[Costs and benefits of quality management].
The establishment of quality management (QM) has been mandatory for health care providers of the national health insurance since 2004; however, certification is so far only compulsory for rehabilitation clinics. The costs have so far only been quantified in a few medical studies, while they are widely known in business administration with a basic distinction made between planning, steering, auditing, and declaration costs. Another business economics approach differentiates between prevention, appraisal, and non-conformance costs. The benefits of QM relates to customers, employees, external service providers, and health insurance providers. Also important in our consideration of the patient as a customer is that they should not be considered a customer in the usual business sense because the patient is in an emergency situation and can not freely decide. Improvements in treatment quality and in reducing the rate of adverse events make up the largest portion of the benefits of QM. Furthermore, QM can have a positive influence on motivation and employee recruitment. In addition, the cost savings that result despite costs for QM must not be forgotten.
Medizinische Fakultät, Justus-Liebig-Universität Gießen, Rudolf-Buchheim-Straße 6, 35392, Gießen, Deutschland, immo.schroeder-printzen@uniklinikum-giessen.de.
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D003363:Cost Control / Q000458:organization & administration; D003362:Cost-Benefit Analysis / Q000458:organization & administration; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D005858:Germany; D017048:Health Care Costs / Q000706:statistics & numerical data*; D009313:National Health Programs / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care / Q000191:economics* / Q000379:methods*; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D017749:Total Quality Management / Q000379:methods / Q000458:organization & administration*