title: [Clinic communication and disease-oriented centers].
abstract: German hospitals and surgical clinics/departments are facing far-reaching changes. One triggering factor is the imminent reorganization of hospital financing to a system of compensation, which is universally based on diagnosis-related groups (DRGs) and entails a market-economy orientation in the hospital sector. Digital technologies, which facilitate making the necessary adjustments to clinic structures to meet forthcoming challenges, represent another element. The "digital transformation" of the hospital of the future takes place on three levels. The restructuring of the surgical realm runs rather a traditional course by increasing use of information technology, mostly to optimize documentation and existing procedures or to reduce costs. The second sphere reaches substantially further, encompassing reorganization of disease-oriented cooperation between the different medical specialties and enabling the establishment of suitably structured disease-oriented medical centers. This is followed by the third phase, which involves networking clinics or medical centers with private practitioners, aftercare and rehabilitation services, and other disease-oriented care providers.
authors.affiliation: Chirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaningerstrasse 22, 81675 München. siess@nt1.chir.med.tu-muenchen.de
authors.forename: M
authors.initials: M
authors.lastname: Siess
authors.forename: R
authors.initials: R
authors.lastname: Bumm
authors.forename: J R
authors.initials: JR
authors.lastname: Siewert
mesh_terms: D003195:Computer Communication Networks / Q000191:economics; D003363:Cost Control / Q000639:trends; D003953:Diagnosis-Related Groups / Q000191:economics*; D005544:Forecasting; D005858:Germany; D006751:Hospital Information Systems / Q000191:economics*; D006754:Hospital Restructuring / Q000191:economics*; D006755:Hospital Shared Services / Q000191:economics*; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000191:economics; D009313:National Health Programs / Q000191:economics*; D010348:Patient Care Team / Q000191:economics*; D013503:Surgery Department, Hospital / Q000191:economics