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Medizin zwischen Patientenwohl und Okonomisierung: Krankenhausarzte und Geschaftsfuhrer im Interview

Medizin zwischen Patientenwohl und Okonomisierung: Krankenhausarzte und Geschaftsfuhrer im Interview

          
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About the Book

Stehen die Patienten im Krankenhaus wirklich mit ihren gesundheitlichen Sorgen im Mittelpunkt? Sind die Steigerungen der Fallzahlen und die Komplexitatsgrade von Erkrankungen nur auf medizinische Grunde zuruckzufuhren? Oder sind diese Entwicklungen Ausdruck eines „Okonomisierungsprozesses“, in dem medizinische Indikationen mit wirtschaftlichen Interessen vermengt werden? Welchen Einfluss haben die Finanzierungs- und Steuerungskonzepte des Gesundheitssystems auf Inhalte und Charakter der Medizin in Krankenhausern? Die Autoren des vorliegenden Buches – der eine Arzt, der andere Okonom – befragten im Rahmen einer qualitativen Studie Arzte und Geschaftsfuhrer deutscher Krankenhauser, inwieweit medizinische Entscheidungen durch andere Interessen als die der Patienten beeinflusst werden. Die zusammengeften Ergebnisse zeigen die Dilemmata auf, denen Geschaftsfuhrer und Arzte ausgesetzt sind, wenn sie zur Sicherung der wirtschaftlichen Existenz der Krankenhauser Gewinne erzielen sollen: Das Patientenwohl ruckt aus dem Fokus medizinischer und unternehmerischer Entscheidungen im Krankenhaus. Die Zahl der aufgenommenen Patienten steigt, Indikationen und Ablauf von Behandlungen werden ausgedehnt. Diese Entwicklungen sind nicht nur fur die Patienten bedenklich, auch der Arbeitsplatz Krankenhaus verliert fur Mediziner und Pflege an Attraktivitat. Die Autoren geben Ausblicke und Empfehlungen, inwiefern sich dies umkehren ließe. Krankenhausern sollte der Druck genommen werden, fur ihre Zukunftssicherung gewinnorientiert verhandeln zu mussen und das Patientenwohl sollte wieder ausschließliches Kriterium fur medizinische Entscheidungen werden.


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Product Details
  • ISBN-13: 9783954663644
  • Publisher: MWV Medizinisch Wiss. Ver
  • Binding: Paperback
  • Language: German
  • ISBN-10: 3954663643
  • Publisher Date: 4/3/2018
  • Height: 238 mm
  • Weight: 22 gr

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Medizin zwischen Patientenwohl und Okonomisierung: Krankenhausarzte und Geschaftsfuhrer im Interview
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