Abstracts by key term: Health system
The development in health care includes the implementation of contracts between different players as one of the main regulating factors. Contracts don't run by themselves; it's not enough to agree on content and sign it. The evaluation must be taken into account and planned as early as when the contract is concluded, and not only after 3 years, but continuously and concomitantly. The appropriate source for the information, as well as the type and amount of information required, depends on the type of contract and the content of the contract. In order to consider selective contracts with doctors or groups, data and evaluations from random samples of relevant size, which also allow regionally valid considerations and extrapolations, are required. Evaluations from billing data are not sufficient here because they do not adequately reflect medical behavior.
23.09.2012
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.
01.02.2010
The idea behind the introduction of individual contractual elements such as drug discount agreements into the statutory health insurance system is to initiate quality and performance competition between the health insurance companies. The necessary basic prerequisite for this competition to function is performance differentiation and the perception of these differences by the consumer. Only then can the insured represent a demand-side corrective for the competitive result through their health insurance choices. The answers to a current population survey by the Allensbach Institute for Demoscopy show that these requirements are not met and that expectations with regard to the quality of the services offered and the quality of care are hardly justified. The prospects of eliminating existing information deficits on the consumer side through targeted communication strategies must be assessed differently for the different supply areas.
01.02.2010
Our healthcare system has a savings potential of at least 20, probably 25 % of its current volume, which consists of unnecessary procedures, interventions and operations, to a lesser extent unnecessary medicines, cures, administrative costs and much more. Rationing will eventually become unavoidable given demographic trends and advances in medicine that are leading to increasingly expensive procedures. However, this point in time can be significantly delayed by exhausting austerity measures.