By hospital treatment one understands the different possibilities of the medical treatment and care in a hospital. In many countries the hospital treatment is an achievement of the social security.

Germany

In Germany have legally patient-insured a legal claim on hospital treatment. This is legally standardized in "§ 39 SGB V. Therefore a requirement on full-stationary hospital treatment exists, if the treatment goal cannot be achieved by part-stationary, pre and after-stationary or ambulatory treatment including domestic nursing for the sick. Thus the law calls already the possible kinds of the hospital treatment, i.e.

• full-stationary,
• part-stationary,
• before-stationary and
• after-stationary as well as
• ambulatory treatment.

The necessary hospital treatment must be ordered, except with acute emergencies, of the treating physician. Whether the medical condition for a treatment in the hospital is actually present, again examines the hospital with the admission of the patient. This examination covers also the question, which type of treatment for the patient the suitable and for the health insurance company the most economical is. A condition is also, which concerns it with the hospital a certified contract hospital ("§ 108 SGB V).

Types of treatment

The hospital treatment can be accomplished full-stationarily, part-stationarily, pre and after-stationarily as well as ambulatory. Which type of treatment is applicable for the respective patient, the instructing physician and/or the treating physicians in the hospital decides.

The full-stationary treatment is the classical hospital treatment. It covers accommodation and food supply apart from the necessary medical treatment (medical treatment, nursing for the sick, medicament etc.) also. This variant is the most expensive and form of the treatment in the hospital and is possible if none is that in the following described types of treatment possible and/or medically sufficient.

Extra costs for the accommodation in an in or a two-bed room or e.g. for chief physician treatment (choice achievements) must carry legally for Versicherte. Nevertheless two-bed rooms are already in many hospitals standard, so that in this connection no extra costs for the patients result. Such extra costs can, if are wished, taken off over private additional insurances.

The hospital treatment is to take place in suitable nearest hospitals, details in addition in the section "choice of the hospital".

The part-stationary treatment closes an accommodation and a supply apart from the medical supply either only during the day or only at night also (e.g. Daily hospital). She is applicable, if a constant accommodation (full-stationary hospital treatment) appears medically not necessary. One speaks in this sense also of dailyclinical or night-clinical treatment.

By the before-stationary treatment the treatment in the hospital without accommodation and food supply is to be understood. of stays are above all the suitable working method if it applies to clarify the necessity for a full-stationary treatment or prepare such.

hospital treatment is limited to three at the latest treatment days within five days before the beginning of the actual, full-stationary hospital treatment.

Like the before-stationary treatment contain also the after-stationary treatment no accommodation and no food supply. She is applicable, if it applies to secure the treatment success of a stationary stay. hospital treatment is limited to seven treatment days within one period from two weeks to end of the stationary stay, whereby there can be exceptions in medically justified cases.

Since hospitals in Germany, except in the sense of emergency outpatient clinics, in which ambulatory medical supply in principle do not participate, is ambulatory hospital treatment by the legislator to ambulatory operations limited.

Choice of the hospital

In principle can select Versicherte in Germany the hospital, into which it would like itself to let treat, freely, whereby it must concern a certified hospital. It is to be noted however that the physician, who orders the hospital treatment must indicate the two nearest hospitals, which suitable it considers by consideration of the illness on the regulation.

Patients, who select another than one of the suggested hospitals without compelling reason, can be loaded by the health insurance company with extra costs resulting from it, this can differences of the hospital costs and above all higher travel costses be.

Compelling reasons, of the hospitals indicated in the regulation to stress cannot e.g. the distance of a hospital of family and/or related, religious needs be. The health insurance company is to consider appropriately to also other desires of the insured ones

Assumption of the costs

The contracts of the private health insurance plan an assumption of the costs for hospital treatment in all rule. The requirement in relation to the legal health insurance company covers also the medically necessary Mitaufnahme of a Begleitperson with the stationary treatment of children. The private health insurance does not know this achievement.

Also the accident insurance carriers furnish hospital treatment, if an industrial accident or an occupational illness is the basis for the illness.

Financing

In Germany the hospitals are financed over dual a system. On the one hand the hospitals means from the capital outlay promotion receive the current operating cost from federation, countries and municipalities, on the other hand by the legal health insurance are in particular financed.

The remuneration on the part of the health insurance companies takes place thereby since 2004 (drop lump sum law) after a diagnosticreferred drop lump sum system (see also G-DRG). Before the introduction of the DRG system the hospital treatment was recompensed by daily care sets. Psychiatric hospitals account for this very day after daily rates, since for treated the there, lengthy disease pictures the DRG system are unsuitable.

Additional payments

Versicherte starting from completion 18. Lebensjahres furnish for each day of a stationary hospital treatment 10 euro as additional payment, if the hospital treatment takes place debited to the health insurance company. The additional payment is limited to maximally 28 days per year. If the cost objective is the legal accident insurance, no additional payment needs to be paid.

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