• Sara Lena Lückmann, Grit Böhme, Felix Krüger, Sonja Hiemer, Haifa-Kathrin Al-Ali, and Amelie Wuppermann.
• Medizinische Epidemiologie, Biometrie und Informatik, Medizinische Fakultät, Martin Luther University Halle Wittenberg, Halle.
• Dtsch. Med. Wochenschr. 2023 Jul 1; 148 (14): 916920916-920.

AbstractIncreased economization in the German health care system may have an impact on medical decisions. A selective literature search presents an overview of the current evidence on the influence of financial incentives on inpatient healthcare in Germany. Due to the current economic pressure, physicians increasingly feel subjected to financial constraints concerning indication and treatment decisions. There is evidence for financially initiated upcoding and volume expansion. Little is known about the extent, the impact on quality of care, nor on vulnerable groups. The literature clearly documents effects of financial pressure on job satisfaction, perceived stress, and the health of attending physicians. The current discussion on the economization of physician practice is important, especially with regard to disincentives and job satisfaction. Little is known about the risks to patient health.Thieme. All rights reserved.

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