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Gesundheitswesen
DOI: 10.1055/a-2292-2855
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Der Medizinische Dienst Eine sozialmedizinische Institution der Qualitätssicherung im Gesundheitssystem

Thomas Gaertner
,
Jörg van Essen
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Das MDK-Reformgesetz aus dem Jahr 2020 akzentuierte die Rolle des Medizinischen Dienstes (MD) als unabhängige Institution der Qualitätssicherung im Gesundheitssystem. Der vorliegende Beitrag vermittelt wesentliche Kenntnisse allgemeiner Grundsätze der Kompetenzen des MD, seiner Organisation sowie seines gewachsenen Aufgabenspektrums im Auftrag der gesetzlichen Kranken- und sozialen Pflegeversicherung einschließlich weiterer Mandanten.

Abstract

As a corporation under public law, the federally established Medical Service (MD) is an organizationally and substantively independent socio-medical expert organization. It uses its expertise to support the health and nursing care insurance companies as well as their associations and other clients from the healthcare system nationwide in ensuring medical and nursing care within the social law solidarity community consisting of statutory health and social care insurance. In relation to the 12.000 employees, the specialist tasks are carried out by doctors (20.1 %), nursing staff (40.4 %) and members of other suitable professions in the healthcare sector (5.5 %). With a total of over 2.955.000 GKV assessments, 13.200 structural audits in hospitals, significantly more than 1.600 on-site quality controls in hospitals, almost 3.000.000 nursing assessments, almost 21.900 quality inspections in nursing facilities as well as committee work at state and federal level, the MD assumes a comprehensive constitutive-constitutional and quality-assuring expert care mandate. The social-medical service provided, which is committed to the general social law principles of quality, humanity and cost-effectiveness and is regulated by guidelines issued by the MD Bund and approved by the Federal Ministry of Health, is subject to standardized, nationwide quality assurance.

Schlüsselwörter

Medizinischer Dienst - Krankenversicherung - Pflegeversicherung - Qualitätssicherung - Qualitätsmanagement

Keywords

medical service - health insurance - long-term care insurance - quality audit - quality management


Publication History

Article published online:
08 November 2024

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