Evaluation of regional hospital care using a regionalized national microsimulation model

德国的医院护理通常被认为供过于求。在这个子项目中，将通过使用微观模拟的人口预测来调查德国医院的需求。将考虑旅行时间方面的医院可及性和按诊断划分的区域病例发生率。将调查即使在设施关闭的情况下，护理质量是否能够保持。重点是病人的固定护理。由于关闭诊所可能会导致偏远地区患者（“最后百分之一”）的护理恶化，因此将研究是否可以通过门诊护理中心或其他措施（如增加使用航空运输）减轻恶化的程度。减少医院网络的鲁棒性将使用各种危机情景进行检查。

Hospital care in Germany is often regarded as oversupplied. In this subproject the demand of hospitals in Germany will be investigated by means of a population projection using microsimulation. The accessibility of hospitals in terms of travel time and the regional incidence of cases by diagnosis will be considered. It will be investigated whether the quality of care can be maintained even when facilities are shut down. The focus is on the stationary care of patients. Since the closing of clinics could cause a deterioration in the care of patients living in remote areas ("the last percent"), it will be examined whether the extent of the deterioration can be mitigated by outpatient care centers or other measures (such as the increased use of air transport). The robustness of the reduced hospital network will be examined using various crisis scenarios.