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Are Certified Breast Centers Cost-Effective?

机译：经认证的乳房中心具有成本效益吗？

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The German health care system has entered an era of specialist centers and certification. Hospitals are required to introduce quality management with external monitoring, refining and improving their quality of treatment. These statutory requirements can only be met through specialization, centralization, and establishing centers and networks with internal and external interdisciplinary collaboration. The breast centers certified according to the criteria of the German Cancer Society (DKG) and German Society for Mastology (DGS) are pioneers here. Simultaneously, there are increasing demands for more cost-effective medical services despite limited resources - making economic analysis of health care provision necessary. Few economic studies of the centers and certification system have been conducted, however. General long-term quality data, particularly for results, are not yet available from certified breast centers. At present, a certified breast center is not itself a proven independent prognostic parameter for treatment results. However, the individual criteria required for breast center certification show a significant positive influence on clinical efficacy. Certified breast centers involve substantial extra costs that are not reimbursed by funding bodies, so the slightest potential benefit for patients from certified centers already appears cost-effective. When the actual costs, currently usually subsidized by other departments, are considered, it is unclear whether certified breast centers remain cost-effective.
机译：德国医疗保健系统已经进入了专业中心和认证的时代。要求医院引入质量管理和外部监控，以完善和提高治疗质量。这些法定要求只能通过专业化，集中化以及建立具有内部和外部跨学科协作的中心和网络来满足。根据德国癌症协会（DKG）和德国乳腺学会（DGS）的标准认证的乳房中心是这里的先驱。同时，尽管资源有限，对更具成本效益的医疗服务的需求也在不断增加，这使得对医疗服务的经济分析成为必要。但是，很少对中心和认证系统进行经济研究。认证的乳房中心尚无法获得一般的长期质量数据，尤其是结果的长期质量数据。目前，获得认证的乳房中心本身并不是治疗结果的公认独立预后参数。但是，乳房中心认证所需的个人标准对临床疗效显示出显着的积极影响。认证的乳房中心涉及大量的额外费用，而资助机构无法偿还这些费用，因此，从认证的中心为患者提供的最低潜在利益似乎已经具有成本效益。当考虑通常由其他部门通常补贴的实际成本时，尚不清楚认证的乳房中心是否仍然具有成本效益。

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