Sektorenübergreifende Planung ambulanter und ambulant erbringbarer Leistungen
Strengthening ambulatory care is politically intended in Germany. Therefore, hospitals as well as office-based physicians will increasingly perform cross-sectional care. This raises the question whether there is a need for adjustments to the current separate systems for planning outpatient and inpatient capacity and calls for a possible separate planning system for cross-sectional services. The authors propose a multi-step process, based on a directive by the Federal Joint Committee (G-BA). The demand-oriented quantity of total services as well as the degree of ambulantisation have to be determined. The authors propose two variants of cross-sectional planning: Including cross-sectional services into the present system of ambulatory planning or the tendering of packages of cross-sectional services. As these approaches are suitable for different types of services, they should be implemented in parallel. Conceptual work is necessary to operationalise the proposed model.
Hüer, T., A. Walendzik, A. Pilny, F. Buchner, L. Kleinschmidt, B. Augurzky and J. Wasem (2024), Sektorenübergreifende Planung ambulanter und ambulant erbringbarer Leistungen. In Jürgen Klauber, Jürgen Wasem, Andreas Beivers, Carina Mostert and David Scheller-Kreinsen (Hrsg.), Krankenhaus-Report 2024 - Strukturreform. Berlin/Heidelberg: Springer, 195-208.