[Evidence-based scientific analysis of fundamental Medical Services of Statutory Health Insurance internal principle assessment].
In Germany, the increasing relevance of Evidence-based medicine (EbM) is not only a consequence of growing economic limitations in the health care system but of a changed jurisdiction, too: liability of the statutory health insurances (SHI) to pay for medical care depends on the proof of its effectiveness. This is of special importance for the Medical Services in their role as an advisor of the SHI. The article depicts the basic assignments of the Medical Services of the Statutory Health Insurance, their legal frame and the role of EbM in sociomedical expertising. The way of fundamental sociomedical expertising, its internal and external effects, the personnel and technical/logistic requirements are described as well as potential of improvement.
Mayer
E D
ED
Medizinischer Dienst der Krankenversicherung Baden-Württemberg. e.mayer@mdkbw.de
Boukamp
K
K
Kruse
F
F
Hansis
M L
ML
Windeler
J
J
D003695:Delivery of Health Care / Q000592:standards*; D019317:Evidence-Based Medicine; D005858:Germany; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration / Q000592:standards*; D011785:Quality Assurance, Health Care