Abstracts by key term: Success factors
Multi-case study on dealing with gaps in care
02.04.2025
The German healthcare system performs well in international comparisons in terms of quality and efficiency, but comparative studies point to existing potential for optimization (Lauerer et al. 2013: 483–491; Manouguian et al. 2010). Trends such as demographic change, which poses new challenges for regional supply security, require a continuous improvement in the supply structure and quality (Stüve 2009: 51–60; Amelung/Wolf 2011: 1566–1572). In order to do justice to this, politicians are calling for stronger networking and cooperation between service providers in the form of integrated care models (Amelung et al. 2009; Mühlbacher 2002). Various studies view interconnected structural, product and process innovations as necessary in order to significantly increase efficiency and effectiveness (Omachonu/Objection 2010: 1-20; Varkey et al. 2008: 382-388; Ilinca et al. 2012: 193 –202). Innovations, which are defined as the successful implementation of a new idea in a way that increases value for some or all participants, are no longer initiated only by individual actors, but are increasingly developed and disseminated in cooperative networks (Akrich et al. 2002: 187-206 ; Varkey et al. 2008: 382–388). With the aim of improving medical care, EU, federal and state policies promote health innovations at all levels, but 40% of these only exist until the start-up funding runs out (Savaya et al. 2008: 478–493). This volatility of improvement initiatives negatively impacts society's support and trust in future projects (Shediac-Rizkallah/Bone 1998: 87-108). The high use of resources during the new introduction creates a legitimate demand for goal achievement and long-term success and increases the interest of stakeholders in the sustainability factor (Edwards et al. 2007: 37–47).