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Papers by Jeannette Winkelhage
René Krempkow, Nathalie Huber und Jeannette Winkelhage stellen in ihrem Überblicksartikel den Sta... more René Krempkow, Nathalie Huber und Jeannette Winkelhage stellen in ihrem Überblicksartikel den Stand der Forschung zum Entscheidungsprozess für oder gegen eine Karriere in der Wissenschaft in Deutschland vor. Sie fokussieren dabei die besonders relevanten ersten Jahre nach der Promotion. Diese Fokussierung erhält neuerliche Relevanz auch durch Studienergebnisse, nach denen ein relativ großer Teil von Promovierenden nicht das Karriereziel Professur bzw. einen Verbleib in der Wissenschaft anstrebt. Sie möchten damit zu Antworten auf die oben aufgeworfene Frage beitragen, wie es gelingen kann, die Besten für die Wissenschaft zu gewinnen bzw. diese in der Wissenschaft zu halten. Der Beitrag liefert damit einen aktuellen fokussierten Überblick über die verfügbaren empirischen Daten und Fakten, die evident sind für die wissenschaftspolitische Diskussion insbesondere um die Notwendigkeit berechenbarer Berufsperspektiven für den wissenschaftlichen Nachwuchs, aber auch für weitere Fragen wie ...
Journal of Public Health, 2014
Health, 2013
Background: The opinion of physicians clearly counts in prioritizing health care, but there is li... more Background: The opinion of physicians clearly counts in prioritizing health care, but there is little information on the rationales underlying treatment decisions and whether these rationales are accepted by patients. Objective: To compare physicians and patients regarding their understanding and use of therapeutic benefit and treatment costs as criteria for prioritizing health care. Methods: Seven physicians and twelve patients were purposefully selected to yield a heterogeneous sample. Participants were interviewed face-to-face, following a semi-structured topic guide comprising three scenarios that focused on interventions with low or unproven therapeutic benefit and high costs, respectively. For data analysis we used qualitative content analysis. Results: We found that patients and physicians differed in their understanding of therapeutic benefit, their expectations of what medicine can do and their use of costs as criteria for prioritizing health care. Physicians were less likely to assess a certain intervention as effective, and they less often accepted upper funding limits in health care. Unlike the physicians, patients raised non-medical aspects in decision making such as the patient's consent and social inequalities. Conclusions: The revealed differences point toward the necessity to strengthen the doctor-patient communication, to improve information for patients about the possibilities and limits of health care and to gain a deeper understanding of their attitudes, wishes and concerns to reach an agreement by physicians and patients on the treatment to be implemented.
Der folgende Beitrag beschreibt die Entwicklung des Kategoriensystems im Rahmen der Inhaltsanalys... more Der folgende Beitrag beschreibt die Entwicklung des Kategoriensystems im Rahmen der Inhaltsanalyse der Stakeholderinterviews für das Teilprojekt A „Kriterien und Präferenzen in der Priorisierung medizinischer Leistungen: Eine empirische Untersuchung “der ...
…, 2010
Priorisierungs-bzw. Posteriorisierungskriterien geltend machen. Einige der Kriterien werden von d... more Priorisierungs-bzw. Posteriorisierungskriterien geltend machen. Einige der Kriterien werden von den Befragten unterschiedlich bis kontrovers gesehen. Die Vielfalt der Priorisierungskriterien und die sich abzeichnenden Kontroversen unterstreichen die ...
Der folgende Text beschreibt die Konstruktion des Instrumentariums für die Datenerhebung in der q... more Der folgende Text beschreibt die Konstruktion des Instrumentariums für die Datenerhebung in der qualitativen Projektphase für das Teilprojekt A „Kriterien und Präferenzen in der Priorisierung medizinischer Leistungen: Eine empirische Untersuchung “, der ...
Das Gesundheitswesen, 2009
International Journal of Environmental Research and Public Health, Jan 16, 2012
In all industrial countries publicly funded health care systems are confronted with budget constr... more In all industrial countries publicly funded health care systems are confronted with budget constraints. Therefore, priority setting in resource allocation seems inevitable. This paper examines whether personal characteristics could be taken into consideration when allocating health services in Germany, and whether attitudes towards prioritizing health care vary among individuals with different levels of education. Using a conjoint analysis approach, hypothetical patients described in terms of 'lifestyle', 'age', 'severity of illness', 'type of illness', 'improvement in health', and 'treatment costs' were constructed, and the importance weights for these personal characteristics were elicited from 120 members of the general public. Participants were selected according to a sampling guide including educational background, age, chronic illness and gender. Results are reported for groups with different levels of education (low, middle, high) only. The findings show that the patients' age is the most important criterion for the allocation of health care resources, followed by 'severity of illness' and 'improvement in health'. Preferences vary among participants with different educational backgrounds, which refer to different attitudes towards distributive justice and might represent different socialization experiences.
PLoS ONE, 2011
Although the German health care system has budget constraints similar to many other countries wor... more Although the German health care system has budget constraints similar to many other countries worldwide, a discussion on prioritization has not gained the attention of the public yet. To probe the acceptance of priority setting in medicine, a quantitative survey representative for the German public (n = 2031) was conducted. Here we focus on the results for age, a highly disputed criterion for prioritizing medical services. This criterion was investigated using different types of questionnaire items, from abstract age-related questions to health care scenarios, and discrete choice settings, all performed within the same sample. Several explanatory variables were included to account for differences in preference; in particular, interviewee's own age but also his or her sex, socioeconomic status, and health status. There is little evidence that the German public accepts age as a criterion to prioritize health care services.
René Krempkow, Nathalie Huber und Jeannette Winkelhage stellen in ihrem Überblicksartikel den Sta... more René Krempkow, Nathalie Huber und Jeannette Winkelhage stellen in ihrem Überblicksartikel den Stand der Forschung zum Entscheidungsprozess für oder gegen eine Karriere in der Wissenschaft in Deutschland vor. Sie fokussieren dabei die besonders relevanten ersten Jahre nach der Promotion. Diese Fokussierung erhält neuerliche Relevanz auch durch Studienergebnisse, nach denen ein relativ großer Teil von Promovierenden nicht das Karriereziel Professur bzw. einen Verbleib in der Wissenschaft anstrebt. Sie möchten damit zu Antworten auf die oben aufgeworfene Frage beitragen, wie es gelingen kann, die Besten für die Wissenschaft zu gewinnen bzw. diese in der Wissenschaft zu halten. Der Beitrag liefert damit einen aktuellen fokussierten Überblick über die verfügbaren empirischen Daten und Fakten, die evident sind für die wissenschaftspolitische Diskussion insbesondere um die Notwendigkeit berechenbarer Berufsperspektiven für den wissenschaftlichen Nachwuchs, aber auch für weitere Fragen wie ...
Journal of Public Health, 2014
Health, 2013
Background: The opinion of physicians clearly counts in prioritizing health care, but there is li... more Background: The opinion of physicians clearly counts in prioritizing health care, but there is little information on the rationales underlying treatment decisions and whether these rationales are accepted by patients. Objective: To compare physicians and patients regarding their understanding and use of therapeutic benefit and treatment costs as criteria for prioritizing health care. Methods: Seven physicians and twelve patients were purposefully selected to yield a heterogeneous sample. Participants were interviewed face-to-face, following a semi-structured topic guide comprising three scenarios that focused on interventions with low or unproven therapeutic benefit and high costs, respectively. For data analysis we used qualitative content analysis. Results: We found that patients and physicians differed in their understanding of therapeutic benefit, their expectations of what medicine can do and their use of costs as criteria for prioritizing health care. Physicians were less likely to assess a certain intervention as effective, and they less often accepted upper funding limits in health care. Unlike the physicians, patients raised non-medical aspects in decision making such as the patient's consent and social inequalities. Conclusions: The revealed differences point toward the necessity to strengthen the doctor-patient communication, to improve information for patients about the possibilities and limits of health care and to gain a deeper understanding of their attitudes, wishes and concerns to reach an agreement by physicians and patients on the treatment to be implemented.
Der folgende Beitrag beschreibt die Entwicklung des Kategoriensystems im Rahmen der Inhaltsanalys... more Der folgende Beitrag beschreibt die Entwicklung des Kategoriensystems im Rahmen der Inhaltsanalyse der Stakeholderinterviews für das Teilprojekt A „Kriterien und Präferenzen in der Priorisierung medizinischer Leistungen: Eine empirische Untersuchung “der ...
…, 2010
Priorisierungs-bzw. Posteriorisierungskriterien geltend machen. Einige der Kriterien werden von d... more Priorisierungs-bzw. Posteriorisierungskriterien geltend machen. Einige der Kriterien werden von den Befragten unterschiedlich bis kontrovers gesehen. Die Vielfalt der Priorisierungskriterien und die sich abzeichnenden Kontroversen unterstreichen die ...
Der folgende Text beschreibt die Konstruktion des Instrumentariums für die Datenerhebung in der q... more Der folgende Text beschreibt die Konstruktion des Instrumentariums für die Datenerhebung in der qualitativen Projektphase für das Teilprojekt A „Kriterien und Präferenzen in der Priorisierung medizinischer Leistungen: Eine empirische Untersuchung “, der ...
Das Gesundheitswesen, 2009
International Journal of Environmental Research and Public Health, Jan 16, 2012
In all industrial countries publicly funded health care systems are confronted with budget constr... more In all industrial countries publicly funded health care systems are confronted with budget constraints. Therefore, priority setting in resource allocation seems inevitable. This paper examines whether personal characteristics could be taken into consideration when allocating health services in Germany, and whether attitudes towards prioritizing health care vary among individuals with different levels of education. Using a conjoint analysis approach, hypothetical patients described in terms of 'lifestyle', 'age', 'severity of illness', 'type of illness', 'improvement in health', and 'treatment costs' were constructed, and the importance weights for these personal characteristics were elicited from 120 members of the general public. Participants were selected according to a sampling guide including educational background, age, chronic illness and gender. Results are reported for groups with different levels of education (low, middle, high) only. The findings show that the patients' age is the most important criterion for the allocation of health care resources, followed by 'severity of illness' and 'improvement in health'. Preferences vary among participants with different educational backgrounds, which refer to different attitudes towards distributive justice and might represent different socialization experiences.
PLoS ONE, 2011
Although the German health care system has budget constraints similar to many other countries wor... more Although the German health care system has budget constraints similar to many other countries worldwide, a discussion on prioritization has not gained the attention of the public yet. To probe the acceptance of priority setting in medicine, a quantitative survey representative for the German public (n = 2031) was conducted. Here we focus on the results for age, a highly disputed criterion for prioritizing medical services. This criterion was investigated using different types of questionnaire items, from abstract age-related questions to health care scenarios, and discrete choice settings, all performed within the same sample. Several explanatory variables were included to account for differences in preference; in particular, interviewee's own age but also his or her sex, socioeconomic status, and health status. There is little evidence that the German public accepts age as a criterion to prioritize health care services.