Krankenhauslandschaft in Deutschland - Ein Markt im Umbruch

Schmidt, Carl F.; Moller, Juan Pablo Camus; Gabbert, T.; Mohr, Adriana; Engeler, F

doi:10.1055/s-2004-824873

Cited by 12 publications

(23 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ne ben Lehrern sollen allerdings Ärzte und Pflegekräfte in besonderem Maß betrof fen sein [7,8,9,10,11,12,13] Die Einführung der fallbezogenen Ab rechnung hat bereits erheblichen Einfluss sowohl auf die "Krankenhauslandschaft" Deutschlands insgesamt -z. B. im Sin ne der Verminderung fragmentierter zu gunsten integrierter Versorgungsformen oder im Sinne der Industrialisierung des Krankenhauswesens -als auch auf einzel ne Fachdisziplinen ausgeübt, die Anästhe siologie nicht ausgenommen [14,15,16,17,18,19,20]. Im Bezug auf die Eingruppie rung und Verschlüsselung der "diagnosis related groups" (DRG), die der fallbezoge nen Abrechnung zugrunde gelegt werden, ist es außerdem zu einer erheblichen Aus weitung der administrativen Aufgaben zulasten der Ärzte gekommen [21,22,23].…”

Section: Burn-out In Anästhesie Und Intensivmedizinunclassified

Burn-out in Anästhesie und Intensivmedizin

Michalsen¹,

Hillert

2010

Anaesthesist

View full text Add to dashboard Cite

Both acute critical life events and circumstances continuously perceived as strenuous may lead to psychomental and somatic symptoms. The term burn-out as an expression for chronic occupational stress has become a popular catchword over the last years. Employees in many occupations feel especially prone to burn-out due to a work environment perceived as increasingly intense and commercialized. Physicians and nurses also appear to be considerably affected by burn-out, including those working in anesthesiology and intensive care medicine. However, there is a scarcity of reliable occupation-specific data to corroborate this notion. Even though the classic concept of burn-out and the Maslach Burnout Inventory have been used for many years, a critical appraisal shows that burn-out has not yet been recognized as a diagnostic entity. Presumably there are other concepts and psychometric instruments more capable of collecting epidemiologic data regarding chronic work-related stress. With enhanced data, perhaps, measures based on principles of public health can be created and evaluated for the prevention and treatment of this condition.

show abstract

Section: Burn-out In Anästhesie Und Intensivmedizinunclassified

Burn-out in Anästhesie und Intensivmedizin

Michalsen¹,

Hillert

2010

Anaesthesist

View full text Add to dashboard Cite

show abstract

“…Durch Sen si bi li sie rung der Le ser für die Pro b le ma tik ei ner Team bil dung im Ope ra ti ons saal wur de ver sucht, so wohl die Mit ar bei ter zu frie den heit als auch die Ef fi zi enz der Leis tungs er brin gung güns tig zu be ein flus sen. Da ei ni ge pri va te Kran kenhaus trä ger be reits mit den hier er wähn ten Maß nah men be gon nen ha ben, ist die Ausein an der set zung mit die ser The ma tik vor dem Hin ter grund des zu neh men den Wettbe werbs umso wich ti ger [15].…”

Section: Zu Sam Men Fas Sungunclassified

Teambildung im Operationssaal

et al. 2005

View full text Add to dashboard Cite

German hospitals face growing economic pressure. Due to the reimbursement system with diagnosis-related groups (DRGs), revenues from capitation fees have to be earned by each clinic. This leads to minimization of resources for every single case. Cost effectiveness is also realised through shorter hospital stays, reduction of hospital beds and a steady rise in cases per year. As a consequence, all employees are confronted with an increasing workload. Compensation of these working conditions can be achieved by human engineering. Despite statements from politicians and hospital leadership in order to cope with this situation, reality is far away: overwork, shorter or missing recreation periods, pressure of time and low income of staff members have turned hospitals into a deterring workplace. If satisfaction of elementary needs such as adherence to break times, is not achieved shortly, politicians and hospital leadership will find out that without motivated and satisfied staff there will not be efficient performance. The present article addresses this issue and gives examples for increasing efficiency through motivation. Focus is on cooperation in the operation room, advantages and risks of teamwork and auxiliary measures for improvement. The aim is to underline how complex and fragile working in an operation room proceeds and how little is done to support this process. Finally, examples are described which improve teamwork, motivation, efficiency and efficacy.

show abstract

“…Al ter na ti ven lie gen in der stra te gi schen Neu ori en tie rung ei ner Uni ver si täts kli nik [17,22,32]. Hier zu bedarf es ei ner An a ly se der Un ter neh mensseg men te und ih rer Po si tio nie rung am Markt [3].…”

Section: Stra Te Gi Sche Neu Ori En Tie Rungunclassified

“…auf die ca. 2250 Akut kran ken häu ser [2,12,13,32]. Unter den Akut kran ken häu sern neh men die 34 Uni ver si täts kli ni ken eine be son de re Posi ti on ein.…”

unclassified

Universitätskliniken im Spannungsfeld des Krankenhausmarktes

Schmidt¹,

Möller²,

Hesslau³

et al. 2005

Anaesthesist

View full text Add to dashboard Cite

In recent years Germany has faced a growing economization and competition among hospitals. To protect their interests hospitals have to operate similarly to other commercial businesses. Academic hospitals face difficult circumstances in this competition. They have to facilitate research and education activities which require additional financial and personnel resources but also provide maximum acute care treatment at all times. This causes additional disadvantages in terms of financial resources, compared to private hospital chains. Such examples of financial shortcomings have led to the privatization of academic research centres in Germany. An alternative strategy to privatization of academic acute care hospitals is the change of their legal status into a capital company or into a foundation, according to US experiences. Public private partnerships (PPPs) may also represent a potential alternative, as they have already produced a growing number of successful examples in the public sector in Germany. Academic acute care hospitals can also choose a strategic reorganization of their targets, similar to their privately held competitors in the market. Potential economies in scale may be achieved in areas such as medical treatment, research and personnel planning.However, it is vital that academic acute care hospitals start to act productively and also individually. This article provides a number of managerial pathways and options to maintain and strengthen operational competitiveness.

show abstract

Krankenhauslandschaft in Deutschland - Ein Markt im Umbruch

Cited by 12 publications

References 2 publications

Burn-out in Anästhesie und Intensivmedizin

Burn-out in Anästhesie und Intensivmedizin

Teambildung im Operationssaal

Universitätskliniken im Spannungsfeld des Krankenhausmarktes

Contact Info

Product

Resources

About