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Möglichkeiten und Grenzen von Krankenhaus-Betriebsvergleichen by Schelzel, Andreas

Möglichkeiten und Grenzen von Krankenhaus-Betriebsvergleichen

by Andreas Schelzel
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Book cover type: Paperback
  • ISBN13: 9783838624617
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Diplom.de
  • Publisher Imprint: Diplom.de
  • Publication Date:
  • Pages: 96
  • Original Price: GBP 62.9
  • Language: German
  • Edition: N/A
  • Item Weight: 137 grams
  • BISAC Subject(s): General

Inhaltsangabe: Einleitung: Seit Anfang der 70er Jahre werden in den Budget- und Pflegesatzverhandlungen der Krankenhäuser mit den Krankenkassen zur Entscheidungsunterstützung Krankenhaus-Betriebsvergleiche herangezogen. Im Rahmen dieser Diplomarbeit werden die verschiedenen Ansätze, die dazu in den letzten Jahren gemacht wurden und solche, die aktuell in der Diskussion stehen, kurz vorgestellt und kritisch beleuchtet. Darüber hinaus werden aber auch jene Ansätze besprochen, die lediglich der Analyse und Verbesserung von Qualität und Wirtschaftlichkeit der Krankenhäuser dienen, ohne in den Budget- und Pflegesatzverhandlungen angewandt zu werden. Ein Kapitel ist au erdem den Änderungen bei den rechtlichen Rahmenbedingungen gewidmet, wo - angefangen vom Krankenhausfinanzierungsgesetz 1972 bis hin zu den ersten Entwürfen der Gesundheitsreform 2000 - die jeweils relevanten Neuerungen aufgezeigt werden. Inhaltsverzeichnis: Inhaltsverzeichnis: INHALTSVERZEICHNISI ABKÜRZUNGSVERZEICHNISVI I.Einleitung1 II.Grundlagen1 A.Wirtschaftlichkeit2 1.Wirtschaftlichkeit im allgemeinen2 2.Wirtschaftlichkeit im Krankenhaus3 B.Betriebsvergleich4 1.Formen von Betriebsvergleichen4 2.Krankenhaus-Betriebsvergleiche5 C.Benchmarking6 1.Formen von Benchmarking6 2.Krankenhaus-Benchmarking6 D.Krankenhaustypen8 III.Wachsende Anforderungen an Krankenhäuser durch sich ändernde gesetzliche Rahmenbedingungen9 A.Krankenhausfinanzierungsgesetz (KHG) 1972 und Bundespflegesatzverordnung (BPflV) 19739 1.Einführung der Dualen Finanzierung und der Mischfinanzierung10 2.Einführung des Selbstkostendeckungsprinzips sowie eines Gewinn- und Verlustausgleichs10 3.Vergütung der Krankenhausleistungen über einen tagesgleichen, vollpauschalierten Pflegesatz11 4.Ermittlung der Pflegesätze durch Festsetzungsverfahren11 B.Krankenhaus-Neuordnungsgesetz (KHNG) 1985 und Bundespflegesatzverordnung (BPflV) 198611 1.Auflockerung der Dualen Finanzierung und Aufhebung der Mischfinanzierung12 2.Modifizie

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