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Implementierung von Diagnosis Related Groups (DRGs) und Clinical Pathways im deutschen Krankenhauswesen

Implementierung von Diagnosis Related Groups (DRGs) und Clinical Pathways im deutschen Krankenhauswesen

          
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About the Book

Inhaltsangabe: Zusammenfassung: Hauptaugenmerk dieser Diplomarbeit ist auf die Implementierung von Fallpauschalen im deutschen Krankenhauswesen und deren mannigfaltige Auswirkungen auf die Qualitätssicherung gerichtet. Um eine luzide Darstellung zu gewährleisten, wurde die Arbeit nach folgendem System analytisch strukturiert: Zunächst werden in Kapitel 2 die gesundheitspolitischen Beweggründe erörtert, die für den Gesetzgeber ausschlaggebend waren, sich für ein Abrechnungssystem nach Fallpauschalen zu entscheiden. Kapitel 3 widmet sich der definitorischen Begriffsklärung sowie grundlegender Bestandteile - wie der Herkunft und Funktionsweise - des Fallpauschalensystems. Anschließend wird der Gesetzgebungsprozess dargestellt (Kapitel 4). Die Einführung der Fallpauschalen brachte und bringt auch weiterhin eine Fülle an gesetzgeberischen Interventionen mit sich. Hieraus entwickelte sich im Laufe der Zeit ein für Laien undurchschaubarer Komplex an gesetzlichen Maßnahmen. Nach einer Darstellung der einzelnen Gesetze und Verordnungen soll ein für den Leser transparentes Schaubild die Entwicklung des Gesetzgebungsverfahrens zu den Fallpauschalen verdeutlichen. In Kapitel 5 werden die Aspekte der Qualitätssicherung beschrieben, die mit der Implementierung der Fallpauschalen korrelieren. Ganz besondere Beachtung soll daher der Frage gewidmet werden, ob die Implementierung von Fallpauschalen dem Gesundheitssystem weitere Steigerungen der Prozess- und Ergebnisqualität ermöglicht. In diesem Zusammenhang werden die bisher angewandten Instrumente der Qualitätssicherung erläutert und die teilweise von Medizinern befürchtete kontrafaktorische Vereinbarkeit von Qualitätsverbesserung und der Implementierung von Fallpauschalen untersucht. Anschließend werden die neuen Herausforderungen für das Klinikmanagement, der Modifikationszwang der Rehabilitation sowie die zunehmende Bedeutung der ambulanten und integrierten medizinischen Versorgung beleuchtet. Aufgrund ihrer außerordentlich


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Product Details
  • ISBN-13: 9783838681221
  • Publisher: Diplom.de
  • Binding: Paperback
  • Language: German
  • Returnable: N
  • Spine Width: 8 mm
  • Width: 148 mm
  • ISBN-10: 3838681223
  • Publisher Date: 12 Jul 2004
  • Height: 210 mm
  • No of Pages: 138
  • Series Title: German
  • Weight: 190 gr


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