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Ben RHM II - LZG.NRW

Ben RHM II - LZG.NRW

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ 6.2.2.2 Integrated treatment and care programmes Under this project, integrated treatment and managed care concepts are not perceived as a closed theoretical system but as a set of management instruments and organisation forms to enhance efficiency in health care provision. “The managed care concept refers to a principle of health care provision which is aimed at the efficient allocation of funds and resources so that every patient will receive the “right” type and amount of preventive and curative medical services. Superfluous and questionable services are excluded from this process. Managed care is provided in quite a number of sometimes very different forms of organisation.“ Schwartz/Wismar 2003: 571). In the American literature, this form of treatment and health care provision is defined by Fox in the following way: ”When one thinks about managed care, one should distinguish between the techniques of managed care and the organisations that perform the various functions. Managed care can embody a wide variety of techniques, … . These include various forms of financial incentives for providers, promotion of wellness, early identification of disease, patient education, selfcare, and all aspects of utilization management.” (Fox 2001: 3). 6.2.2.2.1 Integrated care programmes Many breast cancer patients are currently being treated under integrated care programmes. This is the case in ten regions, i.e. in Upper-Austria (AT), Flemish Community (BE), Varna- Oblast (BG), Moravia-Silesia (CZ), North Rhine-Westphalia (DE), Saxony-Anhalt (DE), Györ-Moson-Sopron County (HU), Dublin/Mid-Leinster and Dublin/North-East (IE), Emilia- Romagna (IT) and Chuvash Republic (RU). 93 Dublin/Mid-Leinster and Dublin/North-East (IE) has an integrated care programme for mammography screening and primary treatment (including surgery) of detected cases. Five European regions, i.e. Ticino (CH), Western Greece (EL), Veneto (IT), Kaunas (LT) and England (UK) do not use integrated care programmes. 93 Missing information: Szabolcs-Szatmár (HU), Sicily (IT), Madeira (PT) and Västra Götaland (SE). - 266 -

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    This report was produced by a contr

Part II
IB417 - IIS RU