Professor for International Healthcare Systems Research, Medical University of Hannover, President, German Managed Care Association (BMC), Bundesverband Managed Care e.V., Friedrichstraße 136, 10117 Berlin, Germany.
Int J Integr Care. 2012 Jan-Mar;12:e16. doi: 10.5334/ijic.853. Epub 2012 Mar 27.
German healthcare provides a very comprehensive benefits catalogue, high quality standards, low access barriers and in particular healthcare which is independent from one's income. But at the same time it is one of the most expensive systems in the world. Reasons for the high costs of care are mainly due to the separation of the outpatient, inpatient and rehabilitation sectors, the poor information flow between the service providers and insufficient competition in healthcare provision. In the last 15 years the German government has introduced various reform acts and in doing so has followed a continual path of development: more competition for care concepts between health insurances, more options for the insured and more leeway for players in the various sectors of healthcare. The following article gives an overview of new forms of contracting that have been introduced and provides recommendations for the further development of integrated care in the German healthcare system.
德国医疗保健提供了非常全面的福利目录，高标准，低准入壁垒，特别是独立于收入的医疗保健。但与此同时，它也是世界上最昂贵的医疗体系之一。医疗费用高的原因主要是由于门诊、住院和康复部门的分离，服务提供者之间信息流动不畅，以及医疗服务提供方面竞争不足。在过去的 15 年里，德国政府出台了各种改革法案，在这一过程中一直遵循着持续发展的道路：在医疗保险之间为医疗保健理念提供更多竞争，为被保险人提供更多选择，以及为医疗保健各个领域的参与者提供更多回旋余地。本文概述了已经引入的新的合同形式，并为德国医疗体系中整合护理的进一步发展提出了建议。
