Abstracts by keywords: medical devices
Postpartum hemorrhage (PPH), defined as blood loss ≥500 ml within 24 hours of birth, is one of the most common causes of maternal mortality worldwide. In Germany, PPH occurred in 7.8% of the 693,000 births in 2023. In addition to medical therapy and uterine (balloon) tamponade, a vacuum-induced uterine compression (VUC) procedure has been available since 2024, enabling rapid hemostasis. Innovations such as VUC and the associated costs are initially not reflected in the DRG flat-rate fees in the inpatient sector, which is why additional fees are necessary for refinancing. At the same time, the product costs can be offset by resource-saving effects (including shorter lengths of stay, reduction in surgical procedures). To demonstrate these effects and evaluate them in monetary terms, a model was conducted: A resource saving in the DRG system leads to a downgrade of the DRG. Thus, a one-level reduction in the most common DRG results in a cost reduction of €983.24. The recent establishment of a specific procedure code for VUT will enable real-world analyses based on billing data in the future, as well as the long-term adjustment of case rates.
04.08.2025
The concept of needs-based justice follows the idea of a balanced distribution of goods and services within a society according to objective criteria. Needs-based health care means that - viewed objectively - all citizens receive the care services that are necessary for them from a qualitative and quantitative perspective. Aspects such as effectiveness, quality and cost-effectiveness of and equal access to care services are of particular importance. Where needs are not met, under-supply, over-supply and incorrect supply can result. In its current 2014 report on needs-based care, the Council of Experts examines the question of how the requirement of needs-based care can be further developed in individual service areas. The focus is on current performance and future development opportunities in the supply of pharmaceuticals, the supply of medical devices and medical rehabilitation. The availability of evidence-based knowledge bases is seen as an essential prerequisite for targeted control measures in all three areas.