Evidence map›Paper›PMID 40434670›Full record

ArticleHNO2025

[Simulation of possible effects of the Hospital Care Improvement Act on inpatient care in ENT medicine].

Stephan Lang, Thomas K Hoffmann, Thomas Deitmer, Martin Jäckel, Steffen Rohwer, Stefan Mattheis, Timo Stöver, Nicole Rotter, Thomas Zahnert, Jens Peukert

Abstract readEnglish Abstract
In one paragraph

Article in HNO, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Stephan LangKlinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstraße 55, 45147, Essen, Deutschland. Stephan.Lang@uk-essen.de.
Thomas K HoffmannKlinik für Hals‑, Nasen- und Ohrenheilkunde, Kopf- und Hals-Chirurgie, Universitätsklinik Ulm, Ulm, Deutschland.
Thomas DeitmerDeutsche Gesellschaft für Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie e. V., Bonn, Deutschland.
Martin JäckelKlinik für Hals‑, Nasen- und Ohrenheilkunde, Kopf- und Hals-Chirurgie, Helios Kliniken Schwerin, Schwerin, Deutschland.
Steffen RohwerLohfert & Lohfert AG, Hamburg, Deutschland.
Stefan MattheisKlinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Universitätsklinikum Essen, Universität Duisburg-Essen, Essen, Deutschland.
Timo StöverKlinik für Hals‑, Nasen‑, Ohrenheilkunde, Universitätsmedizin Frankfurt, Goethe-Universität Frankfurt a.M., Frankfurt a. M, Deutschland.
Nicole RotterKlinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Mannheim, Mannheim, Deutschland.
Thomas ZahnertKlinik für Hals‑, Nasen- und Ohrenheilkunde, Kopf- und Hals-Chirurgie, Universitätsklinikum Dresden, Dresden, Deutschland.
Jens PeukertLohfert & Lohfert AG, Hamburg, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A fundamental hospital reform is urgently needed due to the existing shortage of specialists, postpandemic productivity changes, and increasing financial deficits faced by hospitals in Germany. Starting from a hospital reform initiated in North-Rhine Westphalia (NRW), the so-called Hospital Care Improvement Act ("Krankenhausversorgungsverbesserungsgesetz", KHVVG) was launched at the federal level with the aim of ensuring more adequate funding, safeguarding and improving treatment quality, and reducing bureaucracy. This was passed by the Federal Council and officially came into force on 1 January 2025. For the specialty of Otorhinolaryngology, two categories-general ENT and cochlear implants-were selected for future hospital planning. The new law also established minimum physician requirements (e.g., 3 full-time physicians including 24/7 on-call duty) and defines so-called "oncological capping" as well as minimum number of cases for each defined entity. These measures are expected to lead to significant changes in the hospital landscape, including centralization of highly specialized services, with potential implications for specialist training. In summary, the KHVVG will ultimately alter patient care, thus, requiring flexible adaptation processes, which will be supported by professional societies. For this reason, we have simulated and discussed the effects of the KHVVG on our field to better assess possible consequences and initiate adjustment processes at an early stage.

Indexed as

Health Care ReformOtolaryngologyQuality ImprovementGermanyHumansHospital Care Improvement ActHospital reformKHVVGMedical specialtiesStructural requirements

Identifiers

PMID40434670
PMCPMC12457224

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.