Influence of the density of gastroenterologists and the county type on the health care of patients with inflammatory bowel diseases
The two main idiopathic inflammatory bowel diseases (IBD) are ulcerative colitis (UC) and Crohn's disease (CD). These diseases are very relevant from a health services research perspective. Features of an optimal health care of IBD-patients were defined in the course of the development of evidence-based and consented IBD-pathways. However, there is a lack of studies, which map the actual health care situation. Especially cross-sectional, longitudinal and cross-regional studies are missing, whereas the consideration of regional structures seems to be important due to the high scientific and political importance of nearby health care. The empirical evidence for the connection between regional structures and the health care of patients is insufficient. Hence, the main research question is: Does the density of gastroenterologists and the county type have an influence on the health care of patients with inflammatory bowel diseases (IBD) and on the application of the consented IBD-pathways? Claims data of a large sickness fund are used to evaluate the application of aspects of the IBD-pathways.
Funded by Deutsche Forschungsgemeinschaft (DFG)
Dr. Jan Zeidler