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Against the background of the altered health care framework and its new challenges, the German Statutory Accident Insurance (DGUV) has initiated a review of its approach to in- and outpatient treatment. The ultimate goal of this review is a strengthening of quality- and demand-oriented structures, while maintaining the principles proven in the past. To achieve this aim, a draft paper outlining the main points is to be approved and stepwise implemented. The most relevant points, such as establishing treatment structures tailored to meet health care needs, adapting the process by which patients are treated according to type of injury, the possibilities for trauma networks as well as hospitals which fall under the auspices of the German Employers’ Liability Insurance Association, establishing quality assurance systems and developing rehabilitation management are all discussed in the present article. [ABSTRACT FROM AUTHOR]

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The medical treatments consistently used for decades by the German statutory accident insurance need to be adapted to new conditions arising from changes in healthcare, health economy, health policy, as well as changing economical and socio-political perspectives. These changes, however, should not affect quality of care. The key issue paper published by the German statutory Insurance on the adjustment of healthcare in statutory accident insurance is intended to be a guideline for the development of concrete concepts. Following a short discourse on the outset position, the current article presents some of the changes discussed in the key issue paper, such as authorized medical examinations and the inclusion of other service providers, the introduction of a continuous quality assurance system and implementation of the changes in the area of healthcare system physicians. [ABSTRACT FROM AUTHOR]

Against the background of changed basic parameters and new challenges, the German statutory accident insurance (DGUV) has initiated a review of in- and out-patient treatment. The review, which is aimed at strengthening quality- and demand-oriented structures while preserving tried-and-tested principles, is based on the White Paper approved in 2009 setting out the relevant concepts for individual areas. Realignment is required in particular in the area of authorized medical examiners (keyword: new specialist for orthopaedics and trauma surgery) and in-patient treatment, while adjustments to come in line with changes in the regulations governing SHI-accredited physicians, the establishment of a new quality assurance system and strengthening of rehabilitation management are also planned. It is also necessary to establish whether adjustments need to be made in response to reduced demand. [ABSTRACT FROM AUTHOR]

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