title: [Patient-centredness and Quality of Care in Germany in International Comparison - Results of a Telephone Survey of Patients in 11 Countries].
abstract: OBJECTIVE
  The study was conducted to compare the results of the perceived quality of care in 11 industrialised countries from a patient perspective. This paper reports the German results and puts them in an international perspective.
  
  
  METHODS
  In a nationwide poll a random sample of high utilising patients was surveyed between March and June 2011. 59,984 random phone numbers were generated for this purpose. Topics were access and coordination of care, patient safety and patient-centredness. RESULTS were weighted according to age, sex, education, place of birth of parents, income and size of dwelling place and further sociodemographic variables.
  
  
  RESULTS
  1,200 patients of 2,048 contacted patients fulfilled the enrollment criteria. Approximately one third felt that overall the health-care system works well while 22% said that the system needs to be completely rebuild. Regarding access to care 22% reported financial barriers while 59% reported to be able to get an appointment the same or next day to see a doctor. With respect to patient safety patients reported increased numbers of nosocomial infections compared to 2005. Patient satisfaction with general practitioners (GPs) is exceptionally high in -Germany.
  
  
  CONCLUSIONS
  Compared to 10 other industrialised nations the picture is heterogeneous. In some areas Germany ranks among the top (satisfaction with GPs) while approximately every fifth surveyed patient feels the system needs to be rebuilt completely. It remains a matter of debate whether this rating regarding the reform needs of the system applies to the financing and structures of the system or the quality of care.
authors.affiliation: Institut für Gesundheitsökonomie, Uniklinik Köln, Köln.
authors.forename: S
authors.initials: S
authors.lastname: Stock
authors.affiliation: Integrierte Gesundheitsversorgung, BQS Institut für Qualität und Patientensicherheit, Düsseldorf.
authors.forename: D
authors.initials: D
authors.lastname: Hertle
authors.affiliation: Integrierte Gesundheitsversorgung, BQS Institut für Qualität und Patientensicherheit, Düsseldorf.
authors.forename: C
authors.initials: C
authors.lastname: Veit
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control; D004522:Educational Status; D004651:Employment / Q000706:statistics & numerical data; D058005:General Practitioners; D005858:Germany / Q000453:epidemiology; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D038622:Internationality; D008875:Middle Aged; D061214:Patient Safety / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D018802:Patient-Centered Care / Q000706:statistics & numerical data*; D015995:Prevalence; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D012111:Residence Characteristics; D017678:Sex Distribution; D012923:Social Class; D014600:Utilization Review; D055815:Young Adult