PMID- 11791202
OWN - NLM
STAT- MEDLINE
DCOM- 20020422
LR  - 20191210
IS  - 0941-3790 (Print)
IS  - 0941-3790 (Linking)
VI  - 64
IP  - 1
DP  - 2002 Jan
TI  - [Result-oriented remuneration for hospital inpatient care].
PG  - 46-53
AB  - Fee-for-benefit means the adjustment of the reimbursement at the quality of care. 
      Both a bonus and a penalty are possible. It is suggested to measure innovative 
      therapies with outcome parameters and give a bonus as an incentive for quality 
      improvements. Standard therapies should be measured with process parameters and 
      be sanctioned with a penalty when the standards are missed. To determine the 
      extend of the bonus and the penalty, the variable costs of a hospital could be 
      used as a reference. Therefore a penalty should not exceed approximately 25 % of 
      the reimbursement. The costs for the introduction and administration of the 
      fee-for-benefit reimbursement must be seen in the context of the necessary 
      improvement of quality insurance in per-case reimbursement with DRG 
      (Diagnosis-Related Groups) in Germany. Related to the incidence of preventable 
      adverse events and the additional costs of poor-quality outcome evaluated from 
      studies fee-for-benefit will be cost-effective by avoiding every sixth adverse 
      event. German legislation allows fee-for-benefit only in small model projects or 
      local integrated networks. It is recommended to allow an optional opening of 
      negotiations between hospitals and sickness funds for fee-for-benefit elements. A 
      pilot study should evaluate the incidence and cost of preventable adverse events 
      in Germany.
FAU - Lungen, M
AU  - Lungen M
AD  - Institut fur Gesundheitsokonomie und Klinische Epidemiologie der Universitat zu 
      Koln. Markus, Germany. Luengen@medizin.uni-koeln.de
FAU - Lauterbach, K W
AU  - Lauterbach KW
LA  - ger
PT  - Journal Article
TT  - Ergebnisorientierte Vergutung stationarer Krankenhausleistungen.
PL  - Germany
TA  - Gesundheitswesen
JT  - Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes 
      (Germany))
JID - 9204210
SB  - IM
MH  - Germany
MH  - Hospital Charges/*statistics & numerical data
MH  - Humans
MH  - National Health Programs/*economics
MH  - Outcome Assessment, Health Care
MH  - Patient Admission/*economics
MH  - Quality Assurance, Health Care/economics
MH  - Reimbursement, Incentive/*economics
EDAT- 2002/01/16 10:00
MHDA- 2002/04/23 10:01
CRDT- 2002/01/16 10:00
PHST- 2002/01/16 10:00 [pubmed]
PHST- 2002/04/23 10:01 [medline]
PHST- 2002/01/16 10:00 [entrez]
AID - 10.1055/s-2002-19507 [doi]
PST - ppublish
SO  - Gesundheitswesen. 2002 Jan;64(1):46-53. doi: 10.1055/s-2002-19507.