[Rationale and dissemination of "GP centered health care" ("HzV") in Germany].

Rationale und Stand der hausarztzentrierten Versorgung in Deutschland.

Publisher: Springer Country of Publication: Germany NLM ID: 101181368 Publication Model: Print Cited Medium: Internet ISSN: 1437-1588 (Electronic) Linking ISSN: 14369990 NLM ISO Abbreviation: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Subsets: MEDLINE

Original Publication: Berlin : Springer,

Delivery of Health Care, Integrated/*organization & administration ; General Practice/*organization & administration ; Government Programs/*organization & administration ; Health Maintenance Organizations/*organization & administration ; Health Promotion/*organization & administration ; Health Services Accessibility/*organization & administration ; Patient-Centered Care/*organization & administration; Germany ; Models, Organizational ; Organizational Objectives

Background: In the face of demographic changes, the aging of the population, and the increase in chronic morbidity and complexity, efficient primary care is needed to ensure comprehensive and high-quality health care. The general practitioner (GP) can only cope with this task, if certain preconditions are met.
Objectives: To strengthen primary health care, the German legislator added § 73b, "GP-centered health care" ("Hausarztzentrierte Versorgung", HzV) to the Social Code Book V. This article seeks to illustrate the rationale and general set-up of the HzV and to report on its dissemination. We discuss whether or not the HzV can promote the preconditions required.
Materials and Methods: Literature search, querying participants.
Results: Several elements of the HzV, such as lump-sum reimbursement, obligatory participation in structured quality circles, continuing education, and the qualification of non-medical health care assistants help to promote an environment that enables GPs to fulfill their new role. Considering all assured people and the Federal Republic as a whole, the distribution of the HzV is poor. However, a growing number of contracts (currently: 79) and participants (currently > 3.6 million) is expected.
Conclusions: The establishment of efficient primary care is heavily promoted by the HzV. In future, ways must be found to overcome the inflexible borders between sectors and to integrate community-based health care, which truly focuses on the patients needs. The HzV can be seen as a starting point.

Date Created: 20150205 Date Completed: 20160205 Latest Revision: 20220310

20240628

10.1007/s00103-015-2118-5

25648355