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At least 199 records · Page 11Linked to original sources
PubMed1996

[Managed health care: scope, concept and strategic management potentials from the viewpoint of the Swiss Accident Insurance Fund].

The following item presents briefly the cost relevant factors in health care in Switzerland. The principal key issues and reasons for managed health care programs are dealt with by recognizing the new health care law. In order to present the central strategies for improvement in managed care from an integral point of view, managed health care is being treated in the context of a widely founded conceptional framework. A very detailed and medically complete as well as performance oriented case statistic of medical treatments is a strategic success and key factor. The author represents the thesis that the given opportunities and micro-management tools could be much more widely used, that they should be extended and that, therefore, the strength of our independent and liberal health care system could be much better integrated in the context of a necessary social acceptance. This shall not only be reached by maximising the individual revenues, but by optimizing structures and increasing organizational effectiveness in medical health care. The existing readiness of the health care suppliers, especially the physicians, to take over responsibility in improving health care outcome is the core to this strategy.

Artificial Intelligence↗
PubMed1987

[Expert assessment of reduced earning capacity in legal accident insurance following traumatic loss of the spleen].

For legally binding assessment of reduced earning capacity after loss of spleen in adolescents and adults--in accordance with the Federal German compulsory accident insurance regulations--the article offers a brief review of expertising practice and then proceeds to examine dogmatically which of the cases of subsequent damage after loss of spleen are relevant according to German social security laws. The risk covered by Federal German compulsory accident insurance is critically discussed while bearing in mind that assessment of reduced earning capacity is done exclusively under the viewpoint of objectifiable functional losses.

Adult↗
PubMed1996

[Legal definition of the accident concept in social accident insurance].

For the first time, the "Gesetz zur Einordnung des Rechts der gesetzlichen Unfallversicherung in das Sozialgesetzbuch (Unfallversicherungs-Einordnungsgesetz UVEG)" from August 7, 1996, defines the term "accident" in the social accident insurance, as expressed since January 1, 1997, in 8 I Sozialgesetzbuch (SGB) VII. This legal definition widely corresponds to the definition in the private accident insurance as well as to the previous interpretation known from the literature and the jurisdiction.

Accidents↗