title: [Are complaints an element for health-care monitoring? Analysis of the user statistics of the federal commissioner for patient issues between 2004 and 2007].
abstract: BACKGROUND
  The inclusion of patient perceptions in the assessment of health-care quality has gained in importance in recent years. The main instruments applied for this purpose are different types of patient interviews. Complaint data have rarely been used thus far.
  
  
  METHODS
  On the basis of 19 117 complaints and inquiries to the office of the federal government commissioner for patient issues, this article examines to what extent this data source can be systematically used in health-care research and describes which groups of persons addressed their concerns to the commissioner for patient issues between the years 2004 and 2007. In this context, an investigation is done to determine whether reported or reconstructed data on sociodemographic characteristics are sufficient for analysis. A comparison with population-wide data also indicates to what extent the results can be considered representative for the concerns of patients or insurants in Germany. The letters and inquiries were subjected to a quantitative content analysis.
  
  
  RESULTS
  The terms "gender", "region" and "insurance status" can be consistently encoded in a high percentage of those who make complaints and inquiries. The items "age" and "employment status" can be reconstructed to a lesser degree. However, a structural comparison of "responders" and "non-responders" shows that the results from the sample with these characteristics can be generalised for all concerns addressed. Data on the education and migration background were insufficient for analysis. Compared to the general population, a disproportionately high number of older and/or retired people (EM/EU pension) as well as unemployed persons and persons from Berlin and the new federal states contact the commissioner for patient issues. However, changes over time show a successive approach to population-wide distributions.
  
  
  CONCLUSIONS
  The results recommend this unique data source for continuous coverage. The data documentation should thus be further standardised and integrated into a complaint management system that includes all relevant complaint offices in Germany.
authors.affiliation: Institut für Medizinische Soziologie, Charité-Universitätsmedizin Berlin. liane.schenk@charite.de
authors.forename: L
authors.initials: L
authors.lastname: Schenk
authors.forename: S
authors.initials: S
authors.lastname: Schnitzer
authors.forename: H
authors.initials: H
authors.lastname: Adolph
authors.forename: J
authors.initials: J
authors.lastname: Holzhausen
authors.forename: E
authors.initials: E
authors.lastname: Matheis
authors.forename: A
authors.initials: A
authors.lastname: Kuhlmey
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D019985:Benchmarking / Q000379:methods* / Q000706:statistics & numerical data*; D003627:Data Interpretation, Statistical; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D055815:Young Adult