Finanzierung und finanzielle Probleme von Leistungen und Strukturen im Fachgebiet Gynäkologie und Geburtshilfe im Jahr 2011 – DRG-System und stationäre Versorgung inklusive Urogynäkologie und benigner wie auch maligner gynäkologischer Operationen

Beckmann, Matthias W.; Bader, W.; Bechtold, I.; Becker, Sven; Bornhaupt, J.; Dimpfl, T.; Friese, Klaus; Frobenius, W.; Gembruch, Ulrich; Gruessner, S.; Heer, I. M.; Kayser, D.; Petri, Else; Rimbach, S.; Scharl, A.; Schmidt, Scott; Schwenzer, T.; Solomayer, Erich‐Franz; Steiner, E; Strauss, Arthur; Vetter, K.; Wallwiener, D.; Lux, Michael P.

doi:10.1055/s-0030-1271116

Cited by 17 publications

(19 citation statements)

References 3 publications

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“…It has been shown previously in several publications that care for patients with breast carcinoma in certified breast cancer centres is not at present adequately remunerated and that additional charges are needed in order to cover costs in certified structures [9,10,11,12]. One of the major problems is that certain costs do not qualify for remuneration.…”

Section: From the Point Of View Of The Certified Breast Cancer Centresmentioning

confidence: 99%

Relevance of Health Economics in Breast Cancer Treatment - the View of Certified Breast Centres and Their Patients

Lux¹,

Hildebrandt²,

Beyer-Finkler³

et al. 2013

Breast Care

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Breast cancer centres - certified in accordance with the criteria of the German Cancer Association and the German Mastology Association - are established throughout Germany. Although the setting up of centres and the subsequent need for certification are associated with a marked increase in costs, initial data show positive effects on quality. Certified centres are cost-effective from the point of view of health economics - they lead to improved quality in processes and results without creating any increase in costs for the funding bodies. However, the organization of the necessary structures, with interdisciplinary treatment, documentation and quality-assurance measures, requires considerable resources. Increasing consolidation of inpatient services is also involved, while shortening of the patients' hospitalization periods is leading to reduced remuneration from the funding bodies. The current cost deficits, which have resulted from the increased resources required, need to be recouped through additional charges. It will only be possible to maintain the high quality achieved if additional charges become available to cover the centres' added costs. Good data are increasingly becoming available as a basis for negotiations on charges - e.g., with regard to the quality of results and the National Cancer Plan - as well as clear support from patients.

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Section: From the Point Of View Of The Certified Breast Cancer Centresmentioning

confidence: 99%

Relevance of Health Economics in Breast Cancer Treatment - the View of Certified Breast Centres and Their Patients

Lux¹,

Hildebrandt²,

Beyer-Finkler³

et al. 2013

Breast Care

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“…So over the last decade economic aspects have become an integral and non-negligible part of the treatment process and are repeatedly addressed by the German Society for Gynecology and Obstetrics (DGGG) [2,42]. As a consequence hospitals and breast centers have to analyze costs and reimbursements and adjust them accordingly to avoid potential losses which are not covered.…”

Section: Discussionmentioning

confidence: 99%

Relevance of Health Economics in Breast Cancer Treatment: Integration of Economics in the Management of Breast Cancer at the Clinic Level

et al. 2013

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Since the introduction of the diagnosis-related groups (DRG) system with cost-related and entity-specific flat-rate reimbursements for all in-patients in 2004 in Germany, economics have become an important focus in medical care, including breast centers. Since then, physicians and hospitals have had to gradually take on more and more financial responsibilities for their medical care to avoid losses for their institutions. Due to financial limitations of resources, most medical services have to be adjusted to correlating revenues, which results in the development of a variety of active measures to understand, steer, and optimize costs, resources and related processes for breast cancer treatment. In this review, the challenging task to implement microeconomic management at the clinic level for breast cancer treatment is analyzed from breast cancer-specific publications. The newly developed economic management perspective is identified for different stakeholders in the healthcare system, and successful microeconomic projects and future aspects are described.

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“…manipulators and morcellators) and case-related accessories. In this case "high-tech" and "high-cost" are both to the benefit of the patient [56]. From an ethical perspective, laparoscopy is associated with the least physical trauma, the lowest level of analgesia consumption and the shorter inpatient stay and can therefore not be rejected [54,57,58].…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…If one raises the question of fairness in the DRG system from the point of view of the extent to which the higher outlay for more patient-friendly (since they are minimally invasive) procedures is covered, the problem only really becomes apparent when one compares the reimbursement price for a hysterectomy (N21Z) of € 3380.57 with that of an organ-preserving myoma nucleation procedure, which is frequently more surgically intensive, of € 2992.44. At least it must be established that the DRG system does not a priori encourage organ-preserving procedures [56].…”

Section: Surgical Treatmentmentioning

confidence: 99%

Health Services Research and Health Economy – Quality Care Training in Gynaecology, with Focus On Gynaecological Oncology

Lux

Fasching

Loehberg

et al. 2011

Geburtsh Frauenheilk

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In the era of cost increases and reduced resources in the German healthcare system, the value of health services research and health economics is increasing more and more. Health services research attempts to develop concepts for the most effective ways to organise, manage, finance and deliver high-quality care and evaluates the implementation of these concepts with regard to daily routine conditions. Goals are the assessment of benefits and the economic advantages and disadvantages of new and established diagnostic methods, drugs and vaccines. Regarding these goals, it is clear that health services research goes hand in hand with health economics, which evaluates the benefits of diagnostic and therapeutic procedures in relation to the costs. Both scientific fields have focus principally on gynaecology and particularly on gynaecological oncology in Germany, as can be seen by numerous publications. These present several advantages compared with clinical trials ? they uncover gaps in health care, question the material, staffing and consequently the financial resources required and they allow the estimation of value and the comparison of different innovations to identify the best options for our patients.

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Finanzierung und finanzielle Probleme von Leistungen und Strukturen im Fachgebiet Gynäkologie und Geburtshilfe im Jahr 2011 – DRG-System und stationäre Versorgung inklusive Urogynäkologie und benigner wie auch maligner gynäkologischer Operationen

Cited by 17 publications

References 3 publications

Relevance of Health Economics in Breast Cancer Treatment - the View of Certified Breast Centres and Their Patients

Relevance of Health Economics in Breast Cancer Treatment - the View of Certified Breast Centres and Their Patients

Relevance of Health Economics in Breast Cancer Treatment: Integration of Economics in the Management of Breast Cancer at the Clinic Level

Health Services Research and Health Economy – Quality Care Training in Gynaecology, with Focus On Gynaecological Oncology

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