Amelung V, Wolf S
Bundesverband Managed Care e.V., Berlin, Deutschland.
Urologe A. 2011 Dec;50(12):1566-72. doi: 10.1007/s00120-011-2732-2.
The German health care system is faced with enormous challenges: population ageing, more chronic diseases and multimorbidity. The fragmentation of medical care into disconnected parts-ambulant and clinical services, pharmaceutical provision, nursing care etc.-is inefficient and inhibits coordinated courses of treatment. Instead of this new types of organizational structures and processes are needed. By means of different health care acts the German government has supported innovative medical care structures for many years. In the meantime, 30,000 doctors have joined 400 physician networks. Their aims are to improve the coordination of services, to facilitate collaboration among providers and to ensure better health care to the population. Furthermore, those interdisciplinary networks are crucial prerequisites for integrated health care. But there is still a lot of work to do. The successful integration of the components of health care into functioning process chains depends on political, economic and sociocultural parameters.
人口老龄化、慢性病增多以及多种疾病并存。医疗保健分散为互不关联的部分——门诊和临床服务、药品供应、护理等——效率低下，阻碍了协调的治疗过程。因此，需要新型的组织结构和流程。德国政府多年来通过不同的医疗保健法案支持创新的医疗保健结构。与此同时，3万名医生加入了400个医生网络。其目标是改善服务协调，促进提供者之间的合作，并确保为民众提供更好的医疗保健。此外，这些跨学科网络是综合医疗保健的关键前提。但仍有许多工作要做。将医疗保健各组成部分成功整合到有效的流程链中取决于政治、经济和社会文化因素。
