Strukturelle Hürden der Vergütung der kinderchirurgischen Behandlung komplexer Fehlbildungen im Deutschen G-DRG System
Miriam Wilms, Horst Schuster, Franz Krause, Johannes Wolff, Michael Boettcher, Wolfram Trudo Knoefel, Ekkehart Jenetzky · Zeitschrift für Geburtshilfe und Neonatologie · 2025 · Heft 01 · S. 44-52
Bibliografische Angaben
Zusammenfassung
Abstract Background Surgery of complex malformations is resource-intense. Reimbursement for corrective surgeries in light of the care landscape has not been analyzed before. Methods Hospital discharge data for corrective surgeries of ten selected complex malformations were analyzed from 2020 to 2022. Hospitals were categorized based on their annual average caseload: high-volume hospitals (HVHs; ≥ 10 cases), medium-volume hospitals (MVHs; 5–9 cases), low-volume hospitals (LVHs; 1–4 cases), and extremely low-volume hospitals (eLVHs;>0 but