Michalowsky Bernhard, Afi Adel, Holle Bernhard, Thyrian Jochen René, Hoffmann Wolfgang
AG Translationale Versorgungsforschung, Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. (DZNE), Standort Rostock/Greifswald, Greifswald, Germany.
AG Versorgungsstrukturen, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Witten, Witten, Germany.
Gesundheitswesen. 2023 Aug;85(8-09):725-731. doi: 10.1055/a-1901-8403. Epub 2022 Sep 9.
To describe the characteristics, financing structures and challenges of regional dementia care networks and the use of regional financial network support according to § 45c para. 9 SGB XI.
The analysis was based on data from 120 dementia networks that provided information on the network characteristics (location, year of foundation, goals, organizational, personnel and financing structure), the challenges and the use of regional network funding according to § 45c Para. 9 SGB XI. Differences in the organizational, personnel and financing structure depending on the network characteristics were analyzed using t-Tests and ANOVA tests. The use of regional network funding (§ 45c Para. 9) were presented descriptively and discussed against the background of the planned amendment for 2022.
The majority of networks were established between 2011 and 2015. Most networks had educational and care goals and, on average, 28 stakeholders. Medically-associated and longer-established networks and networks with a legal form had significantly more network partners, persons actively involved in the work of the network and funding sources. The linking of stakeholders and the funding were seen as the most significant challenges. Every tenth network received regional network funding (§45c para. 9) but 28% decided not to receive funding. For most networks (50%), the funding was still unknown.
Regional dementia networks are very heterogeneously structured. Certain factors can significantly affect the number of partners and funding sources and should, therefore, be considered. Up to now, only one network per region could receive the maximum amount (€20,000) of funding according to §45c para. 9, which limits the usability of this funding, especially in densely populated regions. The amendment now increases the number of networks to be funded within one region and the funding level. It remains to be seen to what extent this amendment will increase the use of the regional network funding.
根据德国社会法典第十一编第45c条第9款，描述地区性痴呆症护理网络的特征、融资结构和挑战，以及地区性财务网络支持的使用情况。
该分析基于120个痴呆症网络的数据，这些数据提供了有关网络特征（地点、成立年份、目标、组织、人员和融资结构）、挑战以及根据德国社会法典第十一编第45c条第9款使用地区性网络资金的信息。使用t检验和方差分析测试分析了组织、人员和融资结构因网络特征而异的情况。对地区性网络资金（第45c条第9款）的使用进行了描述性介绍，并结合2022年计划修正案的背景进行了讨论。
大多数网络于2011年至2015年之间建立。大多数网络具有教育和护理目标，平均有28个利益相关者。与医学相关且成立时间较长的网络以及具有法律形式的网络拥有明显更多的网络合作伙伴、积极参与网络工作的人员和资金来源。利益相关者的联系和资金被视为最重大的挑战。每十个网络中有一个获得了地区性网络资金（第45c条第9款），但28%的网络决定不接受资金。对于大多数网络（50%）来说，资金情况仍不明朗。
地区性痴呆症网络的结构非常多样化。某些因素会显著影响合作伙伴和资金来源数量，因此应予以考虑。到目前为止，根据第45c条第9款，每个地区只有一个网络可以获得最高金额（20,000欧元）的资金，这限制了该资金的可用性，尤其是在人口密集地区。现在的修正案增加了一个地区内获得资金的网络数量和资金水平。该修正案在多大程度上会增加地区性网络资金的使用还有待观察。
