Griewing Sebastian, Gremke Niklas, Lingenfelder Michael, Wagner Uwe, Keil Corinna
Institute for Healthcare Management, Chair of General Business Administration, Philipps-University Marburg, Universitätsstraße 24, 35037 Marburg, Germany.
Department of Gynecology and Obstetrics, University Hospital Marburg, Philipps-University Marburg, Baldingerstraße, 35043 Marburg, Germany.
Healthcare (Basel). 2023 Jun 7;11(12):1683. doi: 10.3390/healthcare11121683.
Sequential socioeconomic shocks, including the COVID-19 pandemic, economic recession, or energy and refugee crises in the face of violent conflicts, have led to the failure of healthcare systems in Europe. Against this background, the aim of this study was to evaluate the resilience of regional gynecological and obstetric inpatient care using the example of a regional core medical provider in central Germany. Base data were retrieved from Marburg University Hospital and underwent standardized calculation and descriptive statistical assessment pursuant to the aG-DRG catalog. The data illustrate a decline in the average length of patient stays and average case complexity in combination with increasing patient turnover for the six-year observation period of 2017-2022. Core profitability of the departments of gynecology and obstetrics deteriorated in the year of 2022. The results suggest weakened resilience of gynecological and obstetrics inpatient care in the setting of a regional core medical provider in central Germany and indicate how it may have failed in core economic profitability. This is consistent with predictions about the lack of resilience of health systems and the critical economic situation of German hospitals in the face of ongoing socioeconomic shocks that collaterally endanger women's health care.
包括新冠疫情、经济衰退，或面对暴力冲突时的能源及难民危机在内的一系列连续的社会经济冲击，已导致欧洲医疗系统失灵。在此背景下，本研究旨在以德国中部一家地区核心医疗服务提供商为例，评估地区妇产科住院护理的恢复力。基础数据取自马尔堡大学医院，并根据德国诊断相关分组（aG-DRG）目录进行标准化计算和描述性统计评估。数据显示，在2017年至2022年的六年观察期内，患者平均住院时长和平均病例复杂度下降，同时患者周转量增加。妇产科各科室的核心盈利能力在2022年恶化。结果表明，德国中部一家地区核心医疗服务提供商的妇产科住院护理恢复力减弱，并指出其在核心经济盈利能力方面可能是如何失灵的。这与关于卫生系统恢复力不足以及德国医院在持续的社会经济冲击下面临严峻经济形势的预测一致，这些冲击会附带危及妇女的医疗保健。
