Empirical Versus Medical Control

Abstract

In order to improve the control of hospitalizations, the National Health Insurance Fund must start from their own criteria. The authors have developed a proposal for such criteria. They could be implemented immediately and keep their main function of compliance to medical criteria for hospitalization and at the same time setting strict criteria that could be easily checked by the competent authorities. The proposals concern stable angina pectoris. Other proposals include changes with regard to the development of new clinical paths for diagnoses and procedures that are currently not reimbursed by the NHIF as well as a change in the reimbursement rate of several implants.