Traduction en anglais : The new German law of structural public health care (GSG) concerning surgical interventions at an university hospital : 3 years of clinical experience (1994-1996).
The cost increase in the public health sector is steadily mounting and hence politicians are forced to redefine the economic conditions for regulations.
As a new quality in the area of inpatient hospital care the new German law of structural health care (GSG), valid as of January 1,1993 replaces the principle of covering full costs.
The GSG law required in our hospital an adjustment of existing EDP structures with integrated automatic remuneration estimate and the installation of a medical structure of the organisation for complete and correct documentation.
Weakpoints of the prescribed obligatory ICPM codes and inadequate legal regulations result in a lack of separation or wrong integration of the lumpsum payment in individual cases (FP) and special compensation (SE).
The summary analysis of the compensation system with a subsequent medical control system showed a primarily inaccurate classification by 12%. There is as yet no proof for the usefulness of a lumpsum payment system resulting in a selection of risks.
Mots-clés Pascal : Législation, Allemagne, Europe, Hôpital, Financement, Gestion hospitalière, Système information, Dossier médical, Intervention, Chirurgie, Classification, Informatique, Economie santé
Mots-clés Pascal anglais : Legislation, Germany, Europe, Hospital, Financing, Hospital management, Information system, Medical record, Operation, Surgery, Classification, Computer science, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0100756
Code Inist : 002B30A04C. Création : 22/06/1998.