{"title":"„Zaske: ‚Öffnungsklausel für regelhafte Regionalplanung‛“","authors":"P. Stegmaier","doi":"10.24945/mvf.03.24.1866-0533.2626","DOIUrl":"https://doi.org/10.24945/mvf.03.24.1866-0533.2626","url":null,"abstract":"In seinem Report beschreibt MVF-Chrefredakteur Peter Stegmaier die Gemeinsamkeiten des Innovationsfondsprojekts „ProReVers” und der „Versorgungsbedarfsanalyse Brandenburg“. Beide haben durchaus Bahnbrechendes vor.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"69 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141110327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostik der Meta-bolischen Dysfunktion- assoziierten Steato- hepatitis (MASH)","authors":"H. Bleß, Ines Witte","doi":"10.24945/mvf.03.24.1866-0533.2612","DOIUrl":"https://doi.org/10.24945/mvf.03.24.1866-0533.2612","url":null,"abstract":"This 2nd part of the review on the diagnosis and care of patients with of patients with metabolically associated steatohepatitis (MASH) addresses the challenges the challenges and recommendations in consideration of the current S2k guidelines. The diagnostic algorithm focusses on on a screening procedure for the early detection of MASH, with general practitioners are key players. In the event of elevated liver values or an abnormal Fatty Liver index, further examinations and, if necessary, referral to a specialist are are planned. Particularly for risk groups such as people with type 2 diabetes, obesity obesity or metabolic syndrome, early identification is essential, to be able to take preventive action. Comprehensive metabolic diagnostics is a is a prerequisite for preventing the progression of the disease. However, the care situation in the diagnosis of MASH is characterised by a number of characterised by a number of limitations, including the limited use of the of the screening algorithm and the challenges involved in making a definitive diagnosis by means of liver biopsy. The discrepancy between the diagnosed number of MASH cases diagnosed and the presumed prevalence indicates a significant significant number of undiagnosed cases, which ultimately also leads to therapeutic deficit","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"15 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140976698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preisregulierung durch Nutzenbewertung bei seltenen Erkrankungen","authors":"Lukas Maag, A. Höer, G. Müller","doi":"10.24945/mvf.03.24.1866-0533.2608","DOIUrl":"https://doi.org/10.24945/mvf.03.24.1866-0533.2608","url":null,"abstract":"The aim of the study is a detailed investigation of the population-normalized treatment costs of orphan drugs. For this purpose, a study was already conducted in 2022 to examine the treatment costs of orphan drugs for the years 2005 to 2021. The calculations have now been validated as part of a study update, using the identical sample size. The update enabled an inflation adjustment based on the price index of the year 2022, as well as complete treatment costs after AMNOG assessment and price negotiation for all orphan drugs. The analysis shows that the AMNOG also fulfills its function as a price regulation instrument for orphan drugs. Since the introduction of AMNOG, the inflation-adjusted normalized treatment costs for orphan drugs have fallen both in terms of the launch price (minus 25%) and the reimbursement amount (minus 6%).","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"161 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140731448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jochen Schmitt, Leonie Sundmacher, B. Augurzky, Reinhard Busse, C. Karagiannidis, F. Krause, R. Schwarz, J. Wolff, T. Bschor
{"title":"Krankenhausreform in Deutschland: Populationsbezogenenes Berechnungs- und Simulationsmodell zur Planung und Folgenabschätzung","authors":"Jochen Schmitt, Leonie Sundmacher, B. Augurzky, Reinhard Busse, C. Karagiannidis, F. Krause, R. Schwarz, J. Wolff, T. Bschor","doi":"10.24945/mvf.03.24.1866-0533.2606","DOIUrl":"https://doi.org/10.24945/mvf.03.24.1866-0533.2606","url":null,"abstract":"Background: Due to the increasing shortage of specialists, disproportionately rising costs and inadequate quality of care, Germany is planning a fundamental hospital reform. The government commission has developed the central principles for this reform. The aim is to achieve a centralization of hospital services in oversupplied metropolitan areas by planning according to groups of services based on defined requirements for structural quality. The economic pressure to increase the number of cases shall be reduced through the introduction of a reserve payment and by dividing hospitals into levels - at least by transparent information for the general public. So far, however, there has been no generic model to determine the significance of specific care providers considering population needs (reachability), capacity of a hospital location, and the number and severity of treated patients. Methods: We developed a generic model to determine the significance of hospital location-related care and the need for the various groups of services. The model may also be used to assess reserve financing. For the model, the groups of services were divided into four categories according to degree of specialization and urgency with limits of reachability of 30, 45, 90 and 180 minutes. Gravity models were used to simulate the population-based significance of care providers for each group of services. In the basic model, the allocation of the significance was based exclusively on the reachability for the population living within the respective reachability corridor. In extended models, the historical number of cases and their case severity were also taken into account in order to account for current care capacities and existing choices of the population regarding, among other things, the quality of care. The model was implemented on the basis of nationwide data provided in accordance with § 21 data (of the German law for hospital remuneration). We then determined the effects of weighting the three influencing variables (i) population, (ii) number of cases and (iii) case severity on the significance of the hospital sites. Using the example of \"endoprosthetics of the knee\" (service group 14.2 in North Rhine-Westphalia) in the federal state of Saxony, the effect of concentration on the distribution of the reserve budgets and on the accessibility of the population was illustrated. The importance of care determined in this way is contrasted with a key value that reflects the need for hospitals in terms of securing care in rural areas. Results: From the approximately 16.5 million somatic treatment cases in 2021, 98.5% could be assigned to one of the 60 somatic groups of services according to North Rhine-Westphalia model. The simulation models show a differentiated picture for the various service groups. For the majority of service groups, a moderate concentration of services does not lead to relevant restrictions in terms of reachability. Exclusively considering the populati","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"25 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140753443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"„Rücken“ kostet pro Jahr 11,6 Milliarden Euro","authors":"P. Stegmaier","doi":"10.24945/mvf.01.24.1866-0533.2573","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2573","url":null,"abstract":"The Health Atlas editions of the Scientific Institute of the AOK (WIdO), which have been published annually since 2019, make the health situation of all residents in Germany‘s 400 districts and cities transparent. The current edition of the Health Atlas, published at the end of 2023, focuses on the topic of back pain and its prevalence in the German population. The report also focuses on causes, consequences, prevention options and consequences for the healthcare system.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"49 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139809928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Viel zu viel unnötig Verstorbene während Corona?","authors":"P. Stegmaier","doi":"10.24945/mvf.01.24.1866-0533.2572","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2572","url":null,"abstract":"‚This is about excess mortality and its measurement based on available data. It‘s about the effects of corona on inpatient care and the effect of forced ventilation in intensive care. And it is about evidence on collateral damage and the long-term effects of the decline in hospital cases for other diseases during corona.‘ With these words, MVF editor Prof Dr Reinhold Roski outlined the range of topics covered in the second part of the MVF Congress ‚Pandemic impact on care‘. Roski continued: ‚We need a reappraisal and a learning process must begin - we want to contribute to this today, because healthcare research has a decisive contribution to make.‘","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139869709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"„Aus unseren Fehlern lernen und besser machen“","authors":"P. Stegmaier","doi":"10.24945/mvf.01.24.1866-0533.2571","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2571","url":null,"abstract":"Which of the German corona measures were good, which were bad? What can we learn from the years 2020 to 2022 for future pandemics and other potential crisis situations? These were the key questions posed by MVF editor Prof Dr Reinhold Roski at the start of the MVF Congress ‚Pandemic impact on healthcare‘, the first part of which took place online in December 2023. After the opening statement by Sabine Dittmar MdB, Parliamentary State Secretary at the Federal Ministry of Health, who spoke about the ‚Corona impact on healthcare policy‘, Prof Dr Bertram Häussler, IGES Director and key idea generator of the congress, presented a somewhat different view of the political reality in his lecture ‚Effects of the corona pandemic - an overview‘. A view shared by Prof Dr Matthias Schrappe, University of Cologne, who was not stingy with constructive criticism in his presentation ‚Politics: fear instead of information?‘. The aim of the ‚Monitor Versorgungsforschung‘ congress was precisely not to apportion blame, but to analyse what can not only be learned from the Covid-19 event of the century for the German healthcare system, but what must be learned for future crises of the same or a completely different kind.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"16 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blaupause für Medikamentenmanagement mit Zusatznutzen","authors":"P. Stegmaier","doi":"10.24945/mvf.01.24.1866-0533.2574","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2574","url":null,"abstract":"What connects the selective contractual care offer eLiSa (1) of AOK Nordost and the innovation fund projects AdAM (2), TOP (3), eRIKA (4) of BARMER and AOK Nordost with the DMP requirements guideline for requirements for structured treatment programmes for patients with type 1 diabetes mellitus and the medication management including medication plan planned with the ePA (5) from 2025? The problem with the latter two: It is not defined how medication management and the medication plan should be implemented. Both the G-BA in its DMP-A guideline (6) and the legislator in the definition of the medication plan (7) leave this completely open. Although the legislator stipulates that dosage and intake instructions should be ‚clearly and comprehensibly documented‘, nothing more than documentation has been specified to date. The situation is different with the AOK Nordost ‚electronic Life Saver‘ (eLiSa for short) and BARMER‘s ‚AdAM‘, which were jointly awarded the first prize for patient safety by the Patient Safety Action Alliance and the first prize of the MSD Health Prize 2023, and the expansion stage planned this year can certainly be regarded as a blueprint for medication management, especially for DMPs and ePAs.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"42 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Viel zu viel unnötig Verstorbene während Corona?","authors":"P. Stegmaier","doi":"10.24945/mvf.01.24.1866-0533.2572","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2572","url":null,"abstract":"‚This is about excess mortality and its measurement based on available data. It‘s about the effects of corona on inpatient care and the effect of forced ventilation in intensive care. And it is about evidence on collateral damage and the long-term effects of the decline in hospital cases for other diseases during corona.‘ With these words, MVF editor Prof Dr Reinhold Roski outlined the range of topics covered in the second part of the MVF Congress ‚Pandemic impact on care‘. Roski continued: ‚We need a reappraisal and a learning process must begin - we want to contribute to this today, because healthcare research has a decisive contribution to make.‘","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"52 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139809924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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