RWD represent the everyday conditions of health care delivery. Every contact between patient and physician, patient and hospital etc. generates RWD along the patient’s pathway, giving longitudinal and cross-sectoral information about the utilisation of health care services and of the individual health care costs depending on where and how a patient is treated. SHIC routine data cover nearly 90% of the German population, based on the regulations and the reimbursement procedures of the SHI-System. RWD are economic data (costs, spending) and do not include clinical or medical information or degrees of severity. The sometimes limited quality restricts analytics and makes plausibility checks necessary. Social data have the highest rank in data protection, the use is strictly regulated and limited by the social code book (SGB). Despite all the challenges and limitations RWD are widely used for SHIC internal, regulatory and scientific purposes.
Since 2010 Dr. Detlev Parow is Head of the Department Care Management Development at DAK-Gesundheit in Hamburg. From 2002 to 2009, he worked for Hamburg Münchener, initially leading the Medical Competence Center, later the Department of Care Management. From 1999 to 2002, he was responsible for the medical advisory service of ProCOMED/4sigma GmbH in Hamburg and Oberhaching near Munich. After completing his medical studies in Hamburg in 1981, he worked until 1999 as an anesthesiologist in various hospitals in Hamburg. From 1982 to 1983 he worked in Liberia and Burkina Faso as a scientific researcher for the Institute for Tropical Diseases, Hamburg. Dr. Parow is a freelance lecturer at the University of Hamburg.