"There is hardly any future-oriented planning, for example taking into account demographics, morbidity and medical progress," says a report by the Court of Auditors about which the "Rheinische Post" reports. The current hospital structure is not efficient, the Court of Auditors further criticizes.
"40 percent of the hospitals are recording losses, for over a tenth there is an increased risk of insolvency." From the perspective of the Federal Audit Office, the federal states have "been inadequately meeting their investment obligations in hospital financing for years". According to the report, the investment requirement nationwide is seven billion euros annually. The funding moves "at a consistently low level" between 2,6 and three billion euros.
The Federal Audit Office is also not satisfied with the current hospital reform through two federally financed funds. In his view, there are not enough incentives for effective structural improvement and, according to the report, the co-financing by the federal states and hospital operators is too low. "The countries are thereby disproportionately released from their responsibility," it says. The Court of Auditors demands that the "financing and planning responsibility" for the clinics be brought together again.
“This necessarily includes a change in constitutional provisions.” The two Green Members of the Bundestag Ekin Deligöz and Manuela Rottmann have written a joint statement on the deficiencies in the hospital landscape and write: “We primarily finance quantities: This applies to hospital flat rates, highly invasive medicine Overfunding and starving basic providers. ”The two Green politicians complain that a facility simply exists and is open. Regarding the reform efforts, Deligöz said that “simply pouring money into this system without fundamentally rethinking it is not promising”.
Rottmann added: "The Federal Audit Office is right: It is overdue that politicians finally set the structure of care based on the medical needs of the population."