[Trans-Sectoral Patient Care in Pediatric Oncology: Quality Assurance by Novel Reimbursement Models for Outpatient Services]. / Sektorenübergreifende Versorgung in der Pädiatrischen Onkologie: Qualitätssicherung durch neue Vergütungsmodelle für nicht-vollstationäre Leistungen.
Klin Padiatr
; 232(6): 289-293, 2020 Nov.
Article
en De
| MEDLINE
| ID: mdl-32365390
ABSTRACT
BACKGROUND:
The medical care of pediatric cancer patients in the German health care system relies on special structures. All children and adolescents with a diagnosis of cancer receive uniform treatment within clinical studies or registers and exclusively at centers which can ensure interdisciplinary care by a multiprofessional team. Reimbursement of outpatient services is highly heterogeneous among the centers, and the expenses are often not adequately compensated.METHOD:
A nation-wide survey was performed among all centers of the German Society of Pediatric Hematology and Oncology, with a standardized questionnaire inquiring which reimbursement models are used to finance outpatient treatment and whether full coverage of the expenses is achieved.RESULTS:
Of 58 Pediatric Oncology Centers in Germany 18 (33%) participated in the survey, including 8 (44%) University Hospitals. The use of available reimbursement tools was highly heterogeneous. Reimbursement for outpatient service was based on a mean of 3,33±1,49 individual components. Of the 18 responding centers, 17 indicated that the revenues do not fully cover the expenses. DISCUSSION ANDCONCLUSION:
Pediatric oncology centers in Germany can not achieve full coverage of expenses in the outpatient setting. Nationally uniform cost-covering remuneration strategies are needed. This article proposes three individual models for an adequate nationwide financial framework for the outpatient care of pediatric cancer patients.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Grupo de Atención al Paciente
/
Garantía de la Calidad de Atención de Salud
/
Mecanismo de Reembolso
/
Instituciones de Atención Ambulatoria
/
Oncología Médica
/
Neoplasias
Límite:
Adolescent
/
Child
/
Humans
País/Región como asunto:
Europa
Idioma:
De
Revista:
Klin Padiatr
Año:
2020
Tipo del documento:
Article