Hertie School, Berlin, Germany; Department of International Health, Care and Public Health Research Institute - CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Hertie School, Berlin, Germany.
Z Evid Fortbild Qual Gesundhwes. 2023 Apr;177:95-103. doi: 10.1016/j.zefq.2022.10.001. Epub 2023 Mar 15.
The German health system is under pressure due to increasing costs of healthcare provision and rising demand for health services. With the new coalition government, Germany has increased efforts to build a modern, innovative infrastructure for prevention and high-quality health services. The coalition agreement has a strong climate, innovation, and sustainability focus, reflecting at the same time the ambition of the new government to implement a preventive, inter-connected, and modern healthcare system in Germany. However, the agreement lacks detailed information on the achievement of the plans, especially concerning the question of how those measures should be funded in light of increasing expenditures for healthcare. Thus, the objectives of this study are to interpret the new government's plans and answer the question of how Germany in the new legislative period can ensure and fund population-based prevention programmes, health-promoting measures and innovative solutions despite the rising healthcare costs. By analysing the relevant content of the coalition agreement and drawing on an expert workshop, this paper suggests the establishment of a prevention fund and flexible remuneration model for digitalised and innovative forms of care in the new legislative period. Our findings may help identify feasible approaches to sustainable financing of health promotion, prevention and innovation in the German healthcare system.
德国的医疗体系面临着医疗成本不断增加和对医疗服务需求不断上升的压力。新的联合政府加大了努力，为预防和高质量的医疗服务建立现代、创新的基础设施。联合协议强烈关注气候、创新和可持续性，同时反映了新政府在德国实施预防、互联和现代化医疗体系的雄心。然而，该协议缺乏关于实现这些计划的详细信息，特别是关于如何在医疗保健支出不断增加的情况下为这些措施提供资金的问题。因此，本研究的目的是解释新政府的计划，并回答在新的立法期内，德国如何能够确保和资助基于人群的预防计划、促进健康的措施和创新解决方案，尽管医疗成本不断上升。通过分析联盟协议的相关内容并借鉴专家研讨会，本文建议在新的立法期内为数字化和创新形式的护理建立预防基金和灵活的薪酬模式。我们的研究结果可能有助于确定德国医疗体系中促进健康、预防和创新的可持续融资的可行方法。
