[Arguments in favor of Integrated Health Care as regular health care provision in cardiology].
Patients are not outpatients or inpatients, they are ill or healthy. Integrated Health Care provides a real chance to bring scientific innovations quickly from the laboratory to patients--and being paid for that. Although guidelines therefore are no compulsory exercise, they are tools to implement evidence-based use of innovative medical means. Health care providers should be reluctant to agree in guarantees for the success of medical therapies, since medical decisions may be influenced in different ways by that. Bureaucracy may hinder the spreading of Integrated Health Care; therefore simple regulations should be preferred. Reimbursement should not be designed according to conventional systems for outpatient or inpatient care, but as defined sums of money. That makes people sure to know what kind of contract they have agreed in.
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1. Vorsitzender des Bundesverbandes Niedergelassener Kardiologen e. V. (BNK), Kardiologische Gemeinschaftspraxis und Praxisklinik, Am Isarkanal 36, 81379 München. sigmund@silber.com
D002309:Cardiology / Q000191:economics / Q000592:standards / Q000639:trends*; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000592:standards; D005194:Family Practice; D005858:Germany; D006801:Humans; D007297:Inpatients; D010045:Outpatients; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care; D012051:Reimbursement Mechanisms