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。根据旅行时间和诊断病例的区域发生率，将考虑医院的可及性。将调查即使设施关闭，护理质量是否仍能保持。重点是病人的固定护理。由于诊所的关闭可能导致生活在偏远地区的病人（“最后的百分之一”）的护理恶化，因此将审查是否可以通过门诊护理中心或其他措施（例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场景进行检查。

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.