Inpatient stay
Inpatient stay is the stay in the ward of a hospital or a nursing home in contrast to outpatient treatment. In Section 41 of Book XI of the Social Code, there is also the term “day - care ” for people in need of care.
Hospitals (also called clinic / clinic, hospital or hospital) generally have two functions: the actual "hospital" and the outpatient department , in which urgent and minor cases are treated. Even from the emergency room , only cases that require special treatment or should be kept for observation are transferred to inpatient care. The inpatient department of the hospital includes the actual bed wards in the medically specialized departments and the intensive care unit . In some countries, attempts are being made to push out-patient care out of the hospital sector and to promote in-patient treatment as its core competence. For this purpose, for example, specialist wards are created, which are often connected to a clinic but are not part of the actual hospital. In connection with the health reform in Germany , the catchphrase “hospital deaths” is used in political discussions and reporting.
In addition to medical care, inpatient care also includes room and board ; it is therefore the most expensive variant of hospital-medical care. Another model distinguishes between classical inpatient and day-care treatment: this is a bed occupancy only during the day or only at night ( day hospital or night clinical treatment), such as in particular clinics . One speaks of (full) inpatient treatment when the admission extends for at least one day and one night, classic day-clinic partial ward includes dialysis patients or cases in geriatrics and psychiatry . This demarcation is also becoming more important due to the new options for outpatient operations , where, in particular, minimally invasive methods mean that only a few hours of inpatient follow-up care is required even for more serious operations.
Inpatient stays in the hospital are typically compensated with a daily allowance , both between patient and hospital with regard to the deductibles , and accordingly also between patient and health insurance: Private insurance typically also covers certain additional amenities with regard to the inpatient stay, such as single rooms. Between hospital and social security, one can move away from daily allowance accounting, because this encourages hospitals to keep the patients inpatient for as long as possible in order to keep bed occupancy high, and is switching to performance-oriented hospital financing , which allows faster changeover to active one Promotes rehabilitation , but this can also have disadvantages in the quality of care.
The term inpatient stay is also used in social care . Attempts are increasingly being made to promote outpatient care in the form of home care , day care centers for the elderly and such for people with mental disabilities and the like. These accommodation services are generally billed on a monthly basis.
Individual evidence
- ↑ cf. For example, full ambulances: Overcrowded hospitals, empty ordinations. Andreas Wetz in: Die Presse online, January 6, 2014.
- ↑ https://www.marburger-bund.de/landesverbaende/nrw-rlp/artikel/allgemein/2017/ist-das-kliniksterben-noch-zu-stoppen ( page no longer available , search in web archives ) Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice.
- ↑ Dirk Andres: Die Kliniksterben in Deutschland ?: How hospitals can find a way out of the imbalance. In: Focus Online . June 20, 2015, accessed October 14, 2018 .
- ↑ https://www.aerzteblatt.de/archiv/44940/Standpunkt-Kliniksterben
- ↑ https://www.presseportal.de/pm/7169/3599195
- ↑ https://www.aerztezeitung.de/praxis_wirtschaft/klinikmanagement/article/867524/gutachter-stellen-fest-teures-klinik-sterben.html
- ^ A b Tobias Eickmann, Johanna Ernst: Care: The demarcation of outpatient, full and partial inpatient. IWW Institute for Knowledge in Business, April 1, 2008 (accessed July 7, 2016) - on the legal situation in Germany.
- ↑ cf. Clemens M. Bold, Maike Erbs: Outpatient or Inpatient? Fundamental decision of the Federal Social Court to distinguish between outpatient and inpatient treatment. (pdf, on vpka-bw.de) - German legal situation.
