期刊论文详细信息
Breast care
Are Certified Breast Centers Cost-Effective?
Thomas Hildebrandt1  Matthias W. Beckmann1  Michael G. Schrauder1  Stefanie Wagner1  Mayada R. Bani1  Peter A. Fasching1  Christian R. Loehberg1  Michael Patrick Lux1 
[1] University Breast Center of Franconia, University of Erlangen, Germany
关键词: Breast center;    Breast cancer;    Certification;    Accreditation;    Cost-effectiveness analysis;   
DOI  :  10.1159/000229190
学科分类:泌尿医学
来源: S Karger AG
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【 摘 要 】

The German health care system has entered an era of specialist centers and certification. Hospitals are required to introduce quality management with external monitoring, refining and improving their quality of treatment. These statutory requirements can only be met through specialization, centralization, and establishing centers and networks with internal and external interdisciplinary collaboration. The breast centers certified according to the criteria of the German Cancer Society (DKG) and German Society for Mastology (DGS) are pioneers here. Simultaneously, there are increasing demands for more cost-effective medical services despite limited resources – making economic analysis of health care provision necessary. Few economic studies of the centers and certification system have been conducted, however. General long-term quality data, particularly for results, are not yet available from certified breast centers. At present, a certified breast center is not itself a proven independent prognostic parameter for treatment results. However, the individual criteria required for breast center certification show a significant positive influence on clinical efficacy. Certified breast centers involve substantial extra costs that are not reimbursed by funding bodies, so the slightest potential benefit for patients from certified centers already appears cost-effective. When the actual costs, currently usually subsidized by other departments, are considered, it is unclear whether certified breast centers remain cost-effective.

【 授权许可】

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