Bedarfsgerechtigkeit zur Vermeidung von Über-, Unter- und Fehlversorgung im Krankenhaussektor
Today‘s hospital structure must be adapted to future needs and the supply capacity in urban and in rural areas must be detemined according to these needs. The primary objective for the provision of health services and thus also in hospital planning must be that health care supply is needs-oriented. However, the subjective needs-orientation must be distinguished from the objective one. A needs-based hospital planning should take into account the subjective needs of patients accordingly. One criterion is indication quality, another is the patients’ preferences in the selection of a hospital. At the level of objective needs, it is important to minimise the risk of qualitative misuse such as unprofessional services, under- and over-supply. This requires appropriate monitoring methods like the ones developed in the RWI report “Krankenhausplanung (Hospital Planning) 2.0” which are illustrated in this article in extracts. The systematic monitoring of oversupply is particularly complex. Due to regionally heterogeneous demand structures, it can be checked, for example, by using a demand index in which regions treatment frequencies cannot be explained by an increased demand.
Augurzky, B., A. Beivers and N. Straub (2016), Bedarfsgerechtigkeit zur Vermeidung von Über-, Unter- und Fehlversorgung im Krankenhaussektor . In Jürgen Klauber, Max Geraedts, Jörg Friedrich and Jürgen Wasem (Hrsg.), Krankenhaus-Report 2016 - Schwerpunkt: Ambulant im Krankenhaus. Stuttgart: Schattauer, 247-264.