Consolidation of hospitals

Decreasing costs and increasing quality?

Nonfiction, Health & Well Being, Medical, Specialties, Clinical Medicine
Cover of the book Consolidation of hospitals by Sarah Pinsdorf, GRIN Publishing
View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart
Author: Sarah Pinsdorf ISBN: 9783656616139
Publisher: GRIN Publishing Publication: March 17, 2014
Imprint: GRIN Publishing Language: English
Author: Sarah Pinsdorf
ISBN: 9783656616139
Publisher: GRIN Publishing
Publication: March 17, 2014
Imprint: GRIN Publishing
Language: English

Seminar paper from the year 2011 in the subject Medicine - Hospital Environment, Clinical Medicine, grade: 1,7, Fresenius University of Applied Sciences Köln, language: English, abstract: Increasing cost pressure, shortage of staff, investment backlog - more and more hospitals need to merge with others to survive. Apart from the decreasing capital investments of the federal states, especially the implementation of DRGs (Monopolkommission 2008, 313) and the possibility of integrated health care lead to an enormous cost pressure. In Germany, there is a dual hospital funding. The costs of operation are beared by payments of health insurance funds. Investment costs for new buildings or the replacement of capital goods are payed by the federal states. However, these allowances of investment are on the decrease for years, which leads to investment backlogs in hospital (Augurzky et al. 2009, 93). This implies that hospitals are supposed to invest, but their funds are too small to do so. In the long run, the economic efficiency suffers because it cannot compete with other hospitals regarding the technological progress (Augurzky et al. 2009, 13). The introduction of DRGs [Diagnosis Related Groups], the basis of calculation for hospitals, lead to an increasing pressure of working economically. In the old system, every day of a patient's stay in the hospital was refunded based on same-day hospital and nursing charges. In the new system, only occupant days within a predetermined period of hospitalization. The preterm discharge or a discharge exceeding the period of hospitalization results in discounts in payments, which often do not allow cost recovery (Eveslage 2006, 37-39). Accordingly, hospitals are under pressure to treat their patients fast and discharge them within the preset period. This requires efficient and economical operations. An additional burden is the growing competition in the sector of ambulatory care. As a result of the strong medical progress, more and more operations, which were formerly bound to be performed in hospital, can nowadays be done ambulant. Another innovation in the German health care system are medical service centers [Medizinische Versorgungszentren]. They will soon be capable to take over the primary health care in rural areas and replace major hospitals there, because they are able to work more economic (Augurzky et al. 2009, 162). On the whole, the pressure on hospitals increased steadily in the past years. Many hospitals are not capable to assert themselves on the market under today's conditions solitary. 12 per cent of the economically weak hospitals are expected to shut down by 2020. (Augurzky et al. 2009, 124).

View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart

Seminar paper from the year 2011 in the subject Medicine - Hospital Environment, Clinical Medicine, grade: 1,7, Fresenius University of Applied Sciences Köln, language: English, abstract: Increasing cost pressure, shortage of staff, investment backlog - more and more hospitals need to merge with others to survive. Apart from the decreasing capital investments of the federal states, especially the implementation of DRGs (Monopolkommission 2008, 313) and the possibility of integrated health care lead to an enormous cost pressure. In Germany, there is a dual hospital funding. The costs of operation are beared by payments of health insurance funds. Investment costs for new buildings or the replacement of capital goods are payed by the federal states. However, these allowances of investment are on the decrease for years, which leads to investment backlogs in hospital (Augurzky et al. 2009, 93). This implies that hospitals are supposed to invest, but their funds are too small to do so. In the long run, the economic efficiency suffers because it cannot compete with other hospitals regarding the technological progress (Augurzky et al. 2009, 13). The introduction of DRGs [Diagnosis Related Groups], the basis of calculation for hospitals, lead to an increasing pressure of working economically. In the old system, every day of a patient's stay in the hospital was refunded based on same-day hospital and nursing charges. In the new system, only occupant days within a predetermined period of hospitalization. The preterm discharge or a discharge exceeding the period of hospitalization results in discounts in payments, which often do not allow cost recovery (Eveslage 2006, 37-39). Accordingly, hospitals are under pressure to treat their patients fast and discharge them within the preset period. This requires efficient and economical operations. An additional burden is the growing competition in the sector of ambulatory care. As a result of the strong medical progress, more and more operations, which were formerly bound to be performed in hospital, can nowadays be done ambulant. Another innovation in the German health care system are medical service centers [Medizinische Versorgungszentren]. They will soon be capable to take over the primary health care in rural areas and replace major hospitals there, because they are able to work more economic (Augurzky et al. 2009, 162). On the whole, the pressure on hospitals increased steadily in the past years. Many hospitals are not capable to assert themselves on the market under today's conditions solitary. 12 per cent of the economically weak hospitals are expected to shut down by 2020. (Augurzky et al. 2009, 124).

More books from GRIN Publishing

Cover of the book Zara: An analysis of market-orientated supply chain management in the retail fashion industry by Sarah Pinsdorf
Cover of the book An inconvenient woman - The character of Madame Wu from 'Pavilion of Women' by Pearl S. Buck by Sarah Pinsdorf
Cover of the book The Measurement of Social Skills in Depression by Sarah Pinsdorf
Cover of the book Social influences in brainstorming groups by Sarah Pinsdorf
Cover of the book Apocalypse... Eventually by Sarah Pinsdorf
Cover of the book How far should Greek Tragedy be regarded as a dangerous genre? by Sarah Pinsdorf
Cover of the book The Aspect of Time in William Faulkner´s Short Story A ROSE FOR EMILY by Sarah Pinsdorf
Cover of the book Display, Representation and Fashion in Jane Austen's Bath - Northanger Abbey, Persuasion and Emma by Sarah Pinsdorf
Cover of the book The soldiers' mothers of Russia by Sarah Pinsdorf
Cover of the book Who Could Be Responsible for the Tragic Death of Romeo and Juliet? by Sarah Pinsdorf
Cover of the book Mainiacs, shoes, and the accident that was Gettysburg. The historical role of the 20th Maine Volunteer Infantry Regiment by Sarah Pinsdorf
Cover of the book The protection of individual rights in the EU law system. Law provision's direct effect, applicability of law sources by Sarah Pinsdorf
Cover of the book The Need for a Revival of Third Worldism and the Continued Relevance of the Concept of the Third World by Sarah Pinsdorf
Cover of the book Causes and consequences of 'gendered' communication by Sarah Pinsdorf
Cover of the book Perspectives and opportunities of the Obama government's security and counterterrorism policy - Chances and ways to more success by Sarah Pinsdorf
We use our own "cookies" and third party cookies to improve services and to see statistical information. By using this website, you agree to our Privacy Policy