Sorgatz H
Geschäftsführer Berufsverband Deutscher Anästhesisten, Nürnberg, Bundesrepublik Deutschland.
Zentralbl Chir. 1994;119(7):455-9.
The statutory opening of hospitals for ambulatory surgery can't without more ado be derived from the health-care reform which came into force on the 1st of January 1993. From the genesis of this reform it can be understood that the field of ambulatory surgery has been integrated just shortly before its legislation into the outlines of the health-care reform. As a consequence the hospitals are obliged to follow the principle "ambulatory before stationary" even in the stationary field. In this way the strict separation between the two fields (ambulatory and stationary) will be overcome to a great extent. Taking into consideration the further changes brought by the health-care reform in the stationary field new ranges of action for hospitals, with their chances but also their risks, have to be expected.
1993年1月1日生效的医疗改革并不能直接推导出医院开展门诊手术的法定许可。从这项改革的起源可以看出，门诊手术领域在其立法前不久才被纳入医疗改革的框架。因此，即使在住院领域，医院也必须遵循“先门诊后住院”的原则。这样一来，两个领域（门诊和住院）之间的严格界限将在很大程度上被打破。考虑到医疗改革给住院领域带来的进一步变化，医院有望迎来新的行动范围，同时也伴随着机遇和风险。
