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Bernhard Gibis, M.D., M.P.H.

13th International Conference on Integrated Care, April 11-12 2013, Berlin, Germany What strategies are required at a system level to support the adoption of integrated care solutions ‘at scale’? . Bernhard Gibis, M.D., M.P.H. Driving factors for change – from an MD point of view.

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Bernhard Gibis, M.D., M.P.H.

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  1. 13th International Conference on Integrated Care, April 11-12 2013, Berlin, GermanyWhat strategies are required at a system level to support the adoption of integrated care solutions ‘at scale’? Bernhard Gibis, M.D., M.P.H.

  2. Drivingfactorsforchange– from an MD pointofview Technical progress • (Over) Specialisationandfragmentationofcare • Everrisingimportanceforcoordinated, teambasedcare • Provision ofcaregettingdifficult in • Rural areas • Low Income areas • Need for • Setting approaches • Incentives forchange • Much likedhere: chroniccaremodel (Wagner) • Growingimportanceofambulatorycare • New analyticalapproaches (healthadmin) Currentchallenges Differingexpectationsofyoungdoctors Demographicchange • Increasinglifeexpectancy • Urbanisation • Chronicdiseases / multimorbidity • Tendencyto live in singlehouseholds • „Controlled“ workinghours • Tendencytosalariedwork • Non clinicaljobopportunities • Higher importanceofwork/lifebalance

  3. Praxisnetze §87b Abs 2 u. 4 SGB V constitutephysiciandrivennetworks open for all sickfunds Characteristics 20-100 Practices Primary carephysicians plus minimumtwofurtherspecialties Provencooperationwithotherhealthsectors Ownership: mainlyphysicians Formal legal structure Goals andcriteria Characteristics Thankyouforyourattention!

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