Abstracts by keywords: DRG
With the introduction of the Swiss per-case flat rate system (SwissDRG) in 2012 to contain costs in the healthcare system, a paradigm shift in the billing of healthcare services took place - away from cost recovery towards service financing. In order to cushion the negative effects of the introduction, the legislature included various measures in the Federal Health Insurance Act (KVG). One of these protective measures was acute and transitional care (AÜP). However, the intended benefits of AÜP were not achieved for various reasons. Therefore, the “At Home Instead of Home” project sought to develop a business development model as a possible solution.
02.08.2023
With the Hospital Structure Act (KHSG)1, politicians are once again focusing on the hospital sector for a comprehensive reform, six years after the Hospital Financing Reform Act (KHRG)2. As similar as the two acronyms are, the focus of many of the measures in these laws is different. While the KHRG specifically focused on financing under the framework conditions of a DRG per-case flat-rate system with many new degrees of freedom for hospitals that was being fully applied for the first time, the KHSG's measures point in the right direction under the impression of a considerable number of false incentives that have arisen as a result structural specifications and planning bonds. The deregulation of the KHRG is followed by a regulatory approach again
31.03.2015
In Germany, around 430,000 people develop cancer every year (RKI 2010), and the incidence of cancer is constantly increasing. Improved treatment options lead to a reduction in mortality. At the same time, chronic courses of the disease are increasing. For many people, it is now possible to live longer with their cancer. Psycho-oncology as a clinical and scientific discipline has been concerned with the psychological reaction patterns to cancer and psychological comorbidities of tumor patients for many years. The prevalence of psychological disorders and stress is estimated at around 25 to 30 % in these patients (Mehnert et al. 2006, Zabora et al. 2001, Härter et al. 2001, Reich 2008, Massie 2004, CMP 2007). In the studies, anxiety disorders were found in 1 to 49 %, depressive disorders in 0 to 58%, adjustment disorders in 2 to 52 % and post-traumatic stress disorders in 0 to 35 % of cases (Mehnert et al. 2006). Pain, distress, emotional strain of grief, helplessness and hopelessness as well as impairments in health-related and general quality of life are other common side effects of cancer (Mehnert et al. 2009, Weidner et al. 2006, Stock et al. 2006, Härtl et al . 2011, Stremmel et al. 2010).
02.10.2012
With the reform of the statutory health insurance provider's remuneration of the GKV WSG in 2007, the legislature decided that the total remuneration of the statutory health insurance associations, after standardization of the price component, would be determined primarily by the change in the necessary treatment requirements. To determine the necessary amount of services, the number and risk structure of insured persons residing in the area of responsibility of an association of statutory health insurance physicians as well as the shift in services between inpatient and statutory health care should be taken into account. Their determination - relevant to remuneration - proved to be a complex undertaking given the conflicting interests and the lack of an internationally established methodology. Fundamental methodological questions are still discussed in the evaluation committee; Only when these have been resolved can the money follow the performance. This results in the health economic importance of this research area, which has so far been little developed. This article aims to stimulate further methodological discussion using a simple projection.