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Persons who survived the respective year had to be insured for at least days in order to cover the entire time at risk for seeking medical attention. Persons who moved abroad or who switched to a private insurance plan in the year of analysis are not included. However, at this age range, the number of people switching to private health insurance is negligible.
According to these criteria, we arrived at a cohort size of about To account for false positive diagnoses of the true occurrence of dementia, we developed a validation procedure. Diagnoses of persons who died stem from the calendar year before death, as diagnoses for these persons were not available in the year of death.
The information about prevalence is provided in two forms: first, age-specific prevalences are presented in the online version of the NeuroDiseaseMonitor; and, second, the prevalences can be downloaded together with the underlying nominator cases and denominator number of persons. Here, the number of years of remaining life expectancy at a given age with and without the disease is given, as is the proportion of healthy years out of the total number of years of remaining life expectancy health ratio. These claims data do, however, have some important limitations.
Unlike for population-based epidemiologic and clinical research, there is no connection to the research question at the time of data collection. There are no clinical data on, for example, the severity of the disease; and the validity of diagnoses is not fully given. Furthermore, routine data are subject to legal changes and to international changes in the data-handling procedures of the health insurers.
Therefore, an internal validation of the diagnoses is required. At present, there are no options for validating claims data externally, except for comparing the estimated prevalence and incidence with results from other national and international studies.
The following figures compare prevalence and incidence rates based on claims data from health insurers with results from international studies. The aim of the workshop was to discuss the use of registry and health insurance data for the purposes of dementia monitoring.
The workshop brought together experts who have either established a national dementia registry, or are working with registry or health data in the area of dementia and cognitive functioning. The following aspects were discussed:. The DZNE aims at strengthening the interdisciplinary scientific exchange between clinical and population-based epidemiological research. In the course of the Symposium "Neurodegenerative Diseases: New Insights from Registries, Cohorts and Health Care Data", internationally renowned scientists presented their latest research results by using registers, population-based cohort studies, as well as administrative data of health care insurances.
The symposium took place in Bonn on April , The aim of the workshop was to discuss the possibilities and limits of the use of health claims data and electronic medical records in dementia research. A particular focus was on the potential of big data and digital data for advancing dementia research. Researchers from a wide range of scientific disciplines presented and discussed following aspects:.
Program Abstracts. Home Forschung Forschungsbereiche Populationsforschung. What is the NeuroDiseaseMonitor? Why Monitoring Neurodegenerative Diseases? That is important in many aspects and different subgroups of the population will benefit directly and indirectly of the monitoring: Researchers will have access to reliable data, which they can use to provide better estimates, to promote research to risk factors and to identify differences among demographic characteristics.
Study participants The cohorts upon which the calculations are based denominator consist of the German population from the respective years , , , , or aged 65 and above who live in their community or in nursing homes.
Table of Contents
Limitations These claims data do, however, have some important limitations. Figure 1: Comparison of the prevalence of dementia from different studies. S Henn 8 1 Acute Delusions and Neuromodulation. Conclusions and Outlook. Central Issues in Psychiatric Epidemiology The Domains. Psychiatry in Developing Countries Psychiatric Problems Related to Natural.
Psychiatric Problems Related to Torture Psychiatry in Custody and in Prisons Psychiatry and the Homeless An Introduction 3. Population Genetics. New Approaches and Findings in the Molecular Genetics. Novel Types of Inheritance. Fundamental Cellular Principles of Psychological Disturbances.
MacArthur Foundation Research Network on Law and Neuroscience
Psychiatric Neurophysiology Neuroanatomical and Neuropathological Basis. The Schizophrenias. Affective Illnesses.
Functional Imaging. Brain Imaging in Psychiatry Psychology and Its Relevance. Neuropsychology and the Central Executive. Behavioural Psychology Economic Evaluation of Mental Health Care Environmental Aspects of Psychiatry. Ethology and the Use of Animal Models. Basic Science of Psychiatry. The History of Psychiatric Concepts.
- Erwartungen an die psychiatrisch genetische Forschung.
- Getting Over Garrett Delaney;
The History of Psychiatric Concepts 1. Development of the Concept of Mental Disease The Twentieth Century Psychiatric Classification Examination of the Psychiatric Patient Standardised Measurement Instruments in Psychiatry Assessing the Quality of Life in Mental Illness Prevention of Psychiatric Disorders Principles and Desiderata. Quality Assurance in Psychiatry Psychiatric Disorders in Primary Care Three myths are deconstructed: 1 that medical atrocities were imposed from above by Nazi politicians on apolitical physicians, 2 that mass sterilization and patient killing had nothing to do with contemporary state of the art of medical reasoning and practice and 3 that ethically unacceptable research on psychiatric patients had nothing to do with the contemporary state of the art of biomedical sciences.
It is argued that the findings on these issues of Nazi medicine are not specific to Germany and the period between and but they were the extreme manifestations of some potential problems implicit in modern medicine in general.
Institut für Medizinische Ethik und Geschichte der Medizin
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