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首页> 外文会议>European Federation for Medical Informatics >Diabetes Care Contracting: A Boost for Change and the Introduction of the HER Casemix tools to support health care delivery innovation
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Diabetes Care Contracting: A Boost for Change and the Introduction of the HER Casemix tools to support health care delivery innovation

机译：糖尿病护理契约：提高变革和引入她的CaseMix工具，以支持医疗保健送货创新

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The Dutch health care system is in a reform process changing from a supply side to a demand oriented system. The ultimate goal is to provide transparent patient care to patients. The traditional budgeting system, which frustrated innovation and proactive resource management, is gradually transformed into a system with different funding arrangements varying from special funds for top clinical care, acute and, national tariff for intensive care, expensive drugs to contracting of health care products within and across health care institutions. A major process of change which started in 1994 with the Biesheuvel report and is sustained by the new government supporting the next step towards contracting the Dutch hospital care on price and quality. In this paper the first test of the DBC concept to contract Diabetes Care in the Continuum of Care is introduced and its impact on the introduction of the Diabetes Health record. The basis for the introduction of Diabetes Contracting is the adoption of a standard for basic Diabetes Care by the Dutch Diabetes Federation. The so-called Diabetes Care Standard describes the basic care which should be delivered to any Diabetes Patient. The objective of the Ministry of Health was to assure the delivery of at least these services to Diabetes Patients. As only 50 % of Diabetes Patients received this minimum set of services action was needed. The Diabetes Taskforce suggested to test the introduction of the so called Care Group to organize the delivery of basic Diabetes care and contract these services with the Insurance companies based on a Diabetes Care Product, the Diabetes Keten DBC. This Ketenzorg DBC contract has both a price and a quality dimension. The Care group subcontracts the care to the care providers also with a service level agreement on price and quality of the services.To test this concept the ZonMw Organisation was contracted to run a project with 10 Care Groups. In June 2006 10 care groups have been selected from an entry of 40 potential candidates. In January 2007 the project has started in most of the 10 care groups with the organisation of the care delivery, the contracting process and the installation and implementation of the supporting systems. The introduction was so successful that a wider use of the concept is foreseen within 2007. Key of the introduction of health network contracting is the gradual introduction of supporting IT systems leading to disease oriented electronic health systems.
机译：荷兰保健系统处于改革过程从供应方变化的需求为导向系统。最终的目标是为患者提供透明的病人护理。传统的预算编制制度，沮丧创新和积极进取的资源管理，正逐步转化为具有不同融资安排顶级临床护理，急，重症监护国家关税，昂贵的药物专项资金变化到内的保健品承包制度和整个医疗卫生机构。它于1994年开始与Biesheuvel报告，并通过新政府持续支持对价格和质量上收缩荷兰医院护理下一步变化的主要过程。在本文的DBC概念，合同糖尿病护理中护理的连续的第一个测试是引入其上，推出了糖尿病健康记录的影响。引进糖尿病承包的基础是通过由荷兰糖尿病联盟基本糖尿病护理的一个标准。所谓糖尿病护理标准描述了应该交付给任何糖尿病患者的基本医疗服务。卫生部的目标是确保至少这些服务对糖尿病患者的输送。由于只有50％的糖尿病患者接受这种最低限度的服务行动需要。糖尿病专题组建议考试引入所谓的护理组与基于糖尿病护理产品，糖尿病Keten DBC保险公司组织基本糖尿病护理的交付和合同这些服务。这Ketenzorg DBC合同既具有价格和质量维度。护理组的护理分包给服务提供者也对价格和services.To测试这个概念ZonMw组织承包运行10个护理小组项目的质量服务水平协议。在2006年6月10护理组已经从40个潜在候选条目中选择。 2007年1月该项目已开始在大部分的10组护理与保健服务，承包过程和配套系统的安装和实施的组织。引入非常成功，更广泛地使用这一概念的预见范围内2007年重点引进健康网签约的是逐步出台配套的IT系统导致疾病面向电子健康系统。

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