[Disease management programs from the statutory health insurance physicians' point of view ].
The advantage of DMPs is that they can be used to define target criteria that are legally binding and thus allow for the control of core issues of our health care system. Legal security is to be established by evidence-based guidelines. At present, however, DMPs are still being dominated by economic aspects. From the point of view of the associations of statutory health insurance physicians, further criticism relates both to the transferral of highly sensitive data to health insurance funds and the remuneration for medical services in respect of DMPs. At least, extra-budgetary allotments are claimed after a transitional phase. And finally, the considerable administrative efforts involved are pointed out.
Spies
Hans-Friedrich
HF
Hans-Friedrich.Spies@kvhessen.de
D019468:Disease Management; D006801:Humans; D007348:Insurance, Health; D008329:Managed Care Programs / Q000592:standards*; D009313:National Health Programs / Q000592:standards*; D010820:Physicians; D011785:Quality Assurance, Health Care