Comprehensive patient management and diagnosis related reimbursement in operative oncology

In 1996 the project "operative oncology" was initiated by the Department of Surgery University of Kiel in order to guarantee a solid and longterm fina ncing of surgical oncological interventions with a high quality standard. F irst step was to determine the detailed costs of the diagnostic and differe nt surgical procedures in order to calculate flat rates per case. Covered b y these comprehensive prices per case are also the psychooncological suppor t, prospective evaluation of quality of life and molecular-oncological diag nostics (determination of micrometastasis). The development of project was primarily financed by the AOK health insurance company of Schleswig-Holstei n. It was calculated by the GSbG and is supported since April, 1st, 1998 by all health insurance companies of the region.