Abstracts by keywords: costs
Aufgrund der demografischen Entwicklung werden Demenz-erkrankungen in ihrer Häufigkeit zunehmen (Nationale Demenzstrategie, BMFSFJ und BMG (2020)). Die häufigste Ursache einer Demenz im Alter ist die Alzheimer-Krankheit (Scheltens et al. 2021). In den letzten 20 Jahren wurde unter anderem durch die Entwicklung aussagekräftiger Biomarker im Liquor und in der Positronenemissionstomografie (PET) eine Frühdiagnostik der Alzheimer-Krankheit bereits im Stadium der leichten kognitiven Störung (Mild Cognitive Impairment, MCI) möglich (Dubois et al. 2024). Die diagnostischen Möglichkeiten werden in naher Zukunft durch blutbasierte Biomarker erweitert, die die biologische Frühdiagnostik der Erkrankung ergänzen, vereinfachen und in Teilen konventionelle Biomarker ersetzen können (Hansson et al. 2023). Auf klinisch-symptomatischer Ebene bleibt die Herausforderung, das frühe Syndrom des MCI in der Versorgungspraxis zu erkennen und zugehörige Biomarkerbefunde korrekt zu interpretieren. Gedächtnisambulanzen, die zunächst an Universitätskliniken in den 1980er- und 1990er-Jahren entwickelt wurden und inzwischen auch an Versorgungskrankenhäusern angesiedelt sind, sowie wenige spezialisierte nervenärztliche Praxen sind die Kompetenzzentren für die klinische Früh- und Differenzialdiagnostik, die Anwendung von Biomarkern sowie die Beratung und Therapie der Patienten1 (Hausner et al. 2021).
01.12.2025
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
Cataracts, also commonly known as cataracts, are one of the most common reasons for surgical intervention in Germany. Consequently, the surgical methods and materials used are also of great importance. Based on a retrospective routine data analysis, the WIG2 Institute examined the health economic consequences of different lens materials in the surgical treatment of cataracts. The comparison of hydrophobic and hydrophilic acrylate lenses shows which implants have a lower risk of complications.
31.03.2016
With the entry into force of Section 73b SGB V as amended by GKV-Org WG, all statutory health insurance companies were obliged to offer their insured persons special family doctor care (family doctor-centered care) by June 30, 2009. The consequence of these contracts is an adjustment of the total remuneration. The effects of an adjustment of the total remuneration on the individual doctor and practice were and are the subject of heated discussions at various levels.