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Full Description
Fifteen years ago, hospital remuneration was switched to a DRG flat-rate system (DRG: Diagnosis Related Groups). Since then, the DRG system has been the subject of controversial discussions in the hospital sector, in politics and in science. This anthology summarizes critical perspectives on the DRG system. It is aimed at experts from politics, science and associations as well as at people in general who are concerned with the design of the health care system and hospital care.
With contributions by: Nikola Biller-Andorno, Ingo Bode,Johann Böhmann, Bernard Braun, Anja Dieterich, Margrit Fässler, Jonathan Falkenberg, Max Geraedts, Thomas Gerlinger, Christoph Kranich, Giovanni Maio, Georg Marckmann, Hans-Joachim Meyer, Michael Simon, Arved Weimann, Maximiliane Wilkesmann.
The content
· Introductory contributions
· Effects of the DRG system on the medical service, the nursing service and the quality of patient care
· The inertia of the DRG system and possible ways out
Target Audience:
· Students, teachers, scientists, practitioners in the relevant disciplines
· Decision-maker
· Journalists
The publishers
Dr. Anja Dieterich is a policy officer for health care at Diakonie Deutschland, Berlin.
Dr. Bernard Braun is an associate health scientist at the SOCIUM of the University of Bremen with a focus on health care and policy impact research.
Prof. Dr. Dr. Thomas Gerlinger is Professor of Health Policy, Health Systems and Health Sociology at Bielefeld University.
Prof. Dr. Michael Simon is a retired university lecturer and taught at Hannover University of Applied Sciences and Arts until 2016, focusing on the health care system and health care policy.
Contents
The German DRG system: history and development since its introduction.- Control media and instruments in the provision of hospital services.- DRG or market? On the pressure of ambivalence in the German hospital system.- Effects of the DRG system on the medical service, the nursing service and the quality of patient care.- The inner workings of the hospital - between demand orientation, overprovision, staff shortages, professional logics and structural deficits.- Changes in the everyday life of a care clinic in 15 years of DRG - 40 years of experience in paediatrics.- Ethical aspects in the DRG system from a surgical point of view.- From flying blind to a precision landing - On the work of hospital physicians under DRG conditions.- The discussion about chief physician bonuses in Germany and Switzerland.- Ethics as a management task: perspectives for an ethically justifiable handling of the increasing cost pressure in German hospitals.- The significance of the DRG system for job cuts and understaffing in the nursing service of hospitals.- The discussion about bonuses for chief physicians in Germany and Switzerland.- The discussion about bonuses for chief physicians in Germany and Switzerland. Quality despite or because of DRGs?.- The misery of flat rates per case and models for overcoming them.- The inertia of the DRG system and possible ways out.- The German DRG system: Neither a success story nor performance-based.- The introduction of a flat-rate remuneration system for psychiatry and psychosomatics - Impulses for the DRG sector.
