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[德国的医疗保健网络:现状与关键成功因素]

[Health care networks in Germany: status quo and key success factors].

作者信息

Wambach Veit, Lindenthal J

机构信息

Gesundheitsnetz Qualität und Effizienz eG (QuE) - Vorstandsvorsitzender, Vogelsgarten 1, 90402, Nürnberg, Deutschland,

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2015 Apr;58(4-5):374-82. doi: 10.1007/s00103-015-2119-4.

DOI:10.1007/s00103-015-2119-4
PMID:25652115
Abstract

One third of all practicing physicians are currently working in one of the 400 German health care networks. These physicians' networks bring together GPs and specialists and cooperate with different partners, for example, nursing homes, hospitals, and self-help groups. To increase the quality and the efficiency of care and patient satisfaction by improving the collaboration and communication between physicians and other health care providers.The example of the accountable care organization "Gesundheitsnetz Qualität und Effizienz" (QuE; Health Quality and Efficiency Network) in Nuremberg is used to show that it is possible to achieve an increase in efficiency while providing above-average quality of care and achieving high patient satisfaction. Additionally, the article deals with the status quo, the core objectives, and the key activities of previous generations of health care networks. Quality indicators, satisfaction surveys, and economic parameters are the basis for measuring and representing the above-average performance of physicians' networks. Regional health care networks offer an entire range of patient care, from outpatients and inpatients to the complementary sector, and thereby have excellent prospects for playing an even more important role in the German health care system. The key success factors are: the consideration of specific regional characteristics, their proximity to the patient, and consistent patient orientation.

摘要

目前,所有执业医生中有三分之一在德国400个医疗保健网络之一中工作。这些医生网络将全科医生和专科医生聚集在一起,并与不同的合作伙伴合作,例如疗养院、医院和自助团体。通过改善医生与其他医疗服务提供者之间的协作与沟通,提高医疗质量、效率和患者满意度。以纽伦堡的责任医疗组织“健康质量与效率网络”(QuE)为例,来说明在提供高于平均水平的医疗质量并实现高患者满意度的同时,提高效率是可能的。此外,本文还探讨了前几代医疗保健网络的现状、核心目标和关键活动。质量指标、满意度调查和经济参数是衡量和体现医生网络高于平均水平表现的基础。区域医疗保健网络提供从门诊病人、住院病人到补充部门的全方位患者护理,因此在德国医疗保健系统中发挥更重要作用具有极好的前景。关键成功因素包括:考虑特定区域特征、贴近患者以及始终以患者为导向。

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