[Why is integrated health care appropriate for modern German cardiology?].
Integrated Health Care is a new tool in German legislative means to overcome the traditional separation of outpatient and inpatient health care sectors. In this paper, it is outlined, that cardiology meets several criteria that make the introduction of Integrated Health Care especially in cardiology promising. Among these criteria, evidence-based medicine, guideline-based medicine, good statistical information, large numbers of performed procedures, high costs of performed procedures, performance of procedures both in the outpatient and inpatient sectors, chronic course of treated diseases, a high degree of dependence on other medical specialities as well as a high need for the implementation of innovations in clinical cardiology are mentioned.Concluding, the paper explains the purposes of this supplement for the comprehension of different views on Integrated Health Care in cardiology as well as the information on already implemented Integrated Health Care. These experiences should facilitate the formulation of the requests for the cardiology community for new definitions of Integrated Health Care beyond 2007/ 2008.
Frantz
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Kardiologe, Chefarzt der Inneren Abteilung, St. Josefs-Krankenhaus Potsdam-Sanssouci, Allee nach Sanssouci 7, 14471 Potsdam.
D000368:Aged; D000553:Ambulatory Care / Q000458:organization & administration; D002309:Cardiology / Q000191:economics / Q000331:legislation & jurisprudence / Q000639:trends*; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D019317:Evidence-Based Medicine; D005544:Forecasting; D005858:Germany; D006331:Heart Diseases / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology / Q000401:mortality / Q000628:therapy; D006801:Humans; D007348:Insurance, Health / Q000191:economics; D008875:Middle Aged; D010166:Palliative Care; D017410:Practice Guidelines as Topic