Die neuen Heilverfahren der DGUV: Aus der Sicht eines Städtischen Krankenhauses

详细信息    查看全文

• 作者：Prof. Dr. F. Bonnaire ; M. Goepel ; P. Bula
• 关键词：SchlüsselwörterStädtisches Krankenhaus ; Schwerstverletzungsverfahren (SAV) ; DRG ; Erlöse ; Unterfinanzierung
• 刊名：Der Unfallchirurg
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：119
• 期：11
• 页码：908-914
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Traumatic Surgery; Medicine/Public Health, general; Sports Medicine;
• 出版者：Springer Medizin
• ISSN：1433-044X
• 卷排序：119

文摘

The requirements of the German statutory accident insurance (DGUV) for the new treatment procedure were presented on 1 January 2013 in a new catalogue. The implementation of the certification of hospitals for the very severe injury procedure (SAV) by the DGUV should have been completed by 2014. These requirements placed high demands on trauma-oriented hospitals because of the high structural and personnel prerequisites. The background to the new organization was the wish of the DGUV for quality improvement in patient treatment in hospitals for patients with very severe occupational and occupation-related trauma by placement in qualified centers with high case numbers. No increase in income was planned for the hospitals to cope with the necessary improvements in quality. After 2 years of experience with the SAV we can confirm for a community hospital that the structural requirements could be improved (e.g. establishment of departments of neurosurgery, plastic surgery and thoracic surgery) but the high requirements for qualification and attendance of physicians on duty are a continuous problem and are also costly. The numbers of severely injured trauma patients have greatly increased, particularly in 2015. The charges for the complex treatment are not adequately reflected in the German diagnosis-related groups system and no extra flat rate funding per case is explicitly planned in the DRG remuneration catalogue. The invoicing of a center surcharge in addition to the DRG charges has not been introduced.