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dc.contributor.authorStöhr, Susanna-
dc.contributor.authorBollag, Yvonne-
dc.contributor.authorAuerbach, Holger-
dc.contributor.authorEichler, Klaus-
dc.contributor.authorImhof, Daniel-
dc.contributor.authorFabbro, Thomas-
dc.contributor.authorGyr, Niklaus-
dc.description.abstractBACKGROUND: Considerable criticism has lately been raised by the media regarding the quality of Swiss medical expertises. The present investigation was therefore undertaken to assess the professional quality of Swiss medical expertises. The study was part of a market analysis of medical expertises (MGS study). METHODS: A sample of 97 anonymised expertises randomly chosen from a total of 3165, collected in the MGS study over a period of 3 months, were evaluated by an international board of medical experts and reviewers, using a stepwise developed questionnaire. Each expertise was independently evaluated by two experts. Data were then tested for plausibility (obvious errors and misunderstandings). The main outcome was the overall quality rating of the expertise that was graded from 1 (very poor) to 6 (excellent) in analogy to the Swiss school grading system. For analysis and interpretation the grades were divided into sufficient (grades >= 4) and insufficient (grades <4). RESULTS: Overall 19.6% (95% confidence interval: 13.1%; 28.3%) of the expertises were rated to be of insufficient quality. The quality was inversely related to the number of involved medical disciplines, the time relapsed since injury and positively related to the difficulty of the expertise. In addition, expertises in the French and Italian languages were rated superior to those in German. CONCLUSION: Our results confirm recent criticisms that the professional quality of expertises does not suffice. This is hardly acceptable in face of the financial and personal consequences. There is an obvious need for further research using larger samples and for educational programmes on all levels.de_CH
dc.publisherEMH Schweizerischer Ärzteverlagde_CH
dc.relation.ispartofSwiss medical weeklyde_CH
dc.subjectHealth Services Needs and Demandde_CH
dc.subjectPilot Projectde_CH
dc.subjectProfessional Competencede_CH
dc.subjectSurvey and Questionnairede_CH
dc.subjectQuality Assurancede_CH
dc.subjectDisabilty evaluationde_CH
dc.subjectReproducibility of resultde_CH
dc.subjectLegal liabilityde_CH
dc.subject.ddc362: Gesundheits- und Sozialdienstede_CH
dc.titleQuality assessment of a randomly selected sample of Swiss medical expertises : a pilot studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
Appears in Collections:Publikationen School of Management and Law

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