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首页> 美国卫生研究院文献>International Journal of Integrated Care >Better health improved care and lower health care costs—the international strive for integration. Should not we be confident enough to go into risk? Integrated Care = higher quality but less costs to the sickness funds/health insurances. Results of the German and Swiss experiences of the last years
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Better health improved care and lower health care costs—the international strive for integration. Should not we be confident enough to go into risk? Integrated Care = higher quality but less costs to the sickness funds/health insurances. Results of the German and Swiss experiences of the last years

机译：更好的健康更好的护理和更低的医疗保健成本-国际社会为融合而努力。我们不应该有足够的信心冒险吗？综合护理=更高的质量但疾病基金/健康保险的成本却更低。过去几年德国和瑞士经历的结果

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Shared savings contracts between physician networks/health maintenance organisations and insurances or sickness funds in Germany and Switzerland showed quite impressive results of between 5 and 15% savings, similar to those being demonstrated in the US during the 1990s in the beginning of managed care last century. While managed care in the US got into a lot of ethical questions the European examples are on the rise and a new international debate on integrated care is emerging.The ‘triple aim’ as Donald M. Berwick emphasized in his famous Health Affairs article in 2008 called for better health, improved care and lower health care costs and the Obama administration took this notion into its new accountable care organisation approach. The author suggests that it is time to develop comprehensive integration policies for whole regional populations. He can tear on at least five years of experiences in Germany (GesundesKinzigtal) as well as on several years of experiences of other networks in Switzerland and other parts of Germany.These experiences are indicating that effective trans-sector organisation of health care and increased investments in well-designed preventive programmes will lead to a reduction in morbidity, and in particular to a reduced incidence and prevalence of chronic diseases and offer substantial efficiency gains for sickness funds and health insurances.
机译：德国和瑞士的医师网络/健康维护组织与保险或疾病基金之间的共享储蓄合同显示，储蓄率达到了5％到15％，这是令人印象深刻的，与上世纪90年代初美国管理式医疗在美国的表现相似。 。当美国的管理式医疗陷入许多伦理问题时，欧洲的例子正在增多，关于综合医疗的新国际辩论也正在涌现。唐纳德·M·贝里克（Donald M.Berwick）在其2008年著名的《卫生事务》文章中强调的``三重目标''呼吁改善健康状况，改善医疗保健并降低医疗保健成本，奥巴马政府将这一理念纳入了其新的负责任的医疗保健组织方法。作者建议现在是时候为整个地区人口制定全面的融合政策了。他可以借鉴至少五年在德国（GesundesKinzigtal）的经验，以及在瑞士和德国其他地区的其他网络的几年经验。这些经验表明有效的跨部门医疗保健组织和增加的投资设计周密的预防方案将减少发病率，尤其是减少慢性病的发病率和患病率，并为疾病基金和健康保险带来可观的效率提高。

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