Abstracts by key term: DMP
When it comes to health matters, patients are anything but used to taking responsibility for themselves and their health. SGB V already emphasizes that they have shared responsibility and a duty to cooperate. However, it assigns the main responsibility to statutory health insurance. In the past, the traditional way of thinking in medicine often led to patients being seen as objects of medicine without their own responsibility (Schmid et al., page 14). In this context, the focus of care on acute, episodic and one-dimensional diseases is specifically mentioned, not least due to ever-increasing specializations (Müller-Mundt and Schaeffer, page 143).
05.10.2012
The disease management programs (DMP) aim to improve medical care for chronically ill patients across the board. The goal of the treatment program is to coordinate patient treatment throughout the entire course of a chronic illness and across the boundaries of individual service providers and to optimize the patient's health based on medical evidence. On the one hand, it is about minimizing the “variance” of treatment by the practitioner (Glaeske 2011) and enabling treatment principles for treatment by the medical profession based on medical evidence. On the other hand, the patient should also be actively involved in the treatment process. In the doctor-patient interaction, treatment goals should be set in terms of lifestyle changes or the achievement of medical values. The treatment steps and the health condition are recorded in a documentation form by the treating doctor. As part of the legal evaluation of the DMP, service expenditure and survey data on health-related quality of life are also collected for a sample of patients. This data is linked and evaluated – in a pseudonymized form – at the individual level.
24.02.2012
In its judgments of June 21, 2011 (ref.: B 1 KR 14/10 R and B 1 KR 21/10 R), the Federal Social Court (BSG) decided for the first time on the approval of structured treatment programs to be granted by the Federal Insurance Office (BVA). There is no legal definition of the term “structured treatment program”, nor is there a legal definition of the term “disease management program”, abbreviated DMP, which is often used by the BSG and has the same content.
24.02.2012
Erfahrungen aus den Vertragsverhandlungen und Schiedsverfahren zur hausarztzentrierten Versorgung Zum 01.01.2009 trat das Gesetz zur Weiterentwicklung der Organisationsstrukturen in der gesetzlichen Krankenversicherung (GKVOrgWG) in Kraft, das unter anderem auch eine Änderung des § 73b SGB V umfasste. Nach dieser Neuregelung wurden alle gesetzlichen Krankenversicherungen verpflichtet, ihren Versicherten bis zum 30. Juni 2009 eine besondere hausärztliche Versorgung […]