Original article
In the past, we in Germany only talked about over- and under-provision, but today the German healthcare system is threatened by a new phenomenon: under-provision. Missing specialist appointments, hospital closures, drug supply bottlenecks – and costs are rising rapidly. The statement by the "Autorengruppe Gesundheit" therefore aims to place this new issue at the center of public discussion. Raising awareness of under-provision seems all the more important given the considerable reluctance to address this topic in professional and scientific circles. While a few years ago the focus was on patient orientation and patient-reported outcomes, today, entirely in the vein of paternalistic concepts, the talk is about patient management and optimization. The paper is divided into seven sections: clarification of terms, the concept of under-provision based on the Expert Council's concept of needs, a systematic approach to the forms of under-provision with particular emphasis on access, and then a concrete presentation in five selected thematic areas.
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Multi-case study on dealing with gaps in care
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Communication between medicine, health sciences, health economics and law
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