scholarly journals The German health care Innovation Fund – An incentive for innovations to promote the integration of health care

2020 ◽  
Vol 34 (8) ◽  
pp. 915-923
Author(s):  
Anne Berghöfer ◽  
Denes G. Göckler ◽  
Jörg Sydow ◽  
Carolin Auschra ◽  
Lauri Wessel ◽  
...  

PurposeMany health systems face challenges such as rising costs and lacking quality, both of which can be addressed by improving the integration of different health care sectors and professions. The purpose of this viewpoint is to present the German health care Innovation Fund (IF) initiated by the Federal Government to support the development and diffusion of integrated health care.Design/methodology/approachThis article describes the design and rationale of the IF in detail and provides first insights into its limitations, acceptance and implementation by relevant stakeholders.FindingsIn its first period, the IF offered € 1.2 billion as start-up funding for model implementation and evaluation over a period of four years (2016–2019). This period was recently extended to a second round until 2024, offering € 200 million a year as from 2020. The IF is triggering the support of relevant insurers for the development of new integrated care models. In addition, strict evaluation requirements have led to a large number of health service research projects which assess structural and process improvements and thus enable evidence-based policy decisions.Originality/valueThis article is the first of its kind to present the German IF to the international readership. The IF is a political initiative through which to foster innovations and promote integrated health care.

2016 ◽  
Vol 24 (3) ◽  
pp. 161-172 ◽  
Author(s):  
Benjamin Ewert

Purpose – Integrated health care lacks a theoretical concept of the user figure that is appropriate to reflect users’ various claims and multi-dimensional interrelations in the care process. The paper aims to discuss this issue. Design/methodology/approach – Key goals of integrated health care, such as a continuity of care, seamless services and better health outcomes depend strongly on users’ capabilities to engage themselves in the care process. These goals are hardly reachable if integrated health care schemes operate with a one-dimensional understanding of users’ identity. Findings – The suggested concept of users’ identity facets suggests that users draw from different sources while receiving integrated health care. Thus, users are patients, co-producers, citizens, consumers and community members in one person and at the same time. Each facet of the user identity gains or loses relevance depending on health care contexts, health statuses, personal values and the design of service arrangements. As demonstrated by the example of disease management programmes (DMPs), care schemes for chronically ill persons, users have to apply different facets of their identities in order to benefit best from service provision. Moreover, addressing users’ identity may facilitate the extent of integration in DMPs. Originality/value – Integrated health care schemes are challenged to invent strategies that facilitate and support coherence among users’ diverse identities in the process of service provision. Lessons could be learned from small-scale and localized integrated health care networks.


2012 ◽  
Author(s):  
Christine M. Boulton-Olson ◽  
Sinead K. P. M. Unsworth ◽  
Lindsay Kujawa ◽  
Erin L. Martin ◽  
Courtney G. Stufflebeam

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