We have located links that may give you full text access.
English Abstract
Journal Article
Review
[For discussion: Restructuring of medical specialist treatment using the example of ambulatory special medical care (ASV): Taking a critical look at its aims and implementation].
With the GKV-VStG act in 2012, the former section 116b SGB V was transformed into ambulatory special medical care (ASV). This system comprises the diagnosis and therapy of rare or complex diseases which are difficult to treat, in need of a special qualification of doctors, an interdisciplinary cooperation and/or special facilities. For the first time, a uniform regulatory framework was established for the participation of office- as well as hospital-based doctors in ambulatory care. There is no planning of demand or licensed permission. The Federal Joint Committee's instructions regulate the extent of care, the prerequisites of participation, scope of clinical services and reimbursement. The implementation is complex and has so far been very slow. The process is impeded by the legislative conflict between incentives for care providers and concerns about the uncontrolled evolution of expenditure. The procedure of furnishing the requested proof that the conditions of participation have been fulfilled is burdensome, creating yet another barrier to broad participation of doctors and institutions. Differences in competition between office-based physicians and hospitals have been reduced but not eliminated. Sectorial barriers are only partially reduced, existing structures provide alternative care. Improvement of care in rural areas, active involvement of patients and a genuine evaluation do not take place.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app