Original article
The patient empowerment approach to training chronically ill people aims to help patients gain more autonomy in the care of their illness and improve their self-management skills. Based on this philosophy, the European Health Care Foundation has developed a training and care concept for healthcare professionals and chronically ill people. The core is a training portal for standardized coach training and care for patients with type 2 diabetes. The training concept was tested in a multicenter prospective study in German pharmacies. The Caoches and the patients rated the training material as good or very good, patients were able to manage their illness better through the training and 70% of the diabetes patients improved their HbA1c value by a mean of 0.7%
01.04.2010
A one-year pilot project commissioned by a German company health insurance company determined the medical, psychological and economic effects of telephone-based patient coaching. There was a lasting effect on the participants' quality of life and disease-specific risk factors. The hospitalization rate fell by over 60 % compared to the previous year of care. This resulted in a cost reduction in service expenditure in the inpatient area by 68 %, and the total costs per patient were reduced by 61 %. Through targeted information and motivation, patients are sustainably enabled to better self-manage their illness and to implement a health-promoting lifestyle. Patient coaching is a targeted instrument for achieving greater quality and efficiency in patient care.
01.04.2010
The German and Swiss healthcare systems differ fundamentally from one another, despite their common social security law. In terms of health care policy, Germany could learn in particular from Switzerland's positive experiences in the area of citizens' insurance, and Switzerland could learn from Germany in particular from those in the area of morbidity-oriented risk structure compensation and the partial participation of statutory health insurers in the continued payment of wages.
01.04.2010
Prof. Dr. med. Dipl.-Social Joachim Szecsenyi in the MVF cover interview
01.02.2010
Cost-benefit assessment of platelet aggregation inhibitors:
01.02.2010
He has been a general practitioner since 1983 and knows the concerns and needs of his profession inside out. To make a difference, Ulrich Weigeldt became a medical official: first in the Medical Association, then in the Bremen Medical Association and the German Medical Association, and finally, he even served on the board of the KBV (German Medical Association) for primary care. As such, he brought […]
01.02.2010
Comment from Dr. Axel Munte and Univ.-Prof. Dr. med. Matthias Schrappe
01.02.2010
The Challenge of Dementia – Developing Care Structures for the Future According to Benjamin Gompertz's (1779-1865) law, a person's age increases linearly. However, the probability of developing a chronic illness, becoming dependent on care, or developing dementia increases exponentially over the course of life [Gompertz, 1825]. In our aging society, dealing with [...]
01.02.2010
With the entry into force of Section 73b SGB V as amended by GKV-Org WG, all statutory health insurance companies were obliged to offer their insured persons special family doctor care (family doctor-centered care) by June 30, 2009. The consequence of these contracts is an adjustment of the total remuneration. The effects of an adjustment of the total remuneration on the individual doctor and practice were and are the subject of heated discussions at various levels.
01.02.2010
If we exploit the current potential for savings in healthcare, also in view of the experiences of other countries that spend significantly less money on longer life expectancy, we can delay the inevitable point of later rationing for a long time. However, it is important to send clear signals against the wrong incentive systems, which are essentially fed by sales-intensive, financially lucrative areas. Even though this is an unvalidated estimate, we can go another 10 years or so without rationing.