By Horst Albach, Heribert Meffert, Andreas Pinkwart, Ralf Reichwald, Wilfried von Eiff
This e-book discusses present health and wellbeing care demanding situations and new thoughts for leading edge ideas during this quarter from an interdisciplinary standpoint of well-being care administration, company economics, and medication. It offers the belief of a “boundaryless hospital”, a conceptual version of a patient-centric, value-based wellbeing and fitness community that overcomes normal sectorial, organizational, and geographical barriers and provides higher potency and higher caliber results for patients.
Effective future health deal with a growing to be and getting older inhabitants is a huge problem for economies world wide. New breakthroughs in scientific know-how and prescription drugs in addition to digitization supply scope for extra potency and for a greater caliber of overall healthiness care. Novel association kinds and administration ideas are key for dealing with the expanding rate strain saw in so much well-being care structures. The contributions during this quantity current leading edge concepts for constructing and imposing the idea that of a boundaryless health facility. They spotlight studies from a number of international locations and with various treatments.
The booklet undertaking was once initiated and conducted via the guts for complicated experiences in administration (CASiM), the interdisciplinary learn middle of HHL Leipzig Graduate college of administration for company management within the 21st century.
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Additional resources for Boundaryless Hospital: Rethink and Redefine Health Care Management
The targeted therapy approach is based on the molecular understanding of the cancerous cell. Because cancer progression is facilitated by activation of oncogenes (tumor promoting proteins) and inactivation of tumor suppressors, the tumor can be eradicated by reversing these alterations. The key technology needed to identify the genetic alterations is DNA sequencing and genotyping. This technology is costly and currently Cancer Care: New Value Chains Challenge German Hospital Structures 23 A small piece of patient‘s tumor is biopsied The genetic information (DNA) is extracted from the cells The tumor genes are sequenced and analyzed HER2 MET RET ROS PIK3CA BRAF ALK Mutations susceptible to targeted drugs are identified EGFR unkno wn KRAS Treatment recommendations are consented in a molecular tumor board comprising oncologists, pathologists and molecular biologists If a molecular target was identified, the appropriate drug can be prescribed or tested in a clinical trial setting Fig.
In addition, they record the diagnostic procedures as well as histological, molecular, treatment-related and follow-up data. Typically, each federal state in Germany runs a population-based cancer registry and a state-based registry. They receive information of cancer cases from the whole state by physicians, medical practices and hospitals (here, the institution-related Cancer Care: New Value Chains Challenge German Hospital Structures 35 Krebs in Deutschland 2009/2010 9. Ausgabe, 2013 physicians, medical practices and hospitals (here the institution-related cancer registries) state-related cancer registry population-based cancer registry Robert Koch Institute, Berlin Fig.
In Germany, this task is assumed by the Working Group of German Tumor Centers (ADT) and the Association of Population-based Cancer Registries in Germany (GEKID) (Bundesministerium fu¨r Gesundheit 2012). These groups published a joint working paper that includes all items necessary (standard oncologic basic data set) (Bundesministerium fu¨r Gesundheit 2014). It is the theoretical background for any cancer documentation. However, the quantity and the level of diversification of medical and biological information of patients with cancer has grown notably in the last years due to new diagnostic and treatment options.