[Necessity and Ways to Develop Care Goals for the Health System in Germany - a Position Paper of the DNVF]. / Notwendigkeit und Wege zur Entwicklung von Versorgungszielen für das Gesundheitssystem in Deutschland ­ ein Positionspapier des DNVF.

Goals for health and health care are an indispensable basic requirement for a functioning health care system. The dilemma of the German health care system is that it has not been designed in a planned way, but that it has grown historically. In recent years, it has developed through the free play of forces into what it is today. The OECD characterizes the current state as follows: The costs of the German health system do not correspond to the often only average health outcomes for the population. To meet the legal requirements (especially SGB V §§ 12, 27 and 70), health care/the health system in Germany needs concrete goals. An orientation towards health care goals entails measures on all levels of health care: on the macro level (overall system/total population), on the meso level (subdivided according to regions, specific population groups, etc.) as well as on the micro level (patients and health care providers). Based on national and international experiences, this position paper of the DNVF e.V. (German Network for health services research) shows the potential of how operationalised health care targets can ensure effective, affordable and high-quality health care. The coalition agreement of the current government propagates a reorientation with patient-related health care goals. Now it is important to derive concrete and realisable goals from this declaration of intent and to involve all important groups in the process. In addition, values and ethical standards for implementation shall be agreed upon in this process. The Health Ministry (BMG) should facilitate and promote the process of societal will-building for the definition of national health care goals. This requires a clear political will. As a result, the National Health Care Goals are available at the end of the process, which are published and maintained together with evidence-based facts as well as valid and resilient data in a Manual "National Health Care Goals". The operational responsibility for implementation could lie with the newly to be founded Federal Institute of Public Health, as already announced in the agreement of the governing coalition. The DNVF is willing to actively participate in the development of health care targets.

[Benchmarking of public hospitals using the example of "4QD-Qualitätskliniken.de"]. / Benchmarking von Kliniken für die Öffentlichkeit am Beispiel der "4QD-Qualitätskliniken.de"

Patients and their relatives can use to the portal Qualitätskliniken.de to individually search for hospitals in their neighbourhood. The search criteria include: diagnosis, types of treatment or specialised departments. The geographical area is defined by a target city and its surroundings. The member hospitals identified are displayed in a rank-ordered list. The rank is determined by a quality index which is aggregated from four weighted quality dimensions. In total, about 400 single indicators are included: medical quality, patient safety, patient satisfaction und satisfaction of referring doctors. According to their respective rank more than 150 member hospitals are compiled in three groups: the first 25% quartile, between 25% and 75% quartile and the rest. Users can modify the weights of the dimensions according to their individual demands. Modification of weights will accordingly modify the ranking. For all member hospitals users may switch between filtered and unfiltered view of the indicators to ensure full transparency. Additional features regarding quality, service, and equipment from legal quality reports are also displayed.