Expert council to assess developments in the health sector

from Wikipedia, the free encyclopedia

The Expert Council for the Assessment of Developments in the Health Care System is the most renowned body of scientific policy advice in the German health system and usually publishes reports with analyzes and reform proposals every two years.

history

The Council of Experts was first appointed on December 19, 1985, at that time under the name of the Council of Experts for Concerted Action in Health Care . After the concerted action in the health system was abolished by the law on the modernization of statutory health insurance at the end of 2003, the Council of Experts was given its current name on January 1, 2004. Its legal basis is § 142 SGB V .

Most recently, the Council of Experts was replaced on February 27, 2019 by Federal Health Minister Jens Spahn (CDU).

tasks

The statutory task of the Expert Council is to prepare expert reports on the development of health care with its medical and economic effects, regardless of the content . The reports are submitted to the Federal Ministry of Health and the Bundestag and Bundesrat . So far 20 reports have been published. A number of suggestions and recommendations were taken up by health policy , such as the freedom of choice of health insurance companies or the introduction of a risk structure compensation between the statutory health insurance companies (GKV).

According to § 142 SGB ​​V , the Expert Council "takes into account the financial framework conditions and existing economic reserves, priorities for the reduction of supply deficits and existing oversupply and shows possibilities and ways for the further development of the health system; it can include developments in other branches of social security in its reports The Federal Ministry of Health can determine the subject matter of the expert opinion in more detail and commission the Expert Council to prepare special expert reports. "

Office

The administrative office of the Advisory Council, which is organizationally located in the Federal Ministry of Health , conducts the affairs of the Council and provides scientific support to the respective Council members in preparing the reports. To this extent, the scientific staff of the office work as a scientific staff.

Council members

The council is interdisciplinary and has seven members who are usually appointed by the Federal Minister of Health for a period of four years. The council members must have special medical, health, nursing, economic or social science or special other scientific qualifications, knowledge and experience that can contribute significantly to the fulfillment of the legal mandate of the council.

The seven council members were last appointed with effect from February 1, 2019 and their term of office is four years.

Former members were Eberhard Wille (chairman from 2002 to 2012), Marion Haubitz, Doris Schaeffer , Gregor Thüsing , Matthias Schrappe , Gerd Glaeske , Adelheid Kuhlmey , Rolf Rosenbrock , Martin-Michael Arnold (chairman 1988–1992), Wilhelm van Eimeren, Gisela C. Fischer , Astrid Franke, Peter Helmich, Karl W. Lauterbach , Heinz Losse (deceased), Paul Lüth (deceased), Friedrich-Wilhelm Schwartz (chairman from 1999 to 2002), Peter C. Scriba , Ernst Eberhard Weinhold, Klaus-Dirk Henke (chairman 1992–1998), Günter Neubauer , Martin Pfaff, Hans-Konrad Selbmann, Detlev Zöllner (deceased) and Rosemarie Scheurlen (chairwoman from 1986 to 1988).

Expert opinion since 2007

2007

The report entitled "Cooperation and Responsibility. Requirements for Targeted Health Care" from 2007 was intended to promote the further development of patient safety indicators, the mandatory publication of quality data and the expansion of financial incentive systems for quality-related remuneration. It was about a more independent provision of services by non-medical health professions and integrated care . A prevention law was proposed for particularly disadvantaged groups of people - such as the unemployed, socially disadvantaged elderly people, the homeless and people with HIV / AIDS.

2009

The focus of the special report presented to the then Federal Minister of Health Ulla Schmidt on June 30, 2009, was the lack of coordination in health care. After the Advisory Council had already recommended the integration of the previously largely segmented service sectors of the outpatient and inpatient sector as well as rehabilitation and care in its previous report, it now adds the generation-specific perspective: The foreseeable demographic development will lead to a noticeable aging of society and in this context in particular to a rapidly growing proportion of very old, chronically and multiply chronically ill people. As a result of the shift in the age cohorts, there will also be a growing demand for health services in the future and a shrinking workforce that will be able to provide the services required in prevention and health care. These challenges put the supply system under additional pressure.

2012

The special report entitled "Competition at the interface between outpatient and inpatient health care" was presented to the then Federal Minister of Health Daniel Bahr on June 20, 2012. The interface between outpatient and inpatient care is one of the most important weak points in the German health system. The Advisory Council pleaded for an increase in the competence of users, improved interface management, the strengthening of a population-oriented quality competition, a further standardization of the competitive conditions at this interface as well as a significant expansion of the services that could be provided in the context of outpatient specialist care. The council also proposed an expansion of selective contracts and a credit model to finance innovative supply concepts.

2014

The report was handed over to the then Federal Minister of Health Hermann Gröhe on June 23, 2014. The Advisory Council was devoted to outpatient and inpatient care and the improvement of care in rural areas. He outlined concepts for "local health centers" and suggested increasing the remuneration for rural doctors in underserved regions by up to 50 percent in order to create stronger incentives to work there. The council suggested training more doctors to become specialists in general medicine in order to ensure basic care also in the future. Further recommendations related to the assessment of the benefits of drugs and medical devices as well as reforms in the area of ​​care and rehabilitation.

2015

One focus of the special report, entitled "Sick Pay - Development, Causes and Control Options", was analyzes of the development of sick pay paid by statutory health insurances as well as the diseases that lead to long-term incapacity for work. In the report, the Advisory Council suggested, along with a number of other recommendations, that the introduction of partial incapacity for work and partial sickness benefit in Germany based on the Scandinavian model should be examined.

2018

With this report, entitled "Demand-based management of health care", the Advisory Council placed the focus on coordination in the health system. In it, the council recommended a restructuring of emergency care in Germany with "Integrated Control Centers" (ILS) and "Integrated Emergency Centers" (INZ). He advocated cross-sectoral and more performance-oriented planning of clinics and practices. The Expert Council also advocated better coordinated treatment pathways for people with mental illness and back pain.

more publishments

In the context of the COVID-19 pandemic , the members of the Advisory Council announced themselves with a "wake-up call" in the mirror and spoke out in favor of increased digitization and networking of the German health care system.

literature

The reports are available in bookshops or as Bundestag printed matter. The long and short versions can be downloaded from the website of the Expert Council.

  • Expert opinion 2018: Demand-based management of health care, Berlin 2018, ISBN 978-3-95466-421-4 . Download the short version [1] (PDF file; 0.5 MB) and long version [2] (PDF file; 10.7 MB). The report can also be obtained from the Bundestag as Bundestag printed paper 19/3180 [3] .
  • Special report 2015: Sickness benefit - development, causes and control options, Bern 2016, ISBN 978-3-456-85705-3 . Download of the report [4] (PDF file; 8.2 MB). The report can also be obtained from the Bundestag as Bundestag printed matter 18/7019 [5] .
  • Expert opinion 2014: Demand-based supply - perspectives for rural regions and selected service areas, Bern 2014, ISBN 978-3-456-85500-4 . Download the short version [6] (PDF file; 1.9 MB) and long version [7] (PDF file; 15.4 MB). The report can also be obtained from the Bundestag as Bundestag printed matter 18/1940 [8] .
  • Report 2012: Competition at the interface between outpatient and inpatient health care, Bern 2012, ISBN 978-3-456-85243-0 . Download the short version [9] (PDF file; 955 kB) and long version [10] (PDF file; 2.98 MB). The report can also be obtained as Bundestag printed paper 17/10323 from the Bundesanzeiger Verlag [11] .
  • Report 2009: Coordination and Integration - Health Care in a Society of Longer Life, Baden-Baden 2009, ISBN 978-3-8329-5266-2 . Download the short version [12] and long version [13] . The report can also be obtained as Bundestag printed paper 16/13770 from the Bundesanzeiger Verlag [14] .
  • Report 2007: Cooperation and Responsibility. Requirements for goal-oriented health care, Baden-Baden 2007, ISBN 978-3-8329-3648-8 . Download the short version [15] (PDF 444kb) and long version [16] (PDF 3.6 MB).
  • Expert opinion 2003: Financing, user orientation and quality
  • Report 2000/2001: needs-based justice and economic efficiency
    • Vol. I: Target formation, prevention, user orientation and participation, Baden-Baden 2002, ISBN 3-7890-8097-7 .
    • Volume II: Quality development in medicine and care, Baden-Baden 2002, ISBN 3-7890-8098-5 .
    • Vol. III: Over, under and incorrect supply
      • III.1: Basics, overviews, care for the chronically ill, Baden-Baden 2002, ISBN 3-7890-8099-3 .
      • III.2: Selected diseases: ischemic heart diseases, stroke and chronic obstructive pulmonary diseases, Baden-Baden 2002, ISBN 3-7890-8100-0 .
      • III.3: Selected diseases: back problems, cancer and depressive disorders, Baden-Baden 2002, ISBN 3-7890-8101-9 .
      • III.4: Tooth, mouth and jaw diseases, Baden-Baden 2002, ISBN 3-7890-8102-7 .
  • Addendum to the report 2000/2001: Needs justice and economic efficiency - Volumes I to III: To increase the efficiency and effectiveness of the drug supply in the statutory health insurance (GKV), Baden-Baden 2002, ISBN 3-7890-8103-5 .
  • Special report 1997: Healthcare in Germany. Cost factor and future branch, Vol. II: Progress, growth markets, financing and remuneration, Baden-Baden 1998, ISBN 3-7890-5228-0 .
  • Special report 1996: Healthcare in Germany. Cost factor and future industry, Vol. I: Demography, morbidity, economic reserves and employment, Baden-Baden 1996, ISBN 3-7890-4576-4 .
  • Special report 1995: Health care and health insurance 2000. More focus on results, more quality and more profitability, Baden-Baden 1995, ISBN 3-7890-3945-4 .
  • Status report 1994: Health care and health insurance 2000. Personal responsibility, subsidiarity and solidarity in changing framework conditions, Baden-Baden 1994, ISBN 3-7890-3376-6 .
  • Annual report 1992: Expansion in Germany and departure for Europe, Baden-Baden 1992 - with special report 1991, ISBN 3-7890-2650-6 .
  • Annual report 1991: The health system in unified Germany, Baden-Baden 1991, ISBN 3-7890-2293-4 .
  • Annual report 1990: Challenges and perspectives in health care, Baden-Baden 1990, ISBN 3-7890-1995-X .
  • Annual report 1989: Quality, economic efficiency and perspectives in health care, Baden-Baden 1989, ISBN 3-7890-1750-7 .
  • Annual report 1988: Medical and economic orientation, Baden-Baden 1988, ISBN 3-7890-1575-X .
  • Annual report 1987: Medical and economic orientation, Baden-Baden 1987, ISBN 3-7890-1382-X .

Individual evidence

  1. ^ A b Federal Ministry of Health: Minister Spahn appoints a new Health Advisory Council. Retrieved January 17, 2019 .
  2. ^ Nicola Kuhrt: Reviewers name errors in the German health care system. spiegel.de, June 23, 2014, accessed June 23, 2014.
  3. ↑ Doctors newspaper: Council of experts wants reform: 25 percent incapacity for work should be possible! December 7, 2015, accessed January 17, 2019 .
  4. ↑ Tagesschau.de: Council of experts presents ideas for emergency admissions. Retrieved January 17, 2019 .
  5. ↑ Deutsches Ärzteblatt: Health Care: For one-stop care. July 23, 2018, accessed January 17, 2019 .
  6. ↑ Health Expert Council, DER SPIEGEL: Corona: Share data, heal better - Health Expert Council - DER SPIEGEL - Economy. Retrieved April 22, 2020 .

Web links