Declared dead? Recommendations regarding integrated care from the perspective of German statutory health insurance

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Volker AmelungR Sjuts

Abstract

The traditional separation of health care into sectors in Germany causes communication problems that hinder continuous, patient-oriented care. This is most evident in the transition from inpatient to outpatient care. That said, there are also breaks in the flow of information, a lack of supply, or even incorrect information flowing within same-sector care. The transition from a division of functions into sectors to a patient-oriented process represents a change in the paradigm of health care that can only be successfully completed with considerable effort. Germany's statutory health insurance (SHI) funds play a key role here, as they are the contracting parties as well as the financiers of integrated care, and are strategically located at the center of the development process.The objective of this article is to explore how Germany's SHI funds view integrated care, what they regard as being the drivers of and barriers to transitioning to such a system, and what recommendations they can provide with regard to the further development of integrated care. For this purpose semi-structured interviews with board members and those responsible for implementing integrated care into the operations of ten SHI funds representing more than ha...Continue Reading

Citations

Aug 4, 2018·The International Journal of Health Planning and Management·Andree Ehlert, Dirk Oberschachtsiek
Oct 9, 2019·International Journal of Environmental Research and Public Health·Heidrun SturmRoland Koch

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