Suchergebnisse

"Im internationalen Vergleich wird das deutsche Gesundheitssystem als ein System mit hoher Qualität in der Versorgungsleistung eingestuft. Dennoch findet innerhalb des Gesundheitssystems keine optimale Allokation der zur Verfügung stehenden Ressourcen statt.
Reformbemühungen im Hinblick auf Einsparungs- und Wirtschaftlichkeitspotentia-len stehen an der Tagesordnung – so der jüngste Versuch der Bundesregierung im Juli 2006 mithilfe des veröffentlichten Eckpunktepapiers tiefsitzende Probleme an der Wurzel zu packen. Unerfüllte Erwartungen an die Eckpunkte zur Gesundheitsre-form geben jedoch keinen Anlass, das deutsche Gesundheitswesen nicht als ein Sys-tem zu begreifen, welches zahlreiche Gestaltungsmöglichkeiten in sich trägt. Eine zentrale Rolle spielen dabei Maßnahmen zur Stärkung der Integrierten Versorgung. Durch die Vernetzung der Versorgungsprozesse auf horizontaler und vertikaler Ebe-ne werden Wirtschaftlichkeits- und Effektivitätsparameter für ein besseres Angebot gesundheitsbezogener Dienstleistungen und Produkte herausgestellt und Koordinati-ons-, Kooperations- und Kommunikationsprozesse verbessert.
Bisher hat das GKV-Modernisierungsgesetz die Umsetzung dieser innovativen Ver-sorgungsform und die damit verbundenen Wettbewerbsanreize zwar vorangetrieben, doch wurden der gesetzliche Rahmen und die Gestaltungsfreiheit noch nicht in vol-lem Umfang genutzt.
Im Sommer 2005 führte die Hochschule Neubrandenburg in Kooperation mit dem Berliner Zentrum Public Health und der Gesellschaft für empirische Beratung mbH eine Studie zum Umsetzungsstand der Integrierten Versorgung nach §§140a-d SGB V durch. Neben der Erhebung des Status Quo mit Bezug auf die geschichtliche Ent-wicklung sowie die Manifestierung innovativer Versorgungsstrukturen in Deutsch-land bestand das Ziel der empirischen Erhebung auch darin, Aufschlüsse über Mei-nungen und Bewertungen der verschiedenen Leistungserbringer zu erhalten. Ziele und Ansätze der Integrierten Versorgung, gesetzliche Rahmenbedingungen und das auf dieser Grundlage basierende Vertragsgeschehen sowie die Möglichkeiten der Finanzierung finden in dieser Untersuchung weitere Beachtung.
Im Folgenden werden die Studienergebnisse in ihrer theoretischen und praktischen Analyse in Bezug auf die Umsetzung und den Versorgungsumfang zum Erhebungs-zeitpunkt (Juli 2005) dargestellt. Die Ergebnisse können als Vergleichsgrundlage für zukünftige Erhebungen – nach Ausgestaltung der in der Gesundheitsreform geplan-ten Maßnahmen zur Stärkung der IV – angesehen werden."[Autorenreferat]

International audience ; Background This research prioritization aimed to identify major research gaps in maternal, newborn, child and adolescent health (MNCAH) to help mitigate the direct and indirect effects of the COVID-19 pandemic. Methods We adapted the Child Health and Nutrition Research Initiative methodology. We defined scope, domains, themes and scoring criteria. We approached diverse global experts via email to submit their research ideas in MNCAH and MNCAH-related cross-cutting/ health systems area. We curated the research ideas as research questions (RQs) and sent them to the consenting experts for scoring via the online link. For each RQ, the research priority score (RPS) was calculated as an average of individual criterion scores and ranked based on RPS in each area. Results We identified top-ranked 10 RQs in each maternal, newborn, and child and adolescent health and 5 in the cross-cutting/health systems area. In maternal health, indirect effects on care, measures to improve care, health risks and outcomes, and preventing and managing SARS-CoV-2 infection/COVID-19 disease were priority RQs. In newborn health, clinical characterization and managing SARS-CoV-2 infection/COVID-19 disease, mode of transmission and interventions to prevent transmission were the focus. For child and adolescent health, top-ranked RQs were indirect effects on care, clinical status and outcomes, interventions to protect against SARS-CoV-2 infection/COVID-19 disease, and educational institute-related RQs. The cross-cutting RQs were the effects of the pandemic on availability, access, care-seeking and utilization of MNCAH services and potential solutions. Conclusions We call on partners, including governments, non-governmental organizations, research institutes, and donors, to address this urgent research agenda.

International audience ; Background This research prioritization aimed to identify major research gaps in maternal, newborn, child and adolescent health (MNCAH) to help mitigate the direct and indirect effects of the COVID-19 pandemic. Methods We adapted the Child Health and Nutrition Research Initiative methodology. We defined scope, domains, themes and scoring criteria. We approached diverse global experts via email to submit their research ideas in MNCAH and MNCAH-related cross-cutting/ health systems area. We curated the research ideas as research questions (RQs) and sent them to the consenting experts for scoring via the online link. For each RQ, the research priority score (RPS) was calculated as an average of individual criterion scores and ranked based on RPS in each area. Results We identified top-ranked 10 RQs in each maternal, newborn, and child and adolescent health and 5 in the cross-cutting/health systems area. In maternal health, indirect effects on care, measures to improve care, health risks and outcomes, and preventing and managing SARS-CoV-2 infection/COVID-19 disease were priority RQs. In newborn health, clinical characterization and managing SARS-CoV-2 infection/COVID-19 disease, mode of transmission and interventions to prevent transmission were the focus. For child and adolescent health, top-ranked RQs were indirect effects on care, clinical status and outcomes, interventions to protect against SARS-CoV-2 infection/COVID-19 disease, and educational institute-related RQs. The cross-cutting RQs were the effects of the pandemic on availability, access, care-seeking and utilization of MNCAH services and potential solutions. Conclusions We call on partners, including governments, non-governmental organizations, research institutes, and donors, to address this urgent research agenda.

International audience ; Background This research prioritization aimed to identify major research gaps in maternal, newborn, child and adolescent health (MNCAH) to help mitigate the direct and indirect effects of the COVID-19 pandemic. Methods We adapted the Child Health and Nutrition Research Initiative methodology. We defined scope, domains, themes and scoring criteria. We approached diverse global experts via email to submit their research ideas in MNCAH and MNCAH-related cross-cutting/ health systems area. We curated the research ideas as research questions (RQs) and sent them to the consenting experts for scoring via the online link. For each RQ, the research priority score (RPS) was calculated as an average of individual criterion scores and ranked based on RPS in each area. Results We identified top-ranked 10 RQs in each maternal, newborn, and child and adolescent health and 5 in the cross-cutting/health systems area. In maternal health, indirect effects on care, measures to improve care, health risks and outcomes, and preventing and managing SARS-CoV-2 infection/COVID-19 disease were priority RQs. In newborn health, clinical characterization and managing SARS-CoV-2 infection/COVID-19 disease, mode of transmission and interventions to prevent transmission were the focus. For child and adolescent health, top-ranked RQs were indirect effects on care, clinical status and outcomes, interventions to protect against SARS-CoV-2 infection/COVID-19 disease, and educational institute-related RQs. The cross-cutting RQs were the effects of the pandemic on availability, access, care-seeking and utilization of MNCAH services and potential solutions. Conclusions We call on partners, including governments, non-governmental organizations, research institutes, and donors, to address this urgent research agenda.

International audience ; Background This research prioritization aimed to identify major research gaps in maternal, newborn, child and adolescent health (MNCAH) to help mitigate the direct and indirect effects of the COVID-19 pandemic. Methods We adapted the Child Health and Nutrition Research Initiative methodology. We defined scope, domains, themes and scoring criteria. We approached diverse global experts via email to submit their research ideas in MNCAH and MNCAH-related cross-cutting/ health systems area. We curated the research ideas as research questions (RQs) and sent them to the consenting experts for scoring via the online link. For each RQ, the research priority score (RPS) was calculated as an average of individual criterion scores and ranked based on RPS in each area. Results We identified top-ranked 10 RQs in each maternal, newborn, and child and adolescent health and 5 in the cross-cutting/health systems area. In maternal health, indirect effects on care, measures to improve care, health risks and outcomes, and preventing and managing SARS-CoV-2 infection/COVID-19 disease were priority RQs. In newborn health, clinical characterization and managing SARS-CoV-2 infection/COVID-19 disease, mode of transmission and interventions to prevent transmission were the focus. For child and adolescent health, top-ranked RQs were indirect effects on care, clinical status and outcomes, interventions to protect against SARS-CoV-2 infection/COVID-19 disease, and educational institute-related RQs. The cross-cutting RQs were the effects of the pandemic on availability, access, care-seeking and utilization of MNCAH services and potential solutions. Conclusions We call on partners, including governments, non-governmental organizations, research institutes, and donors, to address this urgent research agenda.