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Original article

The tension between politics and patient orientation

The health policy spokesman for the CDU/CSU parliamentary group, Jens Spahn, presented 14 proposals for reforming medical care in Germany in December last year. The paper is based on a closed meeting of the CDU's Health Working Group in March 2010 in Gronau, Westphalia, and on a paper by the CSU led by Johannes Singhammer and Max Straubinger. This opened the discussion about the key points of the government coalition for the GKV Care Act (GKV-VG).

23.09.2012
“Mutual understanding is a prerequisite for health services research”

Seit knapp eineinhalb Jahren, genauer seit dem 29. Oktober 2009, ist die 1966 in Tübingen geborenene CDU-Politikerin Annette Widmann-Mauz parlamentarische Staatssekretärin beim Bundesminister für Gesundheit. Davor war sie - seit 2002 - gesundheitspolitische Sprecherin ihrer Fraktion sowie seit 2005 auch Vorsitzende der Arbeitsgruppe Gesundheit der CDU/CSU-Bundestagsfraktion.

23.09.2012
Decrease in length of stay and increase in the case mix index: indicators of a shift in performance?

With the reform of the statutory health insurance provider's remuneration of the GKV WSG in 2007, the legislature decided that the total remuneration of the statutory health insurance associations, after standardization of the price component, would be determined primarily by the change in the necessary treatment requirements. To determine the necessary amount of services, the number and risk structure of insured persons residing in the area of responsibility of an association of statutory health insurance physicians as well as the shift in services between inpatient and statutory health care should be taken into account. Their determination - relevant to remuneration - proved to be a complex undertaking given the conflicting interests and the lack of an internationally established methodology. Fundamental methodological questions are still discussed in the evaluation committee; Only when these have been resolved can the money follow the performance. This results in the health economic importance of this research area, which has so far been little developed. This article aims to stimulate further methodological discussion using a simple projection.

23.09.2012
Influence of socioeconomic factors on insulin prescription and duration of pen training

According to the latest figures from the International Diabetes Federation (IDF), Germany is the country with the highest diabetes prevalence in Europe. 12% 20 to 79 year olds are affected, a total of around 7.5 million people. In Germany, around 90% are type 2 diabetics, while around 5-10% are type 1 diabetics. Patients are cared for by 50,000 to 60,000 general practitioners nationwide (approx. one doctor per 1,500 inhabitants), around 1,100 specialist practices with diabetologists and around 350 special clinics. The aim of treating patients with diabetes is to prevent complications such as macroangiopathy (coronary heart disease, stroke, arterial occlusive disease), microangiopathy (eye and kidney damage), neuropathy or diabetic foot syndrome and to maintain the quality of life of those affected. In addition to lifestyle adjustments or medication measures, structured patient training is essential for successful diabetes treatment. Although there are still serious deficits in patient training despite disease management programs (DMP), patient training in Germany can be of a high standard compared to other countries.

23.09.2012
“It’s difficult to always want to turn the big wheel.”

Seit Juli 2007 ist Dr. Doris Pfeiffer Vorsitzende des Vorstandes des GKV-Spitzenverbands, kurz oft SpiBu genannt. Sie ist durchaus zum einen als verbandserfahren zu bezeichnen, nach dem sie bereits ab 2003 den Verband der Angestellten-Krankenkassen geleitet hatte, zum anderen aber mit einem Lehrauftrag im Bereich Public Health (an der Fachhochschule Oldenburg, Wilhelmshaven/Emden) auch als wissenschaftlich orientiert.

23.09.2012
Adherence from Maori land

Atlantis Healthcare zählt zu den weltweit führenden Anbietern von Programmen zur Patientenunterstützung. Seit dem Ende des letzten Jahres ist das Unternehmen aus Neuseeland auch auf dem deutschen Markt präsent. Die Programme des Anbieters sind evidenzbasiert und zeichnen sich durch einen gesundheitspsychologischen Ansatz aus, bei dem Patienten als einzelne Personen betrachtet werden. Ziel der Programme ist es, die Patienten individuell und lebensbejahend bei der Therapie zu begleiten und dadurch nachhaltig die Therapietreue zu verbessern. Von den Programmen profitieren alle Seiten: Einerseits wird die Wirksamkeit der Behandlungen gesteigert und andererseits werden die Kosten im Gesundheitswesen gesenkt. „Monitor Versorgungsforschung“ sprach mit dem CEO von Atlantis Healthcare, Michael Whittaker, über Compliance in Deutschland, Patientenverantwortung und darüber, was das deutsche Gesundheitssystem von dem neuseeländischen lernen kann.

23.09.2012
Large differences in HIV/AIDS between the federal states

AIDS therapy has evolved significantly in recent years. In addition to health education and prevention campaigns, drug treatment options in particular have led to a decline in deaths. Thanks to new drugs being approved almost every year, the quality of life of AIDS patients has also improved significantly. The significant regional differences in morbidity and prescription prevalence within Germany are noteworthy.

23.09.2012
People at the center of GKV?

Cost-cutting pressures and new care structures in the statutory health insurance system are posing a risk to customer relationships. Instead of being at the center of all efforts to protect the valuable asset of health, the patient is being sidelined. Fundamental human values such as time and empathy, as well as transparent treatment paths and the respectful consideration of patient wishes, are increasingly neglected. This is the conclusion of the current study by Terra Consulting Partners (TCP), Berlin, for which a total of 2,052 statutory health insurance policyholders were surveyed representatively in spring 2011. The study confirms the need to re-examine existing statutory health insurance management concepts in order to place people's needs more strongly at the center of action. One result is the further development of the HealthCare Relationship Management concept into the "People-Centered Principle" (MiM) as an option for comprehensive and holistic care management.

23.09.2012
Contra: Pflegekammern – wozu?

Comment from Gerd Dielmann, Head of Professional Policy in the Health, Social Services, Welfare and Churches Department at ver.di

23.09.2012
Pro: Care chambers: If not now, then when?

Kommentar von Rolf Höfert, Geschäftsführer des Deutschen Pflegeverbands und Mitglied im Deutschen Pflegerat e.V.

23.09.2012

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