Aspects | Findings |
---|---|
Clinical evidence: | Decision makers noted that this was the most essential aspect, as also shown in the accordance between evidence-based recommendation and reimbursement decision. |
Quality assurance/ organisational aspects: | Structural quality assurance through setting conditions for the use of a medical service (provider’s capacity, infrastructure and processes to provide the specific care in high-quality). These are often linked to organisational aspects. |
Costs | If costs are comparable to already existing medical services, the new medical service may not be included in the catalogue separately. |
Procedural aspects | These aspects are linked to the general criteria for adoption of novel hospital medical service (e.g., incomplete proposal may lead not to include a hospital service). |
Other countries | How other countries (especially Germany) decided on the potential adoption of a certain medical service may have also influenced some reimbursement decisions. |
Situational aspects | The COVID-19 pandemic was identified as a situational aspect hindering a reimbursement of medical services. |