“…In Germany, the perspective of physicians on the introduction of the DRG system has been investigated by several studies [18,19], among them a longitudinal study with physicians working in hospitals in Hesse within the WAMP project (Wandel in Medizin und Pflege im DRG-System, surveys carried out between 2004 and 2007) [20]. Similar to our study, some indications for a compromised quality of patient care were found, for example increased occurrences of lack of time, of burdensome decisions made by physicians, and of failure to complete the assigned workload as well as a decreased use of the best available interventions.…”