digital health applications. Since October 2020, digital health applications that passed a benefit evaluation have been provisionally or permanently included in the benefit basket of the German statutory health insurance. However, free price setting by the manufacturers in the first year after the introduction in the benefit basket led to high prices. After several policy debates, maxi…
Is generalised identity a basis for essence and grounding
This paper examines what role generalised or higher-order identity can and should play in the context of essence and grounding. Emphasising important analogies to ordinary identity, I will speak of quasi-identity. While many philosophers embrace essence and grounding as primitive notions, F. Correia and A. Skiles offer an analysis in terms of identifications linking sentences and open formulas instead of singular terms. Their basic idea is to con…
Conceptualising Essential Oral Health Benefits Baskets
INTRODUCTION: Despite its importance, oral health (OH) is often excluded from comprehensive public health coverage in Europe, resulting in financial hardship and exacerbating OH inequalities. Defining what 'essential' means in OH is a prerequisite for developing a public benefits basket to expand public coverage and financial protection. METHOD: This qualitative study explored the population's and experts' perspectives on 'essential' OH in Europe…
No foundations for metaphysical coherentism
Recently, metaphysical coherentism has been propounded as an alternative to metaphysical foundationalism and infinitism. The view replaces the picture of reality as a hierarchy of levels with that of a network of objects or facts standing in symmetric or, more generally, cyclic relations of metaphysical dependence. This paper defends the orthodox picture of a well-founded hierarchy against the claimed superiority of coherentism. First, it will be…
International strategies, experiences, and payment models to incentivise day surgery
The importance of day surgery as a less costly alternative compared to conventional inpatient hospital stays is growing internationally. The rate of day surgery activities has increased across Europe. However, this trend has been heterogeneous across countries, and might still be below its potential. Since payment systems affect how providers offer care, they represent a policy instrument to further increase the rate of day surgeries. In this pap…
Gender health gap pre- and post-joint arthroplasty
German Register for Clinical Trials, DRKS00019916, 26 November 2019
The state of health in the European Union (EU-27) in 2019
There was a clear trend towards improvement in the overall health status of the EU but with differences between countries. EU health policymakers need to address the burden of diseases, paying specific attention to causes such as mental disorders. There are many opportunities for mutual learning among otherwise similar countries with different patterns of disease
The media's coverage and framing of hospital reforms
The role of consumer choice in out-of-pocket spending on health
Assessing the consumer choice potential of different spending categories is important because extra spending among the better-off may outweigh necessary spending in aggregate expenditure data, and may also hint at potential inequalities in the quality of provided healthcare
A Deductive Solution to the Generalisation Problem for Horwich’s Minimalism about Truth
Minimalism is the view that our concept of truth is constituted by our disposition to accept instances of the truth schema ‘The proposition that p is true if and only if p’. The generalisation problem is the challenge to account for universal generalisations concerning logical truths such as ‘Every proposition of the form 〈if p, then p〉 is true’. This paper argues that such generalisations can be deduced using a single example of the logical trut…
A country-level analysis comparing hospital capacity and utilisation during the first Covid-19 wave across Europe
Lessons learned from the Covid-19 pandemic
Drawing light from the pandemic
Categorial Metaphysics and the Reality of the Inference Problem
Strong accounts of laws of nature have been challenged by an inference problem: how, for example, should it be possible to infer from the fact that a possible regularity has a metaphysically fundamental status called “lawhood” that the regularity in fact obtains? J. Schaffer has argued that such alleged inference problems never threaten assumptions in foundational metaphysics because they have a simple axiomatic solution: simply make it part of t…
Health Literacy of People with Substitutive Private Health Insurance in Germany and Their Assessment of the Health System Performance According to Health Literacy Levels
Health literacy (HL) is a competence to find, understand, appraise, and apply health information and is necessary to maneuver the health system successfully. People with low HL are, e.g., under the risk of poor quality and safety of care. Previous research has shown that low HL is more prevalent among, e.g., people with lower social status, lower educational level, and among the elderly. In Germany, people with substitutive private health insuran…
“Top-Three” health reforms in 31 high-income countries in 2018 and 2019
Asymmetry cannot solve the circularity/regress problem of property structuralism
Strong dispositional monism (SDM), the position that all fundamental physical properties consist in dispositional relations to other properties, is naturally construed as property structuralism. J. Lowe’s circularity/regress objection (CRO) constitutes a serious challenge to SDM that questions the possibility of a purely relational determination of all property essences. The supervenience thesis of A. Bird’s graph-theoretic asymmetry reply to CRO…
Capturing modelled and perceived spatial access to ambulatory health care services in rural and urban areas in Germany
Past, present, and future of global health financing
BACKGROUND: Comprehensive and comparable estimates of health spending in each country are a key input for health policy and planning, and are necessary to support the achievement of national and international health goals. Previous studies have tracked past and projected future health spending until 2040 and shown that, with economic development, countries tend to spend more on health per capita, with a decreasing share of spending from developme…
The Selfie framework for integrated care for multi-morbidity
BACKGROUND: The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implementation, description, and evaluation of integrated care programmes for multi-morbidity. METHODS: A scoping review and expert discussions were used to identify …
Health system responsiveness and chronic disease care - What is the role of disease management programs? An analysis based on cross-sectional survey and administrative claims data
Selfie, a novel Horizon2020 project on integrated care for multi-morbidity
Introduction: SELFIE is a new EU-Horizon2020 funded project, which started on September 1st 2015 and is entitled “Sustainable intEgrated care modeLs for multi-morbidity: delivery, FInancing and performance”. SELFIE stands out from other EU-funded projects on integrated care by adopting a broad health economic approach. SELFIE will perform empirical research of promising integrated care models which specifically target individuals with multi-morbi…
The Adequacy of Resemblance Nominalism about Perfect Naturalness
Resemblance Nominalism About Perfect Naturalness ( RNPN ) is the view that perfect naturalness of classes is best defined by a conceptual primitive of resemblance between particulars. The adequacy of RNPN is defended by (part I) outlining nominalism as the strictly anti‐constitutive view that the particulars’ being the fundamental ways they are is not constituted by anything further, (part II ) supplying a doubly plural contrastive and graded res…
Shaping the Societal Bill
The Adequacy of Resemblance Nominalism about Perfect Naturalness
Resemblance Nominalism About Perfect Naturalness ( RNPN ) is the view that perfect naturalness of classes is best defined by a conceptual primitive of resemblance between particulars. The adequacy of RNPN is defended by (part I) outlining nominalism as the strictly anti‐constitutive view that the particulars’ being the fundamental ways they are is not constituted by anything further, (part II ) supplying a doubly plural contrastive and graded res…
Assessing the responsiveness of chronic disease care - Is the World Health Organization's concept of health system responsiveness applicable
No foundations for metaphysical coherentism
Recently, metaphysical coherentism has been propounded as an alternative to metaphysical foundationalism and infinitism. The view replaces the picture of reality as a hierarchy of levels with that of a network of objects or facts standing in symmetric or, more generally, cyclic relations of metaphysical dependence. This paper defends the orthodox picture of a well-founded hierarchy against the claimed superiority of coherentism. First, it will be…
Asymmetry cannot solve the circularity/regress problem of property structuralism
Strong dispositional monism (SDM), the position that all fundamental physical properties consist in dispositional relations to other properties, is naturally construed as property structuralism. J. Lowe’s circularity/regress objection (CRO) constitutes a serious challenge to SDM that questions the possibility of a purely relational determination of all property essences. The supervenience thesis of A. Bird’s graph-theoretic asymmetry reply to CRO…
Description des paniers de soins dans neuf pays de l'Union européenne
Cet article décrit les paniers et catalogues de soins définis dans neuf États membres de l’Union européenne (Danemark, France, Allemagne, Hongrie, Italie, Pays-Bas, Pologne, Espagne et Angleterre). Bien que tous les pays étudiés disposent d’un panier de soins relativement exhaustif, le degré de précision des catalogues varie d’un pays à l’autre et, au sein d’un même pays, d’un domaine de soins à l’autre. Actuellement, différents catalogues ou sus…
Use of acute hospital beds does not increase as the population ages
Objectives: (1) To compare the number of hospital days used by survivors with those by persons in their last, second last, and third last year of life in relation to age; (2) to analyse lifelong hospital utilisation in relation to life expectancy. Design: Cohort study using a 10% sample (stratified by age and sex) of persons insured by one sickness fund. Setting: Germany, 1989–1995. Subjects: 69 847 survivors (with a minimum of three more years t…
Hospital Outcomes Research in Germany
OBJECTIVES: The authors assess the feasibility of using retrospective, indication-specific patient surveys to conduct hospital outcomes research in Germany. Surgical outcome and patient satisfaction were examined in patients who underwent common elective surgical procedures. METHODS: Using the International Classification of Diseases Ninth Revision coding available in the Schwäbisch Gmünd health insurance data base, all patients for a defined per…
Nurses’ Reports On Hospital Care In Five Countries
The current nursing shortage, high hospital nurse job dissatisfaction, and reports of uneven quality of hospital care are not uniquely American phenomena. This paper presents reports from 43,000 nurses from more than 700 hospitals in the United States, Canada, England, Scotland, and Germany in 1998-1999. Nurses in countries with distinctly different health care systems report similar shortcomings in their work environments and the quality of hosp…
Use of acute hospital beds does not increase as the population ages
Objectives: (1) To compare the number of hospital days used by survivors with those by persons in their last, second last, and third last year of life in relation to age; (2) to analyse lifelong hospital utilisation in relation to life expectancy. Design: Cohort study using a 10% sample (stratified by age and sex) of persons insured by one sickness fund. Setting: Germany, 1989–1995. Subjects: 69 847 survivors (with a minimum of three more years t…
Shaping the Societal Bill
Health Care Reform in Germany
Under the pressure of health care reform in the 1990s, interactions among the state, sickness funds, and providers in Germany are said to have entered a new era. We examine this new era by assessing both long-term developments connected to German statutory health insurance (SHI) and related short-term developments of the 1990s. Highly institutionalized rules and practices provide little opportunity for abandoning the historical path of two primar…
Description des paniers de soins dans neuf pays de l'Union européenne
Cet article décrit les paniers et catalogues de soins définis dans neuf États membres de l’Union européenne (Danemark, France, Allemagne, Hongrie, Italie, Pays-Bas, Pologne, Espagne et Angleterre). Bien que tous les pays étudiés disposent d’un panier de soins relativement exhaustif, le degré de précision des catalogues varie d’un pays à l’autre et, au sein d’un même pays, d’un domaine de soins à l’autre. Actuellement, différents catalogues ou sus…
Identification of health baskets in nine EU countries
This paper provides an overview of the health baskets and benefit catalogues in nine EU member states (Denmark, France, Germany, Hungary, Italy, the Netherlands, Poland, Spain and England. Health baskets can be considered as more or less comprehensive in all studied countries. However, the degree of explicitness of benefit catalogues varies among countries and within the same country among health care sectors. A number of different catalogues and…
Eine reduktionistische Regularitätstheorie klassischer Kraftgesetze
Qualitativität und Ähnlichkeit
The wider determinants of inequalities in health
Models that take a reductionist perspective and do not allow for the possibility that health inequalities are generated by factors over and above their effect on the variation in health channelled through one of the socioeconomic measures are underspecified and may fail to capture the determinants of health inequalities
Patient safety, satisfaction, and quality of hospital care
OBJECTIVE: To determine whether hospitals with a good organisation of care (such as improved nurse staffing and work environments) can affect patient care and nurse workforce stability in European countries. DESIGN: Cross sectional surveys of patients and nurses. SETTING: Nurses were surveyed in general acute care hospitals (488 in 12 European countries; 617 in the United States); patients were surveyed in 210 European hospitals and 430 US hospit…
Nurse staffing and education and hospital mortality in nine European countries
Transcendental Apperception
A core thesis of Kitcher's is that thinking about objects requires awareness of necessary connections between one's object-directed representations ‘as such’ and that this is what Kant means by the transcendental unity of apperception. I argue that Kant's main point is the spontaneity or ‘self-made-ness’ of combination rather than the requirement of reflexive awareness of combination, that Kitcher provides no plausible account of how recognition …
Determining the impacts of hospital cost-sharing on the uninsured near-poor households in Vietnam
Around 45% of hospital AFC was paid by DGS, the larger rest by UF. UF have become a great financial burden on the uninsured near-poor households, who have to pay for these out-of-pocket and therefore may not utilize even necessary services. If the rate of DGS were reduced, this would have the effect of increasing UF, but the savings to Government could be spent on subsidizing insurance to ensure that a larger part of the population can cover UF t…
Economic performance evaluation of integrated care models
Purpose: Transparency of economic performance is a basic prerequisite for a further dissemination of integrated care systems (ICS). However, in practice a valid and precise evaluation is seldom performed and if performance is measured diverse evaluation methods are used. Therefore it is difficult to compare the economic outcomes of different ICS. The aim of this article is to propose a generic model for measuring economic performance of ICS
Assessing the responsiveness of chronic disease care - Is the World Health Organization's concept of health system responsiveness applicable
Measuring the Triple Aim dimension “population health” in integrated care systems (ICS) using claims data – the approach of the German ICS “Gesundes Kinzigtal”
The population based integrated care system (ICS) "Gesundes Kinzigtal" in Germany has committed itself to the Triple Aim concept of the Institute of Healthcare Improvement (IHI). This means pursuing a balance of improving the health of populations, improving the individual experience of care; and reducing the per capita costs of care for populations and monitoring its progress. This study is focusing on the first dimension of the Triple Aim, ment…
Selfie, a novel Horizon2020 project on integrated care for multi-morbidity
Introduction: SELFIE is a new EU-Horizon2020 funded project, which started on September 1st 2015 and is entitled “Sustainable intEgrated care modeLs for multi-morbidity: delivery, FInancing and performance”. SELFIE stands out from other EU-funded projects on integrated care by adopting a broad health economic approach. SELFIE will perform empirical research of promising integrated care models which specifically target individuals with multi-morbi…
The Adequacy of Resemblance Nominalism about Perfect Naturalness
Resemblance Nominalism About Perfect Naturalness ( RNPN ) is the view that perfect naturalness of classes is best defined by a conceptual primitive of resemblance between particulars. The adequacy of RNPN is defended by (part I) outlining nominalism as the strictly anti‐constitutive view that the particulars’ being the fundamental ways they are is not constituted by anything further, (part II ) supplying a doubly plural contrastive and graded res…
Class Nominalism, Wolterstorff's Objection, and Combinatorial Worlds
Wolterstorff's objection (WO) to Class Nominalism says that properties cannot be identical to classes because classes have their members essentially while properties typically do not have their instances essentially. I develop a two-step solution to WO on behalf of actualist nominalism: part one shows that the actualist nominalist can mimic Lewis's reply to WO by identifying abundant properties with classes of ersatz individuals in combinatorial …
Health system responsiveness and chronic disease care - What is the role of disease management programs? An analysis based on cross-sectional survey and administrative claims data
The Selfie framework for integrated care for multi-morbidity
BACKGROUND: The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implementation, description, and evaluation of integrated care programmes for multi-morbidity. METHODS: A scoping review and expert discussions were used to identify …
Past, present, and future of global health financing
BACKGROUND: Comprehensive and comparable estimates of health spending in each country are a key input for health policy and planning, and are necessary to support the achievement of national and international health goals. Previous studies have tracked past and projected future health spending until 2040 and shown that, with economic development, countries tend to spend more on health per capita, with a decreasing share of spending from developme…
Capturing modelled and perceived spatial access to ambulatory health care services in rural and urban areas in Germany
“Top-Three” health reforms in 31 high-income countries in 2018 and 2019
Health care (20 obras) · Medicine (20 obras) · Economics (14 obras) · Economic growth (13 obras) · Political science (13 obras) · Business (11 obras) · Global Health Care Issues (10 obras) · Healthcare Policy and Management (10 obras) · Psychology (10 obras) · Philosophy (8 obras)