Revolution in health care: Every fourth intervention in the future!

Revolution in health care: Every fourth intervention in the future!

at the pulse of health reform in Germany: Ex-health minister Karl Lauterbach has decided to strongly reform the hospital landscape. The aim is to push the number of outpatient interventions, which is of great interest to the health players. According to an analysis by the Brandenburg Ministry of Economic Affairs in cooperation with the IGES Institute, 26 to 27 percent of medical interventions could already be carried out on an outpatient basis in the regions of Teltow-Fläming and Dahme-Spreewald. The data comes from interviews with regional health experts as well as from the Federal Statistical Office and the health insurance companies, which means that the results are well -founded. For many patients in the region, this means a step towards efficient and often less stressful treatment options.

The analysis shows that the Lausitz-Spreewald supply area in particular has great potential. In the areas of urology, interventional cardiology and neurology, the proportion of outpatient treatments could even be up to 40 %. For general surgery, 34 %, internal medicine 30 % and gynecology are planned for 26 %. However, child and adolescent medicine remains a rather demanding area, where only around 4 % of cases can be treated outpatient.

of big interventions and time in the clinic

From 2026, experts expect that common interventions such as appendix operations or the removal of gallbladder can be carried out in the hospital without staying overnight. Even if the patients remain for a few hours after the procedure, the possibility of returning home soon to return will be seen as great progress. Boris Woldemar von Engelhardt, chief physician for orthopedics and trauma surgery at the Evangelical Hospital Ludwigsfelde, highlights that a clear separation between outpatient and inpatient treatments does not always make sense and, if necessary, an inpatient admission should be available.

The aftercare is then taken over by resident doctors, which could, however, be a challenge in view of the different billing systems. In particular, the appointment for specialists in the region could encounter difficulties.

The big questions of financing

at a time when health care in Germany is high quality, but the next steps are all the more decisive for challenges such as a shortage of skilled workers, demographic change and cost pressure. As stated in the coalition agreement between SPD, Greens and FDP, an increased expansion of outpatient medical services is sought. The main focus is on the sector-like remuneration, also known as hybrid DRG, in order to improve the supply sustainably. The medical benefit of outpatient treatments is already evident in the awareness of cost -efficient, faster and less stressful treatment options.

According to the health market, around 9 % of fully inpatient cases are potentially suitable for outpatient treatment nationwide, whereby the age group from 0 to 19 years is particularly popular with 24 %. An international comparison also shows that Germany remains in the field of outpatient care behind other countries such as Italy and Spain. Interestingly, almost half of the hospital cases took place with a maximum of an overnight stay in 2018 and the tendency towards outpatient rating is becoming increasingly clear.

future trends in health care

A look at the numbers shows that the trend towards outpatientization in the specialist areas is clearly created. While 80 % of the treatments are already being carried out on an outpatient basis in ophthalmology, the numbers for plastic surgery are around 31 % and 24 % in urology. The focus on the increase in outpatient operating centers is also not to be overlooked.

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