[Outpatient care in pulmonology - a scientific analysis and a position paper of the German Society of Respiratory Medicine (DGP)].

IF 1.2 Q4 RESPIRATORY SYSTEM
Pneumologie Pub Date : 2024-05-01 Epub Date: 2024-03-20 DOI:10.1055/a-2279-7787
Kaid Darwiche, Winfried Randerath, Ralf-Harto Hübner, Markus Rathmayer, Melanie Tiefgraber, Volkmar Borass, Anne Piening, Lars Hagmeyer, Juergen Hetzel, Ralf Eberhardt, Wolfgang Gesierich, Markus Unnewehr, Sebastian Boeing, Michael Wilke, Felix Herth, Torsten Bauer
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引用次数: 0

Abstract

Introduction:  The ambulantization of patient care that were previously provided as inpatient service is one of the goals of the current reform in the German healthcare system. In pulmonology, this particularly applies to endoscopic procedures. However, the real costs of endoscopic services, which form the basis for the calculation of a future so called hybrid DRG or in the AOP catalog, are unclear.

Methods:  After selection of use cases including endoscopic procedures which can be performed on an outpatient basis by a committee of experts the appropriate DRGs were identified from the § 21-KHEntgG data for 2022 published by the Institute for the Hospital Remuneration System (InEK). The costs were calculated from the respective InEK cost matrix added by the calculated material costs.

Results:  The use cases suitable for outpatient treatment were systematic endobronchial ultrasound (EBUS) with transbronchial needle aspiration (calculated costs € 2,175.60 without or € 3,315.60 including PET/CT), navigation-assisted bronchoscopy for peripheral lesions (depending on the methodology € 2,870.23 to €4,120.23) and diagnostic (flexible) bronchoscopy (€ 1,121.02).

Conclusion:  Outpatient treatment of endoscopic procedures that were previously performed inpatient is possible and necessary, and the costs calculated in this publication can form a reliable basis for appropriate reimbursement. Together with a structural quality that has been transformed to outpatient service and cross-sector cooperation, continued high-quality care for pneumological patients can be ensured.

[肺科门诊护理--德国呼吸医学会(DGP)的科学分析和立场文件]。
简介德国医疗系统目前的改革目标之一,是将以前作为住院服务提供的病人护理工作救护车化。在肺科,这尤其适用于内窥镜手术。然而,作为未来所谓混合 DRG 或 AOP 目录计算基础的内窥镜服务的实际成本并不明确:方法:由专家委员会对包括可在门诊进行的内窥镜手术在内的使用病例进行筛选后,从医院薪酬系统研究所(InEK)公布的 2022 年§ 21-KHEntgG 数据中确定了相应的 DRGs。成本根据 InEK 的成本矩阵计算,并加上计算得出的材料成本:结果:适合门诊治疗的病例有系统支气管内超声(EBUS)和经支气管针吸术(不含 PET/CT 的计算费用为 2,175.60 欧元,含 PET/CT 的计算费用为 3,315.60 欧元)、针对周边病变的导航辅助支气管镜检查(视方法而定,为 2,870.23 欧元至 4,120.23 欧元)和诊断性(柔性)支气管镜检查(1,121.02 欧元):本出版物计算出的费用可作为适当报销的可靠依据。再加上已转变为门诊服务的结构质量和跨部门合作,可以确保为肺科病人提供持续的高质量医疗服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pneumologie
Pneumologie RESPIRATORY SYSTEM-
CiteScore
1.80
自引率
16.70%
发文量
416
期刊介绍: Organ der Deutschen Gesellschaft für Pneumologie DGP Organ des Deutschen Zentralkomitees zur Bekämpfung der Tuberkulose DZK Organ des Bundesverbandes der Pneumologen BdP Fachärzte für Lungen- und Bronchialheilkunde, Pneumologen und Allergologen
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