Amann I, Heyder R, Strehl R
Verband der Universitätsklinika Deutschlands e.V. (VUD), 10559 Berlin.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2009 Aug;52(8):811-20. doi: 10.1007/s00103-009-0909-2.
University medicine in Germany requires significantly higher funding and investment because its tasks not only include health care but also research and teaching. However, over recent decades less and less funding compared to the development of the turnover has been available. This trend is due to decreasing public funding. The diminishing funding has caused a major backlog of investment at German university hospitals. The first part of the article summarizes the investments policies at university hospitals and other hospitals. The second part describes the investment needs in university medicine and exposes risk factors for research, education and health care due to the process of investment planning and realization. Goal-oriented solutions are shown to facilitate investments. The third part discusses several risks caused by insufficient investments in university medicine. There are special risks for research, teaching, and the capacity for innovation in university medicine besides economical and medical risks. Some policies and financial strategies to overcome the backlog in investments are presented. After a summary, the article concludes with some practical examples of further measures to ensure sustainable funding.
德国的大学医学需要大量更多的资金和投资，因为其任务不仅包括医疗保健，还包括研究和教学。然而，近几十年来，与营业额的增长相比，可用资金越来越少。这种趋势是由于公共资金的减少。资金的减少导致德国大学医院出现了大量投资积压。文章的第一部分总结了大学医院和其他医院的投资政策。第二部分描述了大学医学的投资需求，并揭示了由于投资规划和实施过程而给研究、教育和医疗保健带来的风险因素。展示了以目标为导向的解决方案以促进投资。第三部分讨论了大学医学投资不足所带来的若干风险。除了经济和医疗风险外，大学医学在研究、教学和创新能力方面还存在特殊风险。提出了一些克服投资积压的政策和财务策略。在总结之后，文章最后列举了一些确保可持续资金的进一步措施的实际例子。
