Monitor Versorgungsforschung最新文献_第5页

Hoyer: „Viele Kliniken scheiden freiwillig aus“ 霍耶："许多诊所自愿离开"

Monitor Versorgungsforschung Pub Date : 2023-12-02 DOI: 10.24945/mvf.06.23.1866-0533.2553

P. Stegmaier

引用次数: 0

Reform der Krankenhausfinanzierung: Erlösunabhängige Vorhaltepauschalen für akutstationäre Einrichtungen der Geburtshilfe 医院融资改革：与收入无关的急性产科住院设施统一费率

Monitor Versorgungsforschung Pub Date : 2023-12-02 DOI: 10.24945/mvf.06.23.1866-0533.2565

Pauline Wilbert, Hans-Christian Vatteroth, Christina Grün, Hans-R. Hartweg

{"title":"Reform der Krankenhausfinanzierung: Erlösunabhängige Vorhaltepauschalen für akutstationäre Einrichtungen der Geburtshilfe","authors":"Pauline Wilbert, Hans-Christian Vatteroth, Christina Grün, Hans-R. Hartweg","doi":"10.24945/mvf.06.23.1866-0533.2565","DOIUrl":"https://doi.org/10.24945/mvf.06.23.1866-0533.2565","url":null,"abstract":"The patient classification system according to diagnosis related groups (DRGs) is highly related to performance, which was the reason for its national introduction in the early 2000s. Since 2003, hospital services have therefore been remunerated via the DRG system by means of flat rates per case. With few exceptions, all hospital services were remunerated via these flat rates per case until 2019. In 2020, the personnel costs for the nursing staff working in the hospital bed were then covered by the DRG-classified remuneration in order to relieve the enormous economic cost pressure on the nursing staff employed in German hospitals. This pressure is particularly evident in hospital wards with a low proportion of elective procedures (such as obstetrics). The economic management of such hospital wards is challenging. Now an even more far-reaching health policy proposal is being made. According to this proposal, hospitals should be financed for their maintenance costs. This is to be done by means of normatively determined budgets. In this way, a financial relief of the hospitals on the one hand and the promotion of the quality of service provision on the other hand should succeed. In the following paper, the challenges of acute inpatient obstetrics due to the current and planned financing system are examined. For this purpose, six selected experts, who belong to very different levels of care in the hospital sector, give an outlook on the introduction of the reserved financing.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985665","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}

引用次数: 0

Gaß: „Tiefer Eingriff in die Krankenhauslandschaft“ Gaß："深入干预医院景观"

Monitor Versorgungsforschung Pub Date : 2023-12-02 DOI: 10.24945/mvf.06.23.1866-0533.2554

P. Stegmaier

引用次数: 0

Lauterbach: „Eine Autobahn schneller Studien“ 劳特巴赫："加速研究的高速公路"

Monitor Versorgungsforschung Pub Date : 2023-12-02 DOI: 10.24945/mvf.06.23.1866-0533.2568

P. Stegmaier

引用次数: 0

Wenn die Versorgungsforschung bedeutsam wird 当医疗保健研究变得重要时

Monitor Versorgungsforschung Pub Date : 2023-12-02 DOI: 10.24945/mvf.06.23.1866-0533.2552

P. Stegmaier

{"title":"Wenn die Versorgungsforschung bedeutsam wird","authors":"P. Stegmaier","doi":"10.24945/mvf.06.23.1866-0533.2552","DOIUrl":"https://doi.org/10.24945/mvf.06.23.1866-0533.2552","url":null,"abstract":"‚Dear health services researchers, we have finally achieved what we have been working for.‘ With these enthusiastic words, Prof Dr Wolfgang Hoffmann, Chairman of the German Network for Health Services Research (DNVF), opened the 22nd DKVF, which took place at the Urania in Berlin at the beginning of October. The reason for his delight was the fact that - Hoffmann continued - the Innovation Committee recommends the transfer to standard care for 17 projects from the first and second funding waves of the new forms of care, but above all that the results of care research - including those of the ‚WiZen‘ innovation fund project, which was able to demonstrate the superiority of initial therapy in the primary treatment of cancer patients in certified centres - form an evidence base for the recommendations of the government commission for hospital reform. However, this is also precisely what the DNVF Chairman reminded the research community gathered at the German Congress for Health Services Research. Since health services research is now systemically relevant, this not only entails growing responsibility, but also has serious consequences: ‚Health services research now has critics.‘ Because, according to Hoffmann: ‚Our results, recommendations and priorities are now more likely to have consequences, they affect care providers, shift the balance of power and change financial flows.‘","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985741","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}

引用次数: 0

Zwischen Konsistenz und Flexibilität 在一致性和灵活性之间

Monitor Versorgungsforschung Pub Date : 2023-12-02 DOI: 10.24945/mvf.06.23.1866-0533.2562

H. Bleß

引用次数: 0

Einbeziehung von Patient:innen zur Förderung von Patientensicherheit in Gesund-heitseinrichtungen in Deutschland 让患者参与促进德国医疗机构的患者安全

Monitor Versorgungsforschung Pub Date : 2023-12-02 DOI: 10.24945/mvf.06.23.1866-0533.2567

A. Koch, Nikoloz Gambashidze, Matthias Weigl

{"title":"Einbeziehung von Patient:innen zur Förderung von Patientensicherheit in Gesund-heitseinrichtungen in Deutschland","authors":"A. Koch, Nikoloz Gambashidze, Matthias Weigl","doi":"10.24945/mvf.06.23.1866-0533.2567","DOIUrl":"https://doi.org/10.24945/mvf.06.23.1866-0533.2567","url":null,"abstract":"Background: Proactive involvement of patients in the design of safe care is a WHO-defined goal of the current decade. This paper investigated (a) which patient involvement activities and measures are implemented in German health care facilities for patient safety, and (b) which recommendations for action can be derived for our health care facilities. Aim and method: A literature and Internet search was conducted on institutional practices and organizational activities in Germany to improve patient safety with the involvement of patients. Interviews with five experts were conducted who advised our approach. An agenda for future research projects and first recommendations for clinical practice was formulated afterwards. Results: The evidence base on established measures to incorporate patient perspectives into the strategic promotion of patient safety in healthcare facilities in Germany is scarce and inconsistent. Patient surveys and the use of patient advocates are common. It remains unclear how patient councils as well as self-help groups have the potential to contribute to the promotion of patient safety in practice. Conclusions and agenda: An agenda is proposed. A more in-depth empirical survey and description of the situation in Germany, taking into account the experience of experts from clinical practice, is necessary to obtain a complete picture of the currently established measures for patient involvement, to uncover potential for realization and to define necessary framework conditions.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"6 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985510","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}

引用次数: 0

Offene, kritische und konstruktive „Nachbesprechung“ 公开、批评性和建设性的 "汇报"

Monitor Versorgungsforschung Pub Date : 2023-12-02 DOI: 10.24945/mvf.06.23.1866-0533.2558

P. Stegmaier

{"title":"Offene, kritische und konstruktive „Nachbesprechung“","authors":"P. Stegmaier","doi":"10.24945/mvf.06.23.1866-0533.2558","DOIUrl":"https://doi.org/10.24945/mvf.06.23.1866-0533.2558","url":null,"abstract":"Over 600 researchers from various disciplines, including 40 from the field of health research, have co-signed a two-part open letter (1, 2) written by the recently founded ‚Pandemic Reappraisal Initiative‘ (3). This initiative is the brainchild of astrophysicist Prof Dr Bernhard Müller from Monash University (Australia), who is associated with the group of authors led by Prof Dr Matthias Schrappe (University of Cologne), which has critically examined corona management in Germany since the outbreak of the corona pandemic with eight thesis papers and four ad hoc statements (4) as well as a multi-professional commentary series (5) - all published in ‚Monitor Versorgungsforschung‘. In addition, Müller published a widely acclaimed controversial paper ‚Zur Modellierung der Coronapandemie‘ (6). While these scientific works were intended to show that scientific and diagnostic findings are indispensable in pandemics, but are not sufficient on their own to successfully overcome such a crisis, the Open Letters are now intended to support the call for a review of the corona pandemic and the establishment of a commission of enquiry on the one hand, and to facilitate the start of a necessary review process by means of a prioritisation and structuring catalogue on the other.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"298 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985525","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}

引用次数: 0

Kinder in der Corona-Pandemie 电晕大流行中的儿童

Monitor Versorgungsforschung Pub Date : 2023-12-02 DOI: 10.24945/mvf.06.23.1866-0533.2559

Katrin Skala

引用次数: 0