Abstracts by key term: Supply structures
Das deutsche Gesundheitssystem steht vor erheblichen finanziellen und strukturellen Herausforderungen, zu denen nichtübertragbare chronische Erkrankungen – insbesondere Typ-2-Diabetes mellitus (T2DM) – maßgeblich beitragen. Aktuell leben in Deutschland etwa 9,3 Mio. (diagnostizierte) Menschen mit T2DM, zusätzlich ist von etwa 2 Mio. bislang unentdeckten Fällen auszugehen. Die jährliche Inzidenz beträgt rund 450.000 Neuerkrankungen. T2DM macht 95% aller […]
05.10.2026
For many years, experts have been warning that the historically created sector boundaries and the associated false incentives with breaks in care and incorrect care in the German healthcare system should be addressed and eliminated (SVR 2012; SVR 2018; Nagel et al. 2017). The care areas of the medical care centers (MVZ) implemented in the Fifth Social Code (SGB V) according to § 95, the day hospital treatment according to § 115, the pre- and post-inpatient treatment according to § 115a, outpatient surgery according to § 115b, the authorization according to § 116 , outpatient treatment at the hospital (ABK) according to § 116b old version, the university outpatient clinic according to § 117, the social psychiatric outpatient clinics according to § 120, the affiliated doctor system according to § 121, the disease management programs according to § 137f, the previously integrated and now special Care in accordance with Section 140a SGB V, to name just a few, have neither eliminated the parallel care structures nor reduced sector boundaries nor equalized the differences between urban and rural areas (Dengler et al. 2018; Jacobs 2019; Wolf 2020).
03.10.2023
Like many others - especially Western countries - the demographic age structure of the Federal Republic of Germany will change significantly in the next few years. According to the Federal Statistical Office (2006: 23), the number of people aged 65 to under 80 will increase from 12 million in 2005 to 13 million in 2050. At the same time, the number of older and very old people in society will also increase of people in need of care. This means that the question of supply requirements and needs is increasingly coming to the fore. Particular attention must be paid to the care of people with dementia (PwD), since dementia-related diseases are among the most serious and numerically most common diseases in old age and the prevalence of dementia-related diseases increases significantly with increasing age (Weyerer 2005: 7). It is currently estimated that there will be more than two million people with dementia in Germany by the year 2050 (Ziegler/Doblhammer 2009; German Alzheimer Society 2008; Bickel 2001; Bickel 2000). According to a press release from the Federal Statistical Office, the medical costs for dementia in Germany in 2008 were estimated at 9.4 billion euros. “In the case of dementia and depression alone, the costs increased during this period [from 2002 to 2008] by a total of 3.5 billion euros or 32 billion euros. Overall, medical costs have increased by 35.5 billion euros since 2002 (+ 16 %) and amounted to 254.3 billion euros in 2008.” (Federal Statistical Office 2010).