Zeitschrift für ärztliche Fortbildung und Qualitätssicherung
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Z Arztl Fortbild Qualitatssich · Aug 2002
Comparative Study[The DRG law--planning gone wrong? The conversion from the physician's point of view].
With the Health Care Reform Act of 2000 the German government initiated the introduction of a new hospital funding system based on an internationally used Diagnosis Related Group (DRG) system. In June 2000, the medical self-governing bodies (consisting of representatives of the German Hospital Federation, the German Statutory Health Insurance Funds and the Association of Private Health Insurances) commissioned for the execution of this project decided to use the Australian Refined DRG system, version 4.1 (AR DRG) as the basis for the future German (Refined) DRG system (G-DRG). ⋯ The new reimbursement system is not only intended to cover acute hospital care but also parts of early rehabilitation, palliative and sub-acute care. Due to its economic incentives the effects of introducing the DRG system in Germany will not only affect the hospital sector but ambulatory care, nursing and rehabilitation as well.
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Z Arztl Fortbild Qualitatssich · Aug 2002
[Introduction of the DRG system in Germany: objectives, problems and perspectives on the basis of a lump sum payment from the perspective of the Federal Ministry of Health].
On March 1, 2002 both chambers of the German Parliament passed a law to regulate the framework for the introduction of the new DRG-based case fee system in Germany (Fallpauschalengesetz). Its essential aim is to implement an efficiency-orientated reimbursement system promoting efficiency, transparency and quality in the hospital sector. ⋯ Largely extended quality assurance measures can help to reduce potential risks. Also, the self-governing bodies are liable to conduct accompanying research.
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Z Arztl Fortbild Qualitatssich · Aug 2002
[The National Program for disease management--guidelines under the auspices of the German Medical Association--a method report].
In March 2002, the German Medical Association established a National Programme for Disease Management Guidelines (DMG). This programme focuses on the development and implementation of consented key recommendations of German guidelines and evidence-based treatment recommendations for specific prioritized problems of health care issued by various organisations. Among other things, the aim is to ensure (1) that guidelines within a framework of structured care should not assume the character of directives; (2) that the evidence-based principles for structured care programmes be both scientifically accounted for and practicable and consider guidelines that have already proved to work; (3) that a consensus be obtained between the institutions of the medical self-governing bodies, the Association of the Scientific Medical Societies in Germany (AWMF) and the relevant medical societies concerning the identification, updating and implementation of the key topics of structured care programmes: (4) that the outcomes of the German Guideline Clearinghouse be taken into consideration. The methodological foundations of this programme for disease management guidelines are outlined in the following method report.