Gesundheitsökonomie & Qualitätsmanagement 2018; 23(03): 159-165
DOI: 10.1055/a-0634-0250
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Zum Beitrag der gesundheitsökonomischen Forschung zur medizinischen Versorgung

On the contribution of health economic research to medical care
Reiner Leidl
1   Institut für Gesundheitsökonomie und Management im Gesundheitswesen, Helmholtz Zentrum München
› Author Affiliations
Further Information

Publication History

Publication Date:
26 June 2018 (online)

Zusammenfassung

Die Gesundheitsökonomie kann den optimalen Ressourceneinsatz in der medizinischen Versorgung auf vielfältige Weise unterstützen. Nach einem Blick auf Entwicklungen in der prozessorientierten, morbiditätsbezogenen Steuerung der Krankenhausversorgung stehen Ergebnisse, speziell die Patientenperspektive und Patient-Reported Outcomes im Fokus. Näher vorgestellt werden Messansätze und Auswirkungen präferenz- und erfahrungsbasierter Bewertungen der gesundheitsbezogenen Lebensqualität. Als Basis dienen Bevölkerungsstichproben und routinemäßig erhobene, indikationsspezifische Stichproben. Zum ergebnisbezogenen Value-based Health Care Ansatz wird der Wertbegriff kritisch beleuchtet. Einen neuen Ansatz zur Integration medizinischer und ökonomischer Zielsetzungen bildet das Outcome-orientierte Versorgungsmanagement. Dazu werden Entwicklungstrends, ein Managementzyklus und ein Studienbeispiel behandelt. Outcomes sind ein vielversprechendes Zukunftsthema, mit dem Beiträge der gesundheitsökonomischen Forschung zur medizinischen Versorgung weiter verbessert werden könnten.

Abstract

Health economics can take many approaches to support optimal use of resources in medical care. Following a view upon developments in the process-oriented, morbidity-based regulation of inpatient care, the paper focuses on outcomes, especially on the patient perspective and on patient-reported outcomes. The paper introduces measurement approaches and impacts of valuing health related quality of life, either based on preferences, or on experience. Therefore, it analyzes population samples and routinely collected patient samples. For the outcome-related approach of value-based health care, the paper critically discusses the meaning of value. A new approach to integrate medical and economic aims in health care is outcome-oriented management. Trends in development, a management cycle, and a study example outline the approach. Outcomes make up a promising future topic, by which health economic research may further contribute to medical care.

 
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