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从法定医疗保险医生的角度看疾病管理项目

[Disease management programs from the statutory health insurance physicians' point of view ].

作者信息

Spies Hans-Friedrich

出版信息

Z Arztl Fortbild Qualitatssich. 2003 Jun;97(3):207-9.

PMID:12856547
Abstract

The advantage of DMPs is that they can be used to define target criteria that are legally binding and thus allow for the control of core issues of our health care system. Legal security is to be established by evidence-based guidelines. At present, however, DMPs are still being dominated by economic aspects. From the point of view of the associations of statutory health insurance physicians, further criticism relates both to the transferral of highly sensitive data to health insurance funds and the remuneration for medical services in respect of DMPs. At least, extra-budgetary allotments are claimed after a transitional phase. And finally, the considerable administrative efforts involved are pointed out.

摘要

疾病管理项目(DMPs)的优势在于,它们可用于定义具有法律约束力的目标标准,从而有助于控制我们医疗保健系统的核心问题。法律安全性将通过循证指南来确立。然而目前,疾病管理项目仍受经济因素主导。从法定医疗保险医生协会的角度来看,进一步的批评既涉及将高度敏感数据转移给医疗保险基金,也涉及疾病管理项目中医疗服务的薪酬问题。至少在过渡阶段之后,需要申请预算外拨款。最后,还指出了其中涉及的大量行政工作。

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