Archive:
The German healthcare system is in a “financial crisis”. The expenditure on services is constantly increasing due to demographic change and the possibilities of medical progress. At the same time, the number of contributors is decreasing. Politicians have been trying to address the existing financing gap for years through “cost containment laws”. The introduction of competitive elements is a starting point for solving the existing problem.
23.09.2012
The German healthcare system is a powerful and adaptive system in which discount and direct contracts are currently one of the most important competitive options for a health insurance company in order to improve the quality and cost-effectiveness of care and to create transparency with the help of accompanying scientific studies. Ultimately, supply management as a sensible concept can only be decided through competition and not through government guidelines and regulation.
23.09.2012
TITEL-INTERVIEW: Univ.-Prof. Dr. med. Matthias Schrappe, Direktor des Instituts für Patientensicherheit der Rheinischen Friedrich-Wilhelms-Universität Bonn und Tagungspräsident des 9. Deutschen Kongresses für Versorgungsforschung: „Safety ist auf dem Weg in die Evidenz.“
23.09.2012
Health and health care is and will increasingly be characterized by direct contracts. This is particularly true if the service providers use direct contracts with the additional instruments made available to them in order to overcome the sector boundary. From the patient's perspective, it may be a great advantage that the same doctors carry out the pre- and post-hospital treatment as well as the in-patient treatment themselves. Quality improvements and the development of efficiency reserves can also result for service providers in the healthcare system. The approach of improving the statutory health insurance system and consolidating it financially through competition and breaking through traditional structures appears promising.
23.09.2012
The development in health care includes the implementation of contracts between different players as one of the main regulating factors. Contracts don't run by themselves; it's not enough to agree on content and sign it. The evaluation must be taken into account and planned as early as when the contract is concluded, and not only after 3 years, but continuously and concomitantly. The appropriate source for the information, as well as the type and amount of information required, depends on the type of contract and the content of the contract. In order to consider selective contracts with doctors or groups, data and evaluations from random samples of relevant size, which also allow regionally valid considerations and extrapolations, are required. Evaluations from billing data are not sufficient here because they do not adequately reflect medical behavior.
23.09.2012
On the effectiveness and efficiency of me-too lists. An exemplary study using intranasal steroids. For the treatment of acute or chronic sinusitis, corticosteroid-containing nasal sprays are known to be an effective and safe first-line therapeutic agent when used once daily [Bousquet et al. 2001: 108; Herman 2007: 21; Nielsen et al. 2001: 61; Weiner et al. 1998: 317]. […]
23.09.2012
The article understands the healthcare system in general and the statutory health insurance system in particular as a complex adaptive system. After an explanation of the essential properties of complex adaptive systems (dynamics, feedback, self-organization, nonlinearity and path dependence), empirical examples from the field of statutory health insurance explain this understanding
23.09.2012
This study examined the costs of a combination therapy of exenatide (EXE) and an oral antidiabetic drug (OAD) versus basal-supported oral therapy (BOT) with insulin glargine (GLA) in antihyperglycemic treatment in type 2 diabetics in Germany based on healthcare data . A historical cohort study was conducted using the representative IMS® Disease Analyzer database. Type 2 diabetics who started BOT with GLA or combination therapy with EXE and OAD between 1/2007 and 12/2008 were included.
23.09.2012
Überwindung von „Schnittstellenproblemen“ in der medizinischen Rehabilitation Ein Pilotprojekt zur Optimierung der Zusammenarbeit von Reha-Kostenträgern, Reha-Einrichtungen und ambulanter Versorgung* Der Wunsch nach stärkerer Verzahnung von rehabilitativen Maßnahmen mit der ambulanten Versorgung ist nicht neu. Eine politische Umsetzung einer integrierten Rehabilitation wurde durch das SGB IX in Angriff genommen. Die praktische Umsetzung hingegen verläuft schleppend bzw. […]
23.09.2012
Titelinterview mit Wolfgang Zöller, dem Patientenbeauftragten der Bundesregierung - erschienen in Ausgabe 05/2010