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Comparison of two Data-Sources for the Assessment of Hospital Admissions of Ambulatory Physicians

  • P. Potthoff
  • J. John
  • D. Schwefel
Conference paper
Part of the Health Systems Research book series (HEALTH)

Abstract

To health politicians in the Federal Republic of Germany, the number of patients who are referred to hospitals by practice-based physicians should be a figure of high interest. According to recent estimates approximately 75% of all hospital admissions in this country are brought about by referrals of today’s 64,000 practice-based physicians. For 1981, the total number of hospital cases that were induced that way, was about 8.6 millions and the expenditure for their treatment amounted to 31 billion deutschmark. For the purpose of cost containment, health politicians, and particularly sick-fund officials, in Germany find it very attractive to set incentives for doctors in private practices to substitute ambulatory for inpatient care. This implies that these physicians have a degree of freedom in deciding whether a patient has to be referred to hospital or whether he/she can be treated in the ambulatory sector, which is clearly separated from the hospital sector (Leidl 1983). To test assumptions about the possibilities for such substitutions, the collection or availability of reliable data bases on hospital referrals by individual physicians is a prerequisite.

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References

  1. Leidl R (1983) The hospital financing system of the Federal Republic of Germany. Effective Health Care 1: 133–142PubMedGoogle Scholar
  2. Schwefel D (1983) Information requirements for evaluating a health policy. The case of the ‘Bavarian Contract’. In: Bemmel van JH et al (eds) Proceedings MEDINFO 83. North-Holland, Amsterdam, pp 54–56Google Scholar
  3. Schwefel D et al (1984) Steps to evaluate a health policy. (Proceedings of this conference)Google Scholar

Copyright information

© Springer Verlag , Berlin Heidelberg 1984

Authors and Affiliations

  • P. Potthoff
    • 1
  • J. John
    • 1
  • D. Schwefel
    • 1
  1. 1.Institut für Medizinische Informatik und Systemforschung (MEDIS)Gesellschaft für Strahlen- und Umweltforschung mbH München (GSF)OberschleißheimGermany

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