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Gollner, Erwin
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Official Name
Gollner, Erwin
Main Affiliation
Akademische Titel
Prof. (FH) Mag. Dr., MPH MBA
Email
erwin.gollner@fh-burgenland.at
Scopus Author ID
55959273900
Status
staff
Research Outputs
Now showing 1 - 10 of 83
- PublicationPsychische Belastungserhebung - Einfluss der Unternehmenskultur auf die psychosoziale Gesundheit(2018-10-11)
; Konferenzbeitrag320 1 - PublicationThe burden of disease attributable to physical inactivity in the Austrian region of Burgenland(2013-11-02)
; ; ; ; Objectives Physical inactivity is a significant public health problem, which is unlikely to be solved through classical health promotion approaches alone. Physical inactivity leads to a host of chronic degenerative conditions and premature death. In Europe, more than half of the population is not sufficiently active. The WHO estimates that in Europe, 10% or nearly a million of deaths are associated with inactivity. This represents a loss of 8.3 million disability adjusted life years (DALYs). In the Austrian region of Burgenland about 52.6% or 125,434 people of the population are physical inactive. As a risk factor for several chronic diseases like cardiovascular diseases, type 2 diabetes, osteoporosis, depression, back-pain, hypertension, breast cancer and colorectal carcinoma physical inactivity can potentially be a substantial public health burden. Furthermore, it is one of the greatest risk factors for mortality. Hence, the aim of the analysis was to estimate the direct health-care costs saved, the number of diseases and premature death saved each year attributable to a health promotion program focusing on walking (“3,000 steps” and more).Methods The evaluation of the health-economic impact was performed using a cost-of-illness analysis. We have used relative risk (RR) estimates from the literature to evaluate the effects of physical inactivity on the above mentioned diseases, which are known to be significantly related to physical inactivity. Mortality rates for each condition were derived from local data of Burgenland. Afterwards, the population-attributable fraction (PAF) for each illness to estimate the risk factor on the given disease was computed. The PAF for each disease was calculated as: [P(RR – 1)] / [1 + P(RR – 1)] P = prevalence of physical inactivity in the population RR = relative risk for the disease in an inactive person We have calculated effects of a reduction in inactivity level by 10,000 physical inactive people in Burgenland. Cost calculation Direct medical costs were considered from the health care system perspective. The costs of each disease related to physical inactivity are determined by the yearly resource utilisation associated with each disease. Resource use (e.g. the type and frequency of medical goods and services rendered to the patient) and monetary value (prices, tariffs and/or opportunity costs) for each unit of medical goods and services were used to calculate the total direct costs. Costs were calculated bottom-up for the year 2012. We have calculated effects of a reduction in inactivity level by 10,000 physical inactive people in Burgenland. Results Results show that physical inactivity causes 27,542 cases of illness (15.6%) as well as 50 (10.6%) premature deaths in the population of Burgenland. Reducing the inactive group by 10,000 people, 2,221 cases of illness and cases of death would be reduced by four. Physical inactivity is leading to a total cost of illness of 58.9 million Euro, which represents 6.3% of total health expenditure. If the health promotion program is suitable to change the lifestyle of 10,000 people, cost of illness attributable to physical inactivity could be reduced by 6.40 million Euro each year of which 5.03 million Euro are directly related to diminish physical inactivity. Conclusion Physical inactivity represents an important public health burden in Austria. Even modest reductions in inactivity levels could result in substantial cost savings.154 1 - PublicationHeart health in Oberwart - an evidence-based regional Health Promotion Programm in Rural Austria(Oxford University Press, 2009-11-27)
; ; ; ; Ballmann, I.INn the district of Oberwart, Burgenland, Austria, cardiovas- cular mortality is above the Austrian average. A high pre- valence of several risk factors for cardiovascular disease such as overweight, smoking, lack of physical activity, hypertension and high cholesterol levels is evident. Especially, alcohol and tobacco consumption in young people is alarmingly high. Thus—for the first time in Austria—a 3-year regional, comprehensive, gender and culturally sensitive heart health programme is initiated in the school and community setting aiming at the development of sustainable health promotion structures in order to improve the health status of the population.The programme was designed along the lines of successful regional heart health programmes like the North Karelia Project or more recent initiatives like the Otsego-Schoharie Healthy Heart Program in the USA or the Norsjo bzw. Vasterbotten Intervention Programm (VIP) in Sweden. Empowerment and participation of the local population at risk are the key elements of the programme. Additionally, it is intended to introduce the concept of ‘Health in all Policies’ at the community level. Community readiness will be assessed first and interventions influencing major lifestyle factors like diet, smoking and physical activity will be planned in a participatory way involving the target groups of the project (youth aged 14–18 years and man and women aged 30–60 years). Interventions will include health communication and information as well as group approaches to individual behavioural change and school/community health promotion programmes comprising capacity building. The University of Applied Sciences, Burgenland has the overall responsibility for the programme and project management, whilst the EBM Review Centre of the Medical University Graz will be carrying out the programme evaluation. Joanneum Research is assisting the monitoring and evaluation process. It is anticipated that the control group design will enable knowledge and best practice transfer to other interested regions.114 1 - PublicationEntlastung für MedizinerInnen im Krankenhaus durch medizinische Dokumentationsfachkräfte - eine Bedarfserhebung bei österreichischen Krankenanstaltenrägern(Österreichische Gesellschaft für Public Health (ÖGPH), 2017-05-11)
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