Gesundheitsversorgung am Outcome ausrichten

Inga Bergen
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Abstract

The German healthcare system is one of the most efficient in the world, with enormous potential for patients and society as a whole. Unfortunately, we are far from (yet) utilising this potential. We spend a lot on our health - but we are not healthier: according to the OECD ranking (1), our healthcare expenditure is the second highest in relation to gross domestic product, just behind the USA. In terms of life expectancy, mortality and self-assessment of health status, however, Germany is mediocre at best. Can we, or rather, do we want to continue to afford this? In view of the recurring discussion about the sustainable financing of statutory health insurance funds and the social and economic impact of illnesses, the question seems rhetorical in nature. The goal must be a healthcare system that guarantees the best possible individual care for all people in this system and that can be financed sustainably. This joint position paper is intended as a basis for discussion. It describes the concept and the added value of value- and outcome-orientated healthcare in the sense of Value Based Healthcare (VBHC) for people, the system and society and identifies areas of action in which political support is particularly necessary.
使医疗保健与成果相一致
德国的医疗系统是世界上最高效的医疗系统之一,为患者和整个社会带来了巨大的潜力。遗憾的是,我们还远远没有利用好这一潜力。我们在健康方面花费巨大,但我们并没有更健康:根据经济合作与发展组织(OECD)的排名(1),与国内生产总值相比,我们的医疗支出位居第二,仅次于美国。然而,在预期寿命、死亡率和自我健康状况评估方面,德国充其量只能算作平庸。我们能否,或者说,我们是否愿意继续承受这种状况?鉴于人们经常讨论法定医疗保险基金的可持续融资问题以及疾病对社会和经济的影响,这个问题似乎具有反问的性质。我们的目标必须是建立一个医疗保健系统,保证该系统中的所有人都能获得尽可能好的个人医疗服务,并且能够持续获得资金。本联合立场文件旨在作为讨论的基础。它描述了以价值和结果为导向的医疗保健的概念和附加值,即以价值为基础的医疗保健(VBHC)对人、系统和社会的意义,并确定了特别需要政治支持的行动领域。
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