Silber S
1. Vorsitzender des Bundesverbandes Niedergelassener Kardiologen e. V. (BNK), Kardiologische Gemeinschaftspraxis und Praxisklinik, Am Isarkanal 36, 81379 München.
Clin Res Cardiol. 2006 Jan;95 Suppl 2:II37-40. doi: 10.1007/s00392-006-1212-y.
Patients are not outpatients or inpatients, they are ill or healthy. Integrated Health Care provides a real chance to bring scientific innovations quickly from the laboratory to patients--and being paid for that. Although guidelines therefore are no compulsory exercise, they are tools to implement evidence-based use of innovative medical means. Health care providers should be reluctant to agree in guarantees for the success of medical therapies, since medical decisions may be influenced in different ways by that. Bureaucracy may hinder the spreading of Integrated Health Care; therefore simple regulations should be preferred. Reimbursement should not be designed according to conventional systems for outpatient or inpatient care, but as defined sums of money. That makes people sure to know what kind of contract they have agreed in.
患者不是门诊病人或住院病人,他们要么生病,要么健康。综合医疗保健提供了一个真正的机会,能将科学创新迅速从实验室带给患者——并因此获得报酬。所以,尽管指南并非强制要求,但它们是实施基于证据使用创新医疗手段的工具。医疗服务提供者不应轻易同意对医疗疗法的成功作出保证,因为医疗决策可能会因此受到不同方式的影响。官僚作风可能会阻碍综合医疗保健的推广;因此,应优先选择简单的规定。报销不应按照门诊或住院护理的传统系统来设计,而应按规定金额进行。这能让人们确切知道他们达成了何种合同。