Stamm J
Hauptabteilungsleiter, Leistungen, Verträge und Pflege Barmer Ersatzkasse, Wuppertal, Lichtscheider Strasse 89-95, 42285 Wuppertal.
Clin Res Cardiol. 2006 Jan;95 Suppl 2:II16-18. doi: 10.1007/s00392-006-1205-x.
From the view of one of the largest public health insurance companies, in this paper it is outlined that Integrated Health Care provides opportunities to influence the largely regional structures of health care supply. This insurance company has specialized in contracts for Integrated Health Care in cardiology in order to achieve sustainable solutions for all providers of invasive and interventional cardiology that are economically reasonable. But first of all, only evidence-based medical procedures and interventions based on clinical pathways are eligible for the contracts of this company. In outlining this, it becomes evident that by far not all German public health insurance companies have yet used their opportunity.
从一家最大的公共医疗保险机构的角度来看,本文概述了综合医疗保健为影响医疗保健服务的区域结构提供了机会。这家保险公司专门从事心脏病学综合医疗保健合同,以便为所有侵入性和介入性心脏病学的提供者实现经济上合理的可持续解决方案。但首先,只有基于临床路径的循证医疗程序和干预措施才有资格获得该公司的合同。在概述这一点时,可以明显看出,到目前为止,并非所有德国公共医疗保险机构都利用了这一机会。