Abstracts by keywords: economizing
With the Cost Containment Act of 1977 and the reform laws that followed in the years that followed, the legislature attempted to ensure high-quality, needs-based and economically efficient provision of medical services to the population. In order to achieve this goal, various instruments have been developed and used; Above all, it was about making the principle of economic efficiency more valid. However, the aforementioned goal was only partially achieved. The approximately 19 million patients who are admitted to inpatient treatment each year are largely well cared for. On the other hand, it is questionable whether the goal of meeting needs is realized in care practice. The increase in the number of inpatients, the number of procedures and the case mix (CM) in hospitals in Germany that has been observed for years was the reason for the development of several studies with the aim of examining the performance development and its causes to evaluate whether the number of medical services provided corresponds to their actual needs1. The studies were published between 2011 and 2014; They explain the volume developments with, among other things, the demographic development of the population, medical and medical-technical progress as well as the resulting new examination and treatment methods (NUB), the insufficient investment financing by the federal states, and various (false) incentives flat-rate G-DRG fee system and the economic interests of hospitals.