Der wirtschaftliche Druck auf Arzte nimmt standig zu. Fehlentscheidungen in der Arztpraxis kosten nicht nur Gewinn, sondern gefahrden die Selbstandigkeit.

Dieses Praxis-Buch hilft Ihnen

- die Erfolgsfaktoren Ihrer Arztpraxis zu steuern
- wirtschaftliches Handeln konkret anzuwenden
- fit in Fachausdrucken zu werden
- Gesprachskompetenz bei Steuerberatern, Anwalten, Banken und Behorden zu erlangen
- Ihren Erfolg zu planen

Steigern Sie Ihren Praxis-Erfolg in wenigen Schritten Konzentrieren Sie sich auf die wirklich wichtigen Massnahmen. Senken Sie Kosten und Steuern Mit zahlreichen Checklisten."

Planung, Gestaltung und Steuerung von Behandlungsleistungen im Krankenhaus

Mit der Einfuhrung des G-DRG-Systems gilt fur die strategische und operative Planung und Gestaltung von Krankenhausleistungen: Der Einzelfall und nicht der tagesgleiche Pflegesatz, der Behandlungsprozess und nicht das Bett sind die neuen Planungskategorien.

Erfahren Sie in diesem Buch nachvollziehbar, was Leistungsmanagement bieten muss:

- Erkennen von Marktpotenzialen und Einflussfaktoren

- Behandlungsstufen - und Prozessgestaltung,

- Definition von Ergebnisqualitatszielen

- Sicherstellung und Messung der Ergebnisqualitat.

Das G-DRG System sowie der Katalog der ambulanten Operationen und stationsersetzenden Massnahmen fuhren zu kurzfristigen Kapazitatsanpassungen und Organisationsveranderungen im Leistungsgeschehen der Krankenhauser.

Dieses Buch zeigt Ihnen erstmals Schritt fur Schritt wie Sie vorgehen mussen, um ihr Leistungsgeschehen optimal zu planen, zu gestalten und zu steuern, um im Wettbewerb um Patienten erfolgreich zu sein."

Studying for licensure examinations is like eating a twelve course meal: if you try and do it in five minutes, it will make you sick. As you prepare, pace yourself, don't memorize but review, and, most importantly, a few days before the examina tion, try and get some rest. I don't think I've ever heard of a soul who looked forward to this examination, and I can assure you no one has ever walked out saying "What a wonderful experi ence." Think of this ordeal as a rite of passage and try to remember that most of you will make it through. I'd like to thank Dr. Ron Krug for his continued support and guidance, not only in the preparation of this text, but through the years. Additional thanks to Dr. Rita Claudet for continued suggestions and editing of this text. Good luck in your studies and remember what Winston Churchill said, "Never, never, never, give up " Jeffrey G. Hirsch, M.D."

In the mid-1980s the "European Journal of Biochemistry" set out to publish review articles. The enterprise proved successful, resulting in high-level reviews written by well-known scientists appearing in the "Journal." The reviews represent emerging and rapidly growing fields of research in fundamental as well as applied areas of biochemistry, such as medicine, biotechnology, agriculture and nutrition. Novel methodological and technological approaches which stimulate biochemical research are also included. The authors of the reviews are explicitly asked to be critical, selective, evaluative and interdisciplinary oriented. The reviews should encourage young scientists to think independently and creatively, and inform active investigators about the state of the art in a given field.

Dear Young Doctor, You are nearing the end of your formalized test-taking after so many years of education. We want to help you pass your boards and these books were written for that end. This review of internal medicine is not an exhaustive treatise, but serves as an example of learning points considered important throughout the years. You will run into the same patients on this examination, the internal medi cine specialty boards, and the medicine sub-specialty boards should you choose to take them. Our US healthcare delivery system is undergoing major transformation, which has become frenetic since the first edition of this series was published three years ago. This creates anxiety in physicians and physicians-to-be, as we are unsure of the very foundations which have supported medicine as we knew it. The chal lenge is to carryon the duties of our noble profession while adapting to and helping to shape the marketplace. Medical information is too expansive to be mastered by the individual alone, and we must learn to rely on automated inform atics systems to access current data. Yet with all the changes, traditions of medical education are remembered, honored, and still practiced. You will see evidence of this history contained herein."

Step by Step to Proficiency in Diagnostic Ultrasound This workbook is divided into lessons that guide you—like an instructor in an ultrasound course—systematically through the individual organ systems and body regions. Key features of the fourth edition: Special multiple-exposure photos demonstrate the dynamics of handling the transducer Triplet-image units vividly illustrate transducer positioning, the ultrasound image, and relevant anatomy Reference numbers on the accompanying diagrams help you to both actively develop your knowledge and to test it at any time. The legend located on the back cover flap is the key to the reference numbers that are used consistently in each diagram. Quiz images at the end of each chapter are the perfect tool for rigorous self-evaluation Physical fundamentals are presented in vibrant, illustrative diagrams Numerous practical tips and tricks make it easy to familiarize yourself with ultrasound A primer on ultrasound interpretation explains specialized terminology concisely and clearly Precise descriptions of algorithms for transducer positioning facilitate real-time examinations Videos (online access) showing relevant ultrasound anatomy, optimal transducer positioning, and the images you will see on the monitor during examination let you experience the content live—a perfect complement to the book that will greatly improve your retention of the material. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Ein vertieftes pathophysiologisches Verstandnis der respiratorischen Insuffizienz und die technischen Entwicklungen der letzten Jahre haben die Beatmung, uber die reine Substitution bei Atmungsausfall durch zentrale oder periphere Atemlahmung hinaus, zu einer Therapie der respiratorischen Insuffizienz und pulmonaler Erkrankungen werden lassen. Es gibt heute ein breites Indikationsspektrum fur vielerlei Beatmungsverfahren, die von einfachen Atemhilfen bis hin zu komplexen, computergesteuerten Beatmungsmustern und zur Lungenersatztherapie reichen. Dieses Buch enthalt neben den pathophysiologischen Grundlagen eine systematische Darstellung der Verfahren und Gerate und gibt Anasthesisten und Intensivmedizinern wertvolle Hinweise fur indikationsgerechte Entscheidungen.

This book focuses on the aerosol treatment of lung diseases, recent improvements in the understanding of proper dosage, and major innovations in device technology applied to clinical practice. Examines the behavior of inspired spherical particles in the respiratory tract! Featuring over 1300 references, drawings, tables, photographs, and micrographs, Drug Delivery to the Lung outlines the history of inhaled medications in the treatment of respiratory disease describes aspects of respiratory structure to inhalation therapy emphasizing developmental changes compares existing in vitro/in vivo correlations for key aerosol modalities with lung model predictions discusses particle diameter measurement, particle size statistics, and aerosol test methods reviews the clinical effects of altering the deposition site of various classes of aerosolized drugs surveys the development of novel, efficient, and convenient nebulizer systems details breath-actuated and spacer devices constructed for children analyzes dry-powder and pressurized metered dose inhalers considers the transition from CFCs to new environmentally friendly chemical propellants and more! Giving the clinician an overview of factors essential to understanding drug delivery via nebulization, Drug Delivery to the Lung is a superlative reference for pulmonologists; physiologists; pharmaceutical scientists; immunologists; allergists; analytical, organic, and medicinal chemists and biochemists; chemical, genetic, and process engineers; and medical and graduate school students in these disciplines.

As the profound contribution of mental illness to disability, morbidity, and mortality has gained acceptance, mental health has grown into a global priority. One in five experience mental illness in their lifetime, and those who suffer are coming forward in unprecedented numbers. As more people seek care for themselves and others, providers are increasingly unable to meet the demand through existing systems and mental health care approaches. In Managing Uncertainty in Mental Health Care, Drs. Patricia Rockman and Jose Silveira critically examine core assumptions informing the primary approaches currently used to assess mental illness in clinical settings, with an emphasis on clinician certainty. They illustrate how current diagnostic frameworks obscure clinician uncertainty while encouraging overconfidence and go on to consider potential strategies for lessening the impact of inevitable errors. Ultimately, this book makes a case for acknowledging the fallibility of clinical judgment, independent of competence and experience, and the need to modify approaches to mental health care so that they align with the irreducible uncertainty of the domain. By exploring emerging transdiagnostic approaches to mental health care in terms of their alignment with irreducible uncertainty, Rockman and Silveira make space for error and offer clinicians a novel way to advance the fundamental aim of mental health care: to reduce the harm and suffering of all.

Will the present high work pace and the strong time pressure continue to exist in the coming 20 years? In the year 2010 will there be even more employees working under their level of education and suffering from health problems due to stress at work than is the case at the moment? Will the physical workload of employees be reduced to a minimum over the next 20 years as a result of further application of ergonomic principles? Will the health risks due to working with chemicals increase or decrease? And will sickness absenteeism and work disability have increased, as a result of these kinds of developments, around the year 2010 or will they have been mostly brought under control? These and similar questions are dealt with in this book about the quality of the work, health and wellbeing of employees in the year 2010, carried out by the TNO Institute of Preventive Health Care (NIPG/TNO) in Leiden, assisted by the Scenario Committee. Using trend analysis the researchers demonstrate that many aspects of working life have improved in the Netherlands in the last 15 years. Needless to say, not the past but the exploration of the future of the quality of working life takes a central place in this book. Finally the top 20 measures are presented, aimed at halving the rate of sickness absenteeism and work disability in the Netherlands, suggested by the panel of 88 Dutch experts.

This updated edition of Painless Evidence-Based Medicine presents basic concepts and application of research statistics in simple and practical manner creating an introductory approach to the complex and technical subject of evidence-based medicine from experienced teachers. * A simplified introductory approach to the complex and technical subject of evidence-based medicine from experienced teachers * Approaches learning from the vantage point of clinical questions on therapy, diagnosis, prognosis or harm rather than the framework of study designs * Provides tables and boxed case studies throughout highlighting key topics, or difficult issues, in an easy to read manner * Emphasizes applicability of EBM, encouraging readers to dissect the evidence and how results can be applied to individual patients with different circumstances, varying values and preferences * New to the Second Edition are chapters on health screening, clinical practice guidelines, and major updates incorporating recommended trial criteria

Recent technological innovations - influenced primarily by the development of more sophisticated, faster and cheaper computer systems - permitted also the evolution of more affordable systems for Patient Data Management, so called PDM-Systems. The experience of the authors, on one of the first PDMS installation sites in Europe, shows that the purchase of such a system is not an easy task, since accurate data are not available in a comparable format. Therefore the first part of the book is devoted to a comparison of already installed, commercially distributed bedside based PDMS with regard to their specifications, functions and performance. The methods included a questionnaire with detailed questions for the vendors to answer and a "table of functions" comparing the most important functions which should be included in a PDMS. With that list the different systems (which were all in clinical use) were checked for the availability and the way of use of these functions. To evaluate variations in the systems performance an "information retrieval test" was designed and executed. In the second part the different vendors, whose systems were included in the study, were to describe the systems from their viewpoints. The third part contains papers describing the users' experiences. The fourth and last part shows how to use PDMS-data for scientific and therapeutic purposes including two papers on clinical expert systems. Thus, this book provides valuable information for clinicians and hospital managers who have to decide on the purchase of a Patient Data Management System.

General Medical Semiology Guide, Part Two is the second volume in a two volume set that provides a comprehensive understanding of medical semiology. Highly illustrated with many original images from the author's daily medical practice, the book highlights all signs of diseases and important semiological maneuvers. Each chapter contains a specific questionnaire of important questions that should be asked of patients in different situations to obtain valuable information that will assist in both medical thinking and in the formulation of diagnoses. Part Two covers topics on how to examine primary and secondary skin lesions, hair changes, nails, lymph nodes, breasts, and more.

E.MARTIN Acute pain services are now established worldwide and guidelines have been drawn for the management of acute pain resulting from surgical or medical procedures and trauma. However, the treatment of pain after surgery is still inadequate and no progress has been made in recent years in several coun tries, including Germany. There are still innumerable patients who find the is also no early postoperative period to be an unpleasant experience. There doubt that pain plays a role in the pathogenesis of postoperative complica tions that could be avoided with effective pain management. However, concern about side effects and inadequate knowledge of the pharmacokinet ics and -dynamics of drugs is still putting constraints on treatment. An acute pain service should be responsible for adequately treating pain, training medical and nursing staff, and evaluating new and existing methods of treatment. As anesthesiologists deal with pain in the operating theater, it is not surprising that they claim a leading role for themselves in acute pain services choosing from the various postoperative pain treatment options."

General Medical Semiology Guide, Part One is the first part of a two volume set that provides a comprehensive understanding of medical semiology. Highly illustrated with many original images from the author's daily medical practice, the book highlights all signs of diseases and important semiological maneuvers. Each chapter contains a specific questionnaire of important questions that should be asked of patients in different situations to obtain valuable information that will assist in both medical thinking and in the formulation of diagnoses. This volume covers the face, eyes, thyroid gland, skin, mucoses, and more.

Drei erfahrene Experten formulieren hier ein klar verstandliches Gesamt-Konzept fur das Unternehmen Arztpraxis. Dabei betonen sie die Wechselwirkungen und das sinnvolle Zusammenspiel aller Aspekte, die einen langfristigen Erfolg ermoglichen und begrunden: Betriebswirtschaft, Kooperationsformen, Steuer-, Vertragsarzt-, Arbeits- und Haftungsrecht, Marketing, Mitarbeiterfuhrung, Praxisorganisation und Altersvorsorge. So ist zum Beispiel die enge Verbindung von Praxis- und Privatbereich von existenzieller Bedeutung fur niedergelassene Arzte. Einsteiger wie Arzte, die bereits in eigener Praxis tatig sind, werden hier optimal informiert. "

The Yearbook compiles the most recent, widespread developments of experimental and clinical research and practice in one comprehensive reference book. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.

" ... well-structured with good "bullet" points, diagrams, and quality coloured pictures making it most easy to read. Overall, I considered this little gem a worthwhile possession for all trainees" - Postgraduate Medicine Journal First published in 2002, this popular handbook focuses on the practical application of clinical skills aimed specifically at medical students and doctors in training. This much-anticipated second edition remains readable, concise and pocket-sized, while being extensively updated to reflect the latest learning requirements. Existing chapters, including an overview of the general examination followed by chapters on examination specific to each body system, child health and mental health, are supplemented by the general practice consultation and a new chapter that brings the specialist clinical methods of previous chapters together and considers their application within and abbreviated timescale. Key features: * New edition of well-established and highly respected handbook focused on the needs of medical students and junior doctors * Reflects the expansion of the traditional skills of history taking and clinical examination, whilst ensuring complete familiarity with and understanding of the 'basics' * Places the patient at the centre of care recognising that good, compassionate communication with patients and their relatives contributes to satisfactory clinical outcomes * Video clips provide additional, illustrative guidance to good procedural practice - visit https://www.crcpress.com/cw/kopelman The second edition of this classic handbook continues to provide brief, readable chapters on important skills, enhanced by supplementary videos to demonstrate how they can be mastered and how they may be applied.

Closely geared to general practice yet without neglecting basic theory, this book has retained so much appeal among readers .as to warrant a third edition. We assume that the work has retained its place among the leading publications on psychosomatics because it embodies our strong interest in the 'here and now' of medical practice. The timing of this thoroughly revised and enlarged edition appears opportune as psychosomatic basic care and the medicine of dialogue acquire more meaning in daily routine practice, and as the need for basic information increases. We conceive psychosomatics to be an integral part of medicine. When we speak of 'psychosomatic disorders' in this book, our premise is that somatic and psychosocial aspects play an important role in their pathogenesis and course. This notion constitutes the very basis of what is understood as psychosomatic medical treatment. Such a point of departure calls for a consistent spirit of cooperation with regard to the problems involved. This alone satisfies the initial requirement of simultaneously considering both the somatic and psychosocial aspects of health and illness.