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Einführung eines neuen Vergütungssystems im deutschen Gesundheitssystem: Auf dem Weg zur DRG-Vergütung

Einführung eines neuen Vergütungssystems im deutschen Gesundheitssystem: Auf dem Weg zur DRG-Vergütung

          
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About the Book

Inhaltsangabe: Einleitung: Der 01.03.2002 dürfte wohl in die Geschichte der Krankenhauspolitik eingehen. Nachdem bereits am 28. Februar 2002 der Bundestag seine Absolution mit der Stimmenmehrheit der Regierungskoalition erteilt hat, wurde an diesem Tag durch den Bundesrat das neue Fall-pauschalengesetzverabschiedet. Was wie ein Anfang eines langen Weges erscheint, war ein wichtiger Schritt, dem jedoch ein beschwerlicher und langer Prozess vorausging. Bereits im Rahmen der Gesundheitsreform 2000 wurden für den Krankenhausbereich, eine gesetzliche Verpflichtung zur Entwicklung und Umsetzung eines „durchgängigen, leistungsorientierten und pauschalierten Vergütungssystems" verabschiedet. Dieses sollte sich an ein bereits inter-national eingesetztes Vergütungssystem (den Diagnosis Related Groups) orientieren. Eine Rahmenbeschreibungen wurden im § 17b KHG festgeschrieben, und diente fortan als Eckpfeiler für eine detaillierte Ausgestaltung. Zum 01. Januar 2003 wird nun das neue Vergütungssystem das derzeitige Mischsystem aus Fallpauschalen, Sonderentgelten und tagesgleichen Pflegesätzen der Bundespflegesatzverordnung von 1995 ablösen. Durch dieses neue Finanzierungssystem werden sich weit-reichendere Änderungen ergeben als bei allen bisherigen Reformen der Krankenhausvergütung zusammen. Hierbei wurde versucht, die hohen Erwartungen an das neue Vergütungssystem in die Praxis umzusetzen. Mit dem Wechsel der Vergütungssystematik erhofft sich der Gesetzgeber, eine bessere Grundlage für mehr Transparenz zu schaffen. Desweiteren einen effektiveren Einsatz von Finanzmitteln und eine leistungsgerechte Vergütung im Krankenhausbereich zu ermöglichen. Die finanzielle Tragweite der Krankenhausversorgung wird deutlich, wenn man den Jahresumsatz der deutschen Krankenhäuser betrachtet. Im Jahre 1999 hatte der Bereich stationäre Leistungen einen Umsatz von 60,75 Milliarden Euro. Dies waren im Verhältnis zu den Gesamtausgaben im deutschen Gesundheitswesen ein Anteil von etwas mehr als


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Product Details
  • ISBN-13: 9783838659763
  • Publisher: Diplom.de
  • Binding: Paperback
  • Language: German
  • Returnable: N
  • Spine Width: 5 mm
  • Weight: 122 gr
  • ISBN-10: 3838659767
  • Publisher Date: 23 Oct 2002
  • Height: 210 mm
  • No of Pages: 84
  • Series Title: German
  • Sub Title: Auf dem Weg zur DRG-Vergütung
  • Width: 148 mm


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Einführung eines neuen Vergütungssystems im deutschen Gesundheitssystem: Auf dem Weg zur DRG-Vergütung
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Einführung eines neuen Vergütungssystems im deutschen Gesundheitssystem: Auf dem Weg zur DRG-Vergütung
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