Citation

Wich M, Auhuber T, Scholtysik D, Ekkernkamp A. Z. Evid. Fortbild. Qual. Gesundhwes. 2018; 130: 13-20.

Vernacular Title

Die Gesetzliche Unfallversicherung in Deutschland als erfolgreiches Beispiel einer Value-based- Healthcare-Struktur.

Affiliation

BG Klinikum Unfallkrankenhaus Berlin gGmbH, Universitätsmedizin Greifswald, Deutschland.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.zefq.2017.07.009

PMID

28865987

Abstract

In the mid-1920s Porter and others developed a reform approach for existing health care systems, aiming at a patient-focused, value-based orientation. Improving patient outcomes by attaining, preserving and restoring good health is inherently less costly than dealing with poor health. The authors of the present article will outline that the German statutory accident insurance system, which was already introduced in 1884 and is of an evolving nature, reflects key elements of Porter's efficient value-based health care system. The German accident insurance system with its statutory mandate limited to the prevention and rehabilitation of work-related damage to one's health can also serve as a model for other larger health care insurance systems. Prevention and rehabilitation is pursued using all appropriate means to achieve the set goals of protecting and restoring individual health. In line with these objectives, the statutory health insurance controls the process in terms of the required care quality. The components of a complex health care system, usually managed by a variety of different institutions, are consolidated. Thus it can be ensured that in both prevention and rehabilitation all services that are necessary to keep focussing the value "individual health" rather than indemnities are applied.

Copyright © 2017. Published by Elsevier GmbH.

Language: de

Keywords

Arbeitsunfall; DGUV; German Social Law Code Book VII; German Statutory Accident Insurance (DGUV); Gesetzliche Unfallversicherung; Gesundheitssystem; Prävention; Rehabilitation; SGB VII; health care system; occupational accident; prevention; rehabilitation; value-based health care