Medizinisches Versorgungszentrum - geeignetes Instrument der ambulanten patientenadäquaten Versorgung und leistungsgerechten Vergütung Medical Care Unit - A Suitable Instrument for Ambulatory Patient-Adequate Care and Performance-Related Remuneration

" cost effectiveness ● " fee sharing/distribution ● " health care provider ● " medical care unit Abstract ! Background: The question of whether a medical care unit is an appropriate tool for outpatient care has been discussed for a long time. Our aim is to investigate whether the MCU is an effective instrument for outpatient care and adequate per- formance-related remuneration. Material and Methods: This retro- and prospec- tive overview of the work included statements on legal foundations for medical care units, for reimbursement of services in medical care units, the development of medical care centres in Ger- many and a listing of the specific advantages and disadvantages of an MCU. This article focuses on the generally applicable facts and complements them with examples from general, visceral and vascular surgery. The main quantitative data on medical centre statistics come from different publications of the National Association of Statu- tory Health Insurance for Physicians. Results: From a legal point of view the instrument MCU allows the participating of ambulatory and stationary care in the framework of medical care contracts. This has been especially extended for stationary applications, including the spectrum of possibilities that can contribute under certain cir- cumstances for the provision of medical care in un- derdeveloped regions. Freelancers can benefit pri- marily from financial risk and minimising bureau- cratic routine. The remuneration for services per- formed in the MCU is analogous to that of other ambulatory care providers. Basically, there are no disadvantages, but a greater design freedom and opportunities for the generation of aggregates are visible. The number of MCU in Germany has qua- drupled in the last five years, indicating an estab- lishment of an outpatient care landscape. MCU of- fers from the patient's perspective, providers and policy specific advantages and disadvantages. In- deed the benefits outweigh the disadvantages, but this is not yet verified by qualitative studies. Dieses Dokument wurde zum personlichen Gebrauch heruntergeladen. Vervielfaltigung nur mit Zustimmung des Verlages.