Ökonomische Aspekte der Hausarztpraxis : Praxismarketing und Qualitätsmanagement in der hausärztlichen Versorgung

摘要

From January to February 2007 170 general practitioners settled in Aachen were interviewed about the topics quality management and marketing. 105 questionnaires were taken into account for the evaluation (quote of return 61.9%). The group consisted of 31 women and 73 men aged between 35 and 67 years. The majority of the interviewees showed a negative attitude towards the topic quality management. 72.8% (n=75) considered that medical quality does not depend on quality management and 54.9% (n=56) did not see any improvement in organising their medical practice. Moreover, 73.1% (n=76) saw no need for quality management in outpatient centres. Only 25.2% of the interviewees (n=26) had a certification in quality management. Additionally, there is a divergent point of view concerning the subject marketing: 64.4% (n=67) rated marketing as reasonable in their medical practice but only 30.1% (n=23) identified a rise in their patients' contentment and 46.6% (n=48) saw the chance to raise their business volume. The majority of 79% (n=83) claimed to offer medical services in their medical practices which were not covered by compulsory health insurances and 44.1% (n=45) planned to expand their offer. Furthermore, 75.2% (n=79) of the general practitioners had additional qualifications and 37.1% (n=39) planned to extend their qualifications. 21.2% (n=22) used the internet in order to offer medical attendance and 25% (n=26) were using an automatic recall-system to remind their patients of immunisations, screenings etc. at the time of the evaluation. In addition, 32.7% (n=34) indicated to own a homepage of their medical practice and 27.6% (n=29) planned to establish one soon. Looking at the subgroups of this sample, one has to acknowledge that there were little significant coherences to the given answers. Only age seems to be important, especially with regard to the topic marketing. Thus, younger general practitioners (up to 50 years) do significant more advertisements (p=0.047) and have significantly more often a homepage for their medical practice (p=0.01). Furthermore, they planned significantly more often to extend their medical services which were not covered by compulsory health insurances (p=0.036), to gain additional qualifications (p=0.001) and to introduce patient surveys (p=0.006).