Problems of Co-ordinating and Standardizing Information for the Monitoring of Primary Medical Care. The Case of Bavaria
Information systems in and about primary medical care have existed in the Federal Republic of Germany for some time and are now well integrated parts of the system itself. The purpose of this paper is to describe some recent trends in one important information system, namely the one that supports the remuneration of the medical services delivered by office-based physicians. This system is nowadays in transition with respect to two developments: the first is a shift from manual to EDP-based data processing; the second is the attempt to make use of the enormous amount of routinely and continuously produced accounting data for the purpose of monitoring cost-containment efforts. In the following, the term ‘information’ is used for any message that is transmitted between parts of the health care system, regardless whether its physical medium is a sheet of paper, a telephone call or a magnetic tape.
Unable to display preview. Download preview PDF.
- 1.For details see Häußler, S., Liebold, R., Narr, H.: Die kassen-ärztliche Tätigkeit. Berlin: Springer-Verlag (1984). — Figure 1 is taken from Herder-Dorneich, Ph.: Wachstum und Gleichgewicht im Gesundheitswesen. Die Kostenexplosion in der Gesetzlichen Krankenversicherung und ihre Steuerung. Köln, Opladen: Westdeutscher Verlag (1976); translation by the authorsGoogle Scholar
- 2.Cf. Schwefel, D., Redler, E., Eimeren, W. van, Schewe, S.: Problems of evaluating outpatient care with routine data. In: Medical Informatics Europe 81 (Eds.: F. Gremy ) Berlin: Springer- Verlag, 201–208 (1981). See also John, J., Potthoff, P., Schwefel, D.: Illness-specific costs of medical care and the problem of multimorbidity. The case of hypertension. In: Third International Conference on System Science in Health Care (Eds.: W. van Eimeren et al.). Berlin: Springer-Verlag, 90–93 (1984)Google Scholar
- 3.For a general description of the West-German health care system and of health policy in the face of ‘cost explosion’, see Redler-Hasford, E.: Structure, economics and politics of health care in the Federal Republic of Germany. Journal d’Economie medicale 2, 2, 95–105 (1984) and Reinhardt, U.E.: Health insurance and cost containment policies - the experience abroad. In: A new approach to the economics of health care (Ed.: M. Olson). Washington: AEI (1981)Google Scholar
- 4.See also Potthoff, P., John, J., Schwefel, D.: Comparison of two data-sources for the assessment of hospital admissions of ambulatory physicians. In: Third International Conference on System Science in Health Care (Eds.: W. van Eimeren et al.). Berlin: Springer-Verlag, 894–897 (1984)CrossRefGoogle Scholar