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Public Health Forum

Forschung - Lehre - Praxis

Ed. by Huber, Monika / Blättner, Beate / Hollederer, Alfons / Kuntz, Benjamin / Loss , Julika / Plaumann, Martina / Pundt, Johanne / Räbiger, Jutta / Reschauer, Georg / Schott, Thomas / Siegel, Achim / Spallek, Jacob / Steinhauser, Tanja / Walter, Ulla / Wildner, Manfred / Wolfram, Nicole

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SCImago Journal Rank (SJR) 2015: 0.109
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ISSN
1876-4851
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Volume 21, Issue 1 (Apr 2013)

Issues

Anwendung neuer Vergütungsformen im Rahmen niederländischer DMP: Auswirkungen auf Prozessqualität und Kosten

Sigrid M. Mohnen
  • Dr. Sigrid M. MohnenCentre for Nutrition, Prevention, and Health ServicesNational Institute for Public Health and the EnvironmentA. van Leeuwenhoeklaan 93721 MA Bilthoven
  • Email:
/ Caroline A. Baan / Jeroen N. Struijs
Published Online: 2015-01-09 | DOI: https://doi.org/10.1016/j.phf.2012.12.010

Einleitung

Seit 2007 ist es in den Niederlanden möglich, um DMPs integriert zu vergüten. Integrierte Vergütung soll zu qualitativ besserer Versorgung sowie Aufgabenverteilgung und –delegation führen. Das „National Institute of Public Health and the Environment (RIVM)“ erforschte die Auswirkung dieser Vergütungsreform auf Diabetes Versorgung hinsichtlich Qualitätsprozessindikatoren und Kosten. Die Forschungsergebnisse sind in diesem Artikel zusammengefasst.

Summary

Since 2007 it is possible to purchase DMPs by bundled payments in the Netherlands. Bundled payment was hypothesised to improve the quality of care and encourage task delegation and reallocation. The National Institute of Public Health and the Environment (RIVM) investigated the effects of this payment reform on the quality of care and health care costs regarding diabetes care. The results of this study are summarized in this article.

Schlüsselwörter: Integrierte Vergütung; Care groups; Diabetes; Gesundheitsvergütungssystemreform; Kurative Gesundheitsversorgungskosten

Keywords: Bundled payment; care groups; diabetes; health care payment reform; curative health care costs

Literaturverzeichnis

  • Bodenheimer, 2008

    Bodenheimer, T.: Coordinating care – a perilous journey through the health care system, N Engl J Med, 358, 2008, S. 1064–1071

  • Boot, 2010

    Boot JMD. Organization of health care [In Dutch: Organisatie van de gezondheidszorg]. Van Gorcum, 2010.

  • Struijs et al., 2010

    Struijs JN, van Til J, Baan CA. Experimenting with bundled payments for diabetes care. The first tangible effects. RIVM report 260224002/2010. RIVM, Bilthoven, 2010 (Zitierdatum: 30.11.2012), abrufbar unter: http://www.rivm.nl/bibliotheek/rapporten/260224002.pdf

  • Struijs und Baan, 2011

    Struijs, J.N.; Baan, C.A.: Integrating Care through Bundled Payments — Lessons from the Netherlands, N Eng J Med, 264, 11, 2011, S. 990–991

  • Struijs et al., 2012a

    Struijs JN, de Jong-van Til JT, Lemmens LC, Drewes HW, de Bruin SR, Baan CA. Three years of bundled payment for diabetes care in the Netherlands. Impact on health care delivery process and the quality of care. RIVM report 26013002/2012. RIVM, Bilthoven, 2012a (Zitierdatum: 30.11.2012), abrufbar unter: http://www.rivm.nl/bibliotheek/rapporten/260013002.pdf

  • Struijs et al., 2012b

    Struijs JN, Mohnen SM, Molema CCM, de Jong-van Til JT, Baan CA. Effect of bundled payments on curative health care costs in the Netherlands. An analysis for diabetes care and vascular risk management based on nationwide claim data. RIVM report 26013001/2012. RIVM, Bilthoven, 2012b (Zitierdatum: 30.11.2012), abrufbar unter: http://www.rivm.nl/bibliotheek/rapporten/260013001.html

  • de Jong-van Til et al., 2012

    De Jong-van Til JT, Lemmens LC, Baan CA, Struijs JN. The organization of care groups in 2011. Current state of affairs and developments during last years [In Dutch: De organisatie van zorggroepen anno 2011: Huidige stand van zaken en de ontwikkelingen in de afgelopen jaren]. Bilthoven: RIVM rapportnummer 260131003/2012. RIVM, Bilthoven, 2012.

  • Lemmens et al., 2012

    Lemmens, L.; van Til, J.T.; Struijs, J.N.; Kooistra, M.; Baan, C.A.: Does the Diabetes Health Care Standard offer Care Groups enough guidance? [In Dutch: Biedt de NDF Zorgstandaard zorggroepen voldoende houvast? Bruikbaarheid NDF Zorgstandaard voor zorggroepen, TSG, 90, 5, 2012, S. 295–302

  • de Bakker et al., 2012

    de Bakker, D.H.; Struijs, J.N.; Baan, C.A.; Raams, J.; Vrijhoef, B.; de Wildt, J.E.; Schut, F.T.: First experiences with bundled payments for chronic care in the Netherlands, Health Affairs, 31, no. 2, 2012, S. 426–433

About the article

Published Online: 2015-01-09

Published in Print: 2013-04-01


Citation Information: Public Health Forum, ISSN (Online) 1876-4851, ISSN (Print) 0944-5587, DOI: https://doi.org/10.1016/j.phf.2012.12.010. Export Citation

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