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[医院与法定医疗保险关系管理的战略选择——一项探索性研究]

[Strategic options for the relationship-management between hospital and statutory health insurance - an explorative study].

作者信息

Pick V, Rossbach C

机构信息

Universität zu Köln.

出版信息

Gesundheitswesen. 2010 May;72(5):279-84. doi: 10.1055/s-0029-1225654. Epub 2009 Jul 20.

Abstract

OBJECTIVE

This investigation examines the specific demands of statutory health insurance organisations on hospitals. The need for such an analysis is determined by the increasing competition in the German health care system in the past years. Hospitals are confronted with growing and perhaps conflictual demands on the hospital's stakeholders.

METHOD

An empirical investigation should provide first insight into the widely unexplored relationship between statutory health insurances and hospitals. For this reason, 23 explorative interviews with managers of hospitals and statutory health insurance organisations were conducted.

RESULTS

The resulting demands are structured and assigned to identified areas of demand. Aspects which are important for statutory health insurance organisations and aspects that hospitals assume are important were compared. Thus, an existing gap was identified. Furthermore, options for statutory health insurance (dis-)satisfaction are shown.

CONCLUSION

Such an analysis is essential for hospitals to develop and maintain a positive relationship to the statutory health insurances and to achieve competitive advantages.

摘要

目的

本调查研究法定医疗保险机构对医院的具体要求。过去几年德国医疗保健系统竞争日益激烈,因此有必要进行这样的分析。医院面临着利益相关者对其不断增加且可能相互冲突的要求。

方法

一项实证调查应能初步洞察法定医疗保险与医院之间广泛未被探索的关系。为此,对医院和法定医疗保险机构的管理人员进行了23次探索性访谈。

结果

得出的要求进行了结构化整理,并分配到已确定的需求领域。比较了对法定医疗保险机构重要的方面和医院认为重要的方面。由此发现了存在的差距。此外,还展示了法定医疗保险(不)满意的选项。

结论

这样的分析对于医院发展和维持与法定医疗保险的积极关系以及获得竞争优势至关重要。

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