title: [Evaluation and Utilization - Quality Management in a Paediatric University Outpatient Department].
abstract: BACKGROUND
  Based on an increasing number of outpatient treatments, an extensive demand planning is necessary to ensure the quality of medical care. University outpatient clinics are special parts of this sector and therefore it is necessary that a research demonstrates the nearly uninvestigated position of a paediatric outpatient clinic.
  
  
  METHODS
  The research at the university hospital for children and adolescents in Leipzig started in 2009 to survey 2283 of in total 9391 patients and the physicians.
  
  
  METHODS
  Sociodemographic data as well as economic and medical facts were determined by using questionnaires. In each case a questionnaire was answered by the children or their accompanying persons and a separate one was completed by the respective doctor.
  
  
  RESULTS
  The results created a foundation, on the basis of patient volume per day and per daytime. Less than 20% of the children admitted to consult the clinic for their first time. The majority of patients visit them because of a letter of referral. Most of the patients (58%) were younger than 6 years old. Approximately 35% of patients did not come from the city region of Leipzig.
  
  
  CONCLUSIONS
  The investigation evidenced the necessity of a day and night operating institution for children in the region of Leipzig as well as the high specialisation of the outpatient clinic. In need of further investigation is the cooperation between several physicians to find out if this lots of medical examination are necessary or if there took place overlapping.
authors.affiliation: Hospital for Children and Adolescents, Centre of Pediatric Research, University of Leipzig.
authors.forename: M
authors.initials: M
authors.lastname: Meier
authors.affiliation: Hospital for Children and Adolescents, Centre of Pediatric Research, University of Leipzig.
authors.forename: J
authors.initials: J
authors.lastname: Brell
authors.affiliation: Hospital for Children and Adolescents, Centre of Pediatric Research, University of Leipzig.
authors.forename: L
authors.initials: L
authors.lastname: Grieger
authors.affiliation: University Hospital Leipzig, Department of Psychic Health, Division for Medical Psychology and Medical Sociology, Leipzig, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Schmutzer
authors.affiliation: Hospital for Children and Adolescents, Centre of Pediatric Research, University of Leipzig.
authors.forename: V
authors.initials: V
authors.lastname: Schuster
authors.affiliation: Hospital for Children and Adolescents, Centre of Pediatric Research, University of Leipzig.
authors.forename: T M
authors.initials: TM
authors.lastname: Kapellen
authors.affiliation: Hospital for Children and Adolescents, Centre of Pediatric Research, University of Leipzig.
authors.forename: W
authors.initials: W
authors.lastname: Kiess
mesh_terms: D000293:Adolescent; D039602:After-Hours Care / Q000592:standards / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D003258:Consumer Behavior; D005858:Germany; D006302:Health Services Research; D006785:Hospitals, University / Q000592:standards* / Q000706:statistics & numerical data*; D006801:Humans; D010044:Outpatient Clinics, Hospital / Q000592:standards* / Q000706:statistics & numerical data*; D010372:Pediatrics / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000592:standards / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000592:standards / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000592:standards* / Q000706:statistics & numerical data*; D014600:Utilization Review / Q000706:statistics & numerical data