文摘
Hospitals are increasingly also offering ambulatory care. In many instances, a period of inpatient treatment remains an absolute necessity. Hospitals are thus the ideal bases for sector-wide interdisciplinary medical care. The collective use of resources and capacities also enables more economically viable provision of services. However, for this to be possible, the legal hurdles pertaining to sector-wide care have to be surmounted—for both its approval and its financing. The current article presents three models of sector-wide care: specialist ambulatory care (“ambulante spezialfach?rztliche Versorgung- ASV), the medical care facility (“medizinisches Versorgungszentrum- MVZ), and integrated care (“integrierte Versorgung- IV). The development of these models and the difficulties encountered along the path toward sector-wide service provision are discussed. Keywords Ambulatory care Hospitalization Hospital Health care costs Interdisciplinary health team