Abstracts by keywords: accessibility
The empirically based simulation model proposed here, which equally considers accessibility, patient preference, and capacity, offers, against the backdrop of the state's duty of care and the obligation to use resources economically, a scientific way of relating the importance of care to the need for hospital locations per service group. The simulation model is intended to support hospital planning (here: the allocation of service groups) by the federal states and to create guidelines for rational planning. It is also suitable for the management of financial resources within the framework of hospital reform. It enables impact analysis and does not intend to automate or otherwise impose rigid specifications. The calculations are to be viewed as examples. The weightings of all parameters are variable. However, the accessibility limits and the parameterization of the simulation model should be determined jointly by the federal and state governments in the spirit of a common target vision.
03.06.2024
As part of the Bertelsmann Foundation's “Reorganization of Hospital Care” project, a target image was developed for the German hospital landscape in 2030, which is primarily based on higher quality requirements without resulting in poorer accessibility. The starting point of the Bertelsmann Foundation's “Reorganization of the Hospital Landscape” project is the assessment, shared by numerous healthcare experts, that the hospital sector in Germany is still characterized by overcapacity, a particularly large number of small hospitals, as well as insufficient concentration and specialization, which lead to deficits in the quality of treatment , an above-average frequency of acquisition of patients via the emergency room as well as the treatment of patients without the need for inpatient treatment (so-called “outpatient-sensitive conditions”), loss of efficiency and sometimes ruinous competition.