Gürkan I
Universitätsklinikum Frankfurt am Main.
Zentralbl Chir. 1995;120(7):513-6.
A new legislation concerning financial matters of hospitals in Germany requires fundamental changes and adjustment. Formerly grown structures of a high-grade centralization erode into a process of change. Despite hospitals will maintain their non-profit character in public health services, modifications of medical care processes will promote elements of cost-centres. All medical care units as well as hospital management are confronted with rising requirements concerning performance and transparency. Increasingly patients and social health insurances behave like self-confident customers not willing to accept rising costs. Public health services loose their character of a planned economy. Hospitals with features of health-entrepreneurship are on the incline. A process of quality-planning and efficient management has been evoqued.
德国一项有关医院财务事务的新立法要求进行根本性变革和调整。以前高度集权的既定结构正在逐渐发生变化。尽管医院在公共卫生服务中将保持其非营利性质，但医疗护理流程的调整将推动成本中心元素的发展。所有医疗护理单位以及医院管理层都面临着对绩效和透明度日益提高的要求。患者和社会医疗保险越来越表现得像自信的消费者，不愿接受不断上涨的费用。公共卫生服务正在失去其计划经济的特征。具有健康创业特点的医院呈上升趋势。一个质量规划和高效管理的进程已经启动。
