>> At the beginning of the event, Prof. Dr. Leonie Sundmacher, LMU Munich, summarized the most important recommendations of the report. Determinants of the need for care should be taken into account according to a nationwide, uniform methodology, so that patients with comparable morbidity are assigned a comparable need for care regardless of where they live, said Sundmacher. Taking into account age, gender groups and morbidity operationalized as disease groups and multimorbidity, a total of over 1,000 models were calculated in the report in order to align demand planning more precisely with the care needs of the patients.
Dr. Irmgard Stippler, chairwoman of the board of AOK Bayern, reflected on the report's recommendations against the background of good access for all insured people. The population living in rural regions should not be neglected in the reform of demand planning and, in the long term, a cross-sector perspective is important, said Stippler. In his presentation, Stephan Spring, Managing Director of KV Bayern, highlighted the importance and commitment of resident doctors in ensuring access to care throughout Germany. MDg. Gabriele Hörl, Head of the Health, Health Policy and Health Insurance Department at the Bavarian State Ministry of Health and Care, emphasized the importance of regional differences in care structures. A structured discussion of the results of on-site requirements planning is important, says Hörl.
The following part of the event was dedicated to deepening the key recommendations of the report. Dr. Laura Schang, LMU Munich, presented the development of standards for accessibility and waiting times. These should be integrated into systematic care monitoring with care goals in order to ensure a nationwide comparable assessment of regional care situations. Prof. Dr. Leonie Sundmacher then explained the procedure for estimating the supply requirements. Significant changes in the need for care per inhabitant, for example as society ages and in connection with the long-term increase or decrease in certain illnesses, should be taken into account in the ratios.
Danny Wende, Wig2 GmbH, outlined reform proposals for better recording of co-provision. This should be recorded based on a gravity model as potential care within overlapping service areas by doctors with reasonable accessibility, says Wende.
PD Dr. then discussed Neeltje van den Berg, University Medical Center Greifswald, models for ensuring care, especially in rural areas. The involvement of non-medical practice assistants to support and relieve the burden on the family doctor, the tendering of performance-related care contracts when undersupply is identified and the mutual compensation of groups of doctors could support regionally coordinated solutions. <<

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The presentation slides for the event can be downloaded at https://www.hsm.bwl.uni-muenchen.de/veranstaltungen/symposium2/index.html.