On the interdependence of ambulatory and hospital care in the German health system

by Tugba Büyükdurmus, Thomas Kopetsch, Hendrik Schmitz et al.
Health Economics Review 2017 7:2 – Published: 17 January 2017

19 pp. 651 kB
http://healtheconomicsreview.springeropen.com/track/pdf/10.1186/s13561-016-0132-4?
site=healtheconomicsreview.springeropen.com

For some considerable time now the interface between ambulatory and hospital care has been mooted as a cause of inefficiencies in the German health system and there have been calls for a softening of the strict separation between the two sectors. The authors examine the connection between ambulatory and hospital specialist care separately for ten medical specialties. The results show that the interdependence of ambulatory and hospital services is far from homogeneous. The relationship depends, on the one hand, on the specialty and, on the other, on the direction of the effect observed. This heterogeneity needs to be taken into account for cross-sector needs-based planning.

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