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European HealthForumGastein

02.10.2003

„Attracting investmentof capital in accessioncountries – opportunitiesand policy deficits“

Dipl.Volkswirt Stephan Achner Head of Department RHÖN-KLINIKUM AG

RHÖN-KLINIKUM AG

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Corporate philosophy (1)

Hospital treatment for anyone at anytime

Cooperation with local/regional/federal authorities and health insurance companies

Patient treatment on a high-level of quality: Well medicine outcome (measured by indicators) caused by high amounts of patient, i.e. heart-surgery, kardiology, apoplectic-fit

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Corporate philosophy (2)

For a wide range of inhabitants payable fixed-prices for every case of treatment

Rationalization instead of rationing (i.e. waiting-lists)

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Target of investments

Construction and management of hospitals under own property or Join-ventures

Acquisition and reconstruction of existing hospitals

Hospital as a providing institution for the whole population: Private ownership doesn`t mean private hospital only for the rich people

Immens rate of investment for low operating-costs

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Structure of a hospital

Building is the standard for all processes of treatment

Optimated processes of treatment: Medical centres and graduated treatment of care

Systematical use of Telemedicine between hospitals: Bring the expert to the patient – not bring the patient to the expert

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Necessary conditions (1)

Steady governmential surroundings – especially rules for hospital planning and hospital financing, which make possible and promote hospital construction, reconstruction and managing under private ownership

Possibility of amortization of capital expenditure

Efficient health insurance system

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Necessary conditions (2)

Doctors, nurses and other employees with high efficiency and positive mental engagement

Self-controlling organisation & processes based on division of labour, using state-of-the-art diagnostic and therapeutic procedures

Code of conduct and ethics for all employees (patient-orientation)

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Necessary conditions (3)

Motivation through profit sharing for all employees

Highly qualified and motivated staff

Strong quality control-system by outcome-analyses and rules

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Examples (1)

EU-Members:

Bismarck-System: Belgium; Germany; Luxemburg; Netherlands; Austria

Beveridge-System: Denmark; Finland; GB; Sweden; Spain

Bismarck-Beveridge-Mixed-System: France; Greek; Ireland; Italy; Portugal

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Examples (2)

New EU-members 2004 i.e.:

Czech Republic

Poland

Hungary

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Conclusion

“Export“ of patients for hospital treatment to foreign countries isn´t the solution.

The solution is to build up an efficient and payable hospital system for everyone at any time in own countries. It is possible!!