Читать книгу DiGA VADEMECUM - Jörg F. Debatin - Страница 13

In the German healthcare system, customers or users are (almost) never the ones who pay directly for the services and solutions provided—or rather, they do so only indirectly via their health insurers, which cover 100% of all necessary healthcare spending. And the customer/user in most cases needs a healthcare provider to prescribe a digital health application. Physicians and psychotherapists are thus the gatekeepers, and they must see added value in the prescription. How payment flows and customer relationships work is largely organized by a self-governance body made up of the federal associations of health insurers , physicians, and hospitals. In addition, there are local governments, states, and the federal government, all of which influence healthcare system mechanisms at different levels. And finally, there are two largely isolated markets: the outpatient and inpatient sector(s), each of which function differently. It’s complicated, but you can’t operate without at least a rudimentary understanding of these players and their interrelationships.