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dc.contributor.advisorBuchcik, Johanna-
dc.contributor.authorIssa, Nagham-
dc.date.accessioned2024-07-09T13:08:20Z-
dc.date.available2024-07-09T13:08:20Z-
dc.date.created2024-03-08-
dc.date.issued2024-07-09-
dc.identifier.urihttps://hdl.handle.net/20.500.12738/16040-
dc.description.abstractBackground: Autoimmune hepatitis (AIH) is a chronic and progressive liver disease leading to inflammation and scarring of the liver. This study investigated the impact of the two health insurance schemes in Germany, public health insurance (PubHI) and pri-vate health insurance (PvtHI), on the liver health of AIH patients and assessed the differ-ence in overall Health-related quality of life (HrQoL) and satisfaction with the healthcare services. Methods: Data of this cross-sectional study was collected for 34 study participants (PubHI=17 and PvtHI=17). Three liver surrogates, AST, ALT, and IgG, were extracted from the R-LIVER registry at two different time points. Additionally, a survey was dis-tributed to collect data on HrQoL and satisfaction with healthcare. Group differences be-tween the two groups in liver health, HrQoL and satisfaction were tested. Results: No significant differences were observed between groups in the laboratory val-ues at baseline or at 1-year. There was a significant difference within groups after 1-year of treatment. Liver inflammation improved in both groups over time, where complete re-mission was achieved in PubHI (5/17) and PvtHI (10/17). There was no difference in the overall QoL between the two groups. However, a difference was found in satisfaction between the two insurance groups. Conclusion: In this pilot study, liver health and HrQoL between groups did not differ. Satisfaction with healthcare services differed between PubHI and PvtHI.en
dc.language.isoenen_US
dc.subjectAutoimmune hepatitisen_US
dc.subjectpublic health insuranceen_US
dc.subjectprivate health insuranceen_US
dc.subjectHrQoLen_US
dc.subjectpatient satisficationen_US
dc.subject.ddc610: Medizinen_US
dc.titlePrivate and public health insurance schemes impacting liver health and shaping experiences for autoimmune hepatitis patients at University Medical Center Hamburg-Eppendorfen
dc.typeThesisen_US
openaire.rightsinfo:eu-repo/semantics/openAccessen_US
thesis.grantor.departmentFakultät Life Sciencesen_US
thesis.grantor.departmentDepartment Gesundheitswissenschaftenen_US
thesis.grantor.universityOrInstitutionHochschule für Angewandte Wissenschaften Hamburgen_US
tuhh.contributor.refereeRamien, Caren-
tuhh.identifier.urnurn:nbn:de:gbv:18302-reposit-189029-
tuhh.oai.showtrueen_US
tuhh.publication.instituteFakultät Life Sciencesen_US
tuhh.publication.instituteDepartment Gesundheitswissenschaftenen_US
tuhh.type.opusMasterarbeit-
dc.type.casraiSupervised Student Publication-
dc.type.dinimasterThesis-
dc.type.drivermasterThesis-
dc.type.statusinfo:eu-repo/semantics/publishedVersionen_US
dc.type.thesismasterThesisen_US
dcterms.DCMITypeText-
tuhh.dnb.statusdomainen_US
item.creatorOrcidIssa, Nagham-
item.grantfulltextopen-
item.fulltextWith Fulltext-
item.creatorGNDIssa, Nagham-
item.openairecristypehttp://purl.org/coar/resource_type/c_46ec-
item.cerifentitytypePublications-
item.advisorGNDBuchcik, Johanna-
item.openairetypeThesis-
item.languageiso639-1en-
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