Spreider Valesca, Fichtner-Feigl Stefan, Wenz Frederik, Bockelmann Dalibor
Stabsstelle Medizinische Strategie und Vernetzung, Universitätsklinikum Freiburg, Breisacher Str. 153, 79110, Freiburg, Deutschland.
Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum Freiburg, Hugstetter Str. 55, 79106, Freiburg, Deutschland.
Chirurgie (Heidelb). 2025 Apr;96(4):316-321. doi: 10.1007/s00104-024-02146-2. Epub 2024 Aug 14.
Cancer remains the second most common cause of death in Germany. Performance management and specialization concepts in medicine have the potential to positively influence the care and chances of survival of patients.
From the perspective of the University Hospital Freiburg (UKF), the legislative initiative within the framework of the Hospital Treatment Improvement Act (KHVVG) results in a number of medical strategic implications. This article explains and discusses the background, objectives and contents of the reform project "Occasional surgical oncology" and provides perspectives on strategic fields of action.
Analysis and interpretation of the draft of the Act for improvement of the treatment quality in hospitals and on the reform of the remuneration structures (Federal Government draft act).
From the point of view of the UKF hospitals should engage in cooperative discussions with neighboring hospitals at the earliest opportunity to shape regional healthcare with the goals of mapping the local allocation of oncology patients for optimal treatment, mitigating the loss of patients at affected locations and preparing for patient growth at facilities that will continue to provide treatment in surgical oncology.
The ongoing legislative process and the fact that a reliable analysis of relevant treatment areas will be possible for hospitals in the first half of 2025, presents particular challenges for hospitals and the strategic planning of activities. The gaps in the bill presented in this article should be urgently addressed to avoid undermining the project's goals and to support the hospitals remaining in the healthcare system in their preparations.
癌症仍是德国第二大常见死因。医学中的绩效管理和专业化概念有可能对患者的护理和生存机会产生积极影响。
从弗莱堡大学医院（UKF）的角度来看，《医院治疗改进法》（KHVVG）框架内的立法举措产生了一系列医学战略影响。本文解释并讨论了“临时外科肿瘤学”改革项目的背景、目标和内容，并提供了战略行动领域的观点。
对《医院治疗质量改进及薪酬结构改革法案》（联邦政府法案草案）进行分析和解读。
从UKF的角度来看，医院应尽早与邻近医院进行合作讨论，以塑造区域医疗保健体系，目标是规划肿瘤患者的本地分配以实现最佳治疗，减轻受影响地区患者的流失，并为将继续提供外科肿瘤学治疗的机构应对患者增长做好准备。
正在进行的立法进程以及2025年上半年医院将有可能对相关治疗领域进行可靠分析这一事实，给医院及其活动的战略规划带来了特殊挑战。本文中提出的法案漏洞应尽快解决，以避免破坏项目目标，并支持留在医疗体系中的医院做好准备。
