The ambulatory physician payment system in the German Social Health Insurance (SHI) offers incentives to reduce practice activity at the end of a billing period. Most services within a period are reimbursed at full cost only up to a certain threshold. Furthermore, capitated payments make...

This paper uses data from 802,777 veterans assigned to 7,548 primary care providers (PCPs) within the Veterans Health Administration (VHA) to examine variations in the efficacy of primary care providers (PCPs), their consequences for health outcomes, and their determinants. Leveraging...

Este documento tiene por objetivo acercar este debate a la realidad latinoamericana a través del análisis de los tiempos de espera de las familias, mujeres y hombres adultos, que llevan a sus hijos e hijas menores de 3 años al control pediátrico del niño sano en Montevideo. En particular,...

For some considerable time now the interface between ambulatory and hospital care has been mooted as a cause of inefficiencies in the German health system and there have been calls for a softening of the strict separation between the two sectors. This debate emphasizes the need for detailed...

The ambulatory physician payment system in the German Social Health Insurance (SHI) offers incentives to reduce practice activity at the end of a billing period. Most services within a period are reimbursed at full cost only up to a certain threshold. Furthermore, capitated payments make...

Long waiting lines are a common feature and a major concern in many public health care delivery systems. The waiting lines are often characterized as inefficient, because they are a burden to patients without generating any gains for providers. There is an ongoing debate in Germany regarding the...

For some considerable time now the interface between ambulatory and hospital care has been mooted as a cause of inefficiencies in the German health system and there have been calls for a softening of the strict separation between the two sectors. This debate emphasizes the need for detailed...

Uzbekistan inherited a hospital-based health system from the Soviet Union. We explore the health system-related challenges faced during the scale-up of ambulatory (outpatient) treatment for drug-susceptible and drug-resistant tuberculosis (TB) in Karakalpakstan in Uzbekistan. Semi-structured...

Seit 15 Jahren betreibt die Politik systematisch die Öffnung des ambulanten Bereichs für Krankenhäuser. 2015 wurden die Regelungen hierzu mit dem GKV-Versorgungsstärkungsgesetz (GKV-VSG) erneut reformiert und vertieft. Krankenhäuser und Vertragsärzte agieren im Hinblick auf Bedarfsplanung,...

Uzbekistan inherited a hospital-based health system from the Soviet Union. We explore the health system-related challenges faced during the scale-up of ambulatory (outpatient) treatment for drug-susceptible and drug-resistant tuberculosis (TB) in Karakalpakstan in Uzbekistan. Semi-structured...

Die Sicherstellung einer flächendeckenden, wohnortnahen und bedarfsgerechten Versorgung ist ein zentrales Anliegen der deutschen Gesundheitspolitik. Anke Schliwen untersucht den regionalen Zusammenhang von Versorgungsbedarf, Angebot und Inanspruchnahme hausärztlicher Leistungen. Dabei wird der...

Den Schwerpunkt des vierten Bandes zum Thema Gesundheitsregionen bildet der Bereich der ambulanten Versorgung. In den einzelnen Beiträgen wird ein Einblick in aktuelle Entwicklungen, Problemfelder, Standpunkte, Trends und Zukunftsperspektiven- und potenziale gegeben. Das Instrument der Bedarfs-...