{"id":37596,"date":"2025-10-27T09:14:13","date_gmt":"2025-10-27T08:14:13","guid":{"rendered":"https:\/\/artiqo.de\/the-reform-is-unavoidable-for-the-preservation-of-our-healthcare-system\/"},"modified":"2025-11-18T10:59:24","modified_gmt":"2025-11-18T09:59:24","slug":"the-reform-is-unavoidable-for-the-preservation-of-our-healthcare-system","status":"publish","type":"post","link":"https:\/\/artiqo.de\/en\/the-reform-is-unavoidable-for-the-preservation-of-our-healthcare-system\/","title":{"rendered":"The reform is unavoidable for the preservation of our healthcare system."},"content":{"rendered":"

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=”” css=”.vc_custom_1753440141482{padding-bottom: 30px !important;}”][vc_column][vc_column_text css=””]<\/p>\n

“The reform is unavoidable for the preservation of our healthcare system.”<\/h1>\n

[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=”” css=”.vc_custom_1575551458817{padding-bottom: 30px !important;}”][vc_column width=”2\/5″ css=”.vc_custom_1674815181930{padding-bottom: 30px !important;}”][vc_single_image image=”36625″ img_size=”full” css=”” qode_css_animation=””][\/vc_column][vc_column width=”3\/5″ css=”.vc_custom_1674815326712{padding-bottom: 30px !important;}”][vc_column_text css=””]The hospital reform in North Rhine-Westphalia has noticeably changed the healthcare landscape since April 2025. We spoke with Dr. Achim Dohmen, Chief Physician of the Trauma and Orthopedic Center West in Geilenkirchen, about his experiences with the reform so far: How are the new service groups and the formation of centers affecting the regional hospital landscape? And what will happen at the federal level?<\/strong>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=”” css=”.vc_custom_1575551458817{padding-bottom: 30px !important;}”][vc_column width=”2\/5″ css=”.vc_custom_1674815181930{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1761552749209{padding-bottom: 20px !important;}”]ARTIQO: The hospital reform in North Rhine-Westphalia is being closely watched nationwide. As head of orthopedics and trauma surgery, how have you experienced the change process so far?<\/strong>[\/vc_column_text][\/vc_column][vc_column width=”3\/5″ css=”.vc_custom_1674815326712{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1763459723479{padding-bottom: 20px !important;}”]Dr. Dohmen: <\/strong>We’ve reached a stage in Geilenkirchen where we can finalize our future plans. We’ve received our key performance indicators (KPIs) for all orthopedic service groups. For us, as a maximum care provider, this is a favorable situation, as we are permitted to continue offering the full spectrum of orthopedic services. The KPIs essentially correspond to our application and our expectations, so we can now prepare to deliver these service volumes.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=”” css=”.vc_custom_1575551458817{padding-bottom: 30px !important;}”][vc_column width=”2\/5″ css=”.vc_custom_1674815181930{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1761552779543{padding-bottom: 20px !important;}”]ARTIQO: What impact do you foresee in the regional environment in the Heinsfeld district and the surrounding areas?<\/strong>[\/vc_column_text][\/vc_column][vc_column width=”3\/5″ css=”.vc_custom_1674815189919{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1763459733829{padding-bottom: 20px !important;}”]Dr. Dohmen:<\/strong> In the region, we only see three providers that can offer the full range of orthopedic services. Then there are a few hospitals that are authorized to perform a certain number of primary hip replacements. The situation regarding knee replacements is currently unclear for us. We assume that some providers will close down completely. We can’t yet estimate to what extent smaller providers will be allowed to remain in the market.<\/p>\n

We are a region with few hospital beds. This fundamentally represents a more dramatic disruption to the regional hospital landscape than I had anticipated.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=”” css=”.vc_custom_1575551458817{padding-bottom: 30px !important;}”][vc_column width=”2\/5″ css=”.vc_custom_1674815181930{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1761552984240{padding-bottom: 20px !important;}”]ARTIQO: The discussion raises concerns that concentrating services in these centers might result in insufficient resources to provide necessary interventions without waiting times or overburdening the existing structures. What are your thoughts on this?<\/strong>[\/vc_column_text][\/vc_column][vc_column width=”3\/5″ css=”.vc_custom_1674815189919{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1763459741721{padding-bottom: 20px !important;}”]Dr. Dohmen:<\/strong> We fear that the poorly paid revision surgeries will accumulate at our center. Currently, we perform 100 revisions per year. Perhaps we’ll end up with 200-300 revisions? That would be a significant workload that we couldn’t manage effectively, either in terms of time or cost. There will also be increased patient referral to specialized centers for primary joint replacements.<\/p>\n

It’s too early to say for sure. We’re currently observing that smaller providers are still trying to secure their market share through advertising, likely hoping to gain a stronger negotiating position.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=”” css=”.vc_custom_1575551458817{padding-bottom: 30px !important;}”][vc_column width=”2\/5″ css=”.vc_custom_1674815181930{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1761552831567{padding-bottom: 20px !important;}”]ARTIQO: In endoprosthetics, we have long been discussing minimum case numbers that demonstrably contribute to improving the quality of care<\/strong>. The DGOOC’s EndoCert certification also requires this. The consequence of this is also the formation of specialized centers. Will this really change so much for endoprosthetics?<\/strong>[\/vc_column_text][\/vc_column][vc_column width=”3\/5″ css=”.vc_custom_1674815189919{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1763459750882{padding-bottom: 20px !important;}”]Dr. Dohmen:<\/strong> That’s correct. Nevertheless, the providers’ distress is understandable. Many hospitals are deeply in the red or on the verge of collapse. If a service category that has guaranteed stable revenues is now eliminated, these hospitals will face massive financial problems. And this applies to the entire hospital, not just the affected service category. We also have a very significant cross-subsidization system with other hospitals, which maintains healthcare provision in rural areas.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=”” css=”.vc_custom_1575551458817{padding-bottom: 30px !important;}”][vc_column width=”2\/5″ css=”.vc_custom_1674815181930{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1761553026776{padding-bottom: 20px !important;}”]ARTIQO: What do you say about the NRW reform: Is it a thumbs up or a thumbs down?<\/strong>[\/vc_column_text][\/vc_column][vc_column width=”3\/5″ css=”.vc_custom_1674815189919{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1763459760393{padding-bottom: 20px !important;}”]Dr. Dohmen:<\/strong> The current hospital structure is no longer sustainable for a variety of reasons. We have too many inpatient facilities and a large number of dilapidated hospital structures. In the outpatient sector, we lack effective structures that could handle this volume of services. Something urgently needs to be done.<\/p>\n

Then let’s look at the endoprosthetics companies: The industry has suffered greatly in Germany because the cost pressures from hospitals were passed on to the manufacturers. The price level is simply unsustainable for the companies. This is unacceptable. We have always been very innovative in this field, and we are now jeopardizing our future.<\/p>\n

Demographically, we are also heading for disaster because we simply cannot find the personnel to provide the services in the future. Many of us who, like myself, perform high volumes of endoprosthetics today will retire in the next two to ten years. This worries me personally: Who will treat me later?<\/p>\n

To answer your question: I hope that the reform will be implemented as currently planned. I believe this is right and unavoidable for the preservation of the healthcare system. And I hope it won’t be watered down by the usual lobby groups.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=”” css=”.vc_custom_1575551458817{padding-bottom: 30px !important;}”][vc_column width=”2\/5″ css=”.vc_custom_1674815181930{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1761553966496{padding-bottom: 20px !important;}”]ARTIQO: Now the question is: What will happen at the federal level? Before the summer recess, Ms. Warken announced a “further development law” for the Hospital Care Improvement Act (KHVVG) of 2024. What do you expect?<\/strong>[\/vc_column_text][\/vc_column][vc_column width=”3\/5″ css=”.vc_custom_1674815189919{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1763459767544{padding-bottom: 20px !important;}”]Dr. Dohmen:<\/strong> I think that the North Rhine-Westphalia model could, in principle, be transferred to the other large federal states. Whether that would also work for the city-states, I can’t say.<\/p>\n

Ich gehe aber davon aus, dass Bayern die vollst\u00e4ndige \u00dcbertragung des Laumann\u2019schen Ansatzes auf den Bund verhindern wird und ein eigenes Modell favorisieren wird.<\/p>\n

Ich habe Frau Warken bereits zwei Mal getroffen. Sie ist eine gute Zuh\u00f6rerin und auch, wenn Sie fachfremd ist, sind ihre Ministerialbeamten noch dieselben. Sie werden den eingeschlagenen Weg mit Anpassungen weiterverfolgen und den L\u00e4ndern mehr Mitspracherecht zubilligen.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=”” css=”.vc_custom_1575551458817{padding-bottom: 30px !important;}”][vc_column width=”2\/5″ css=”.vc_custom_1674815181930{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1761553101264{padding-bottom: 20px !important;}”]ARTIQO: What is your conclusion so far regarding the NRW reform?<\/strong>[\/vc_column_text][\/vc_column][vc_column width=”3\/5″ css=”.vc_custom_1674815189919{padding-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1763459774306{padding-bottom: 20px !important;}”]Dr. Dohmen:<\/strong> For me personally, this means I have to work and plan very effectively for a very long time. For the company, it means we have to adapt very dynamically to the changes. And we have a duty to manage our finances in order to guarantee people reasonable services in the future.[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

The hospital reform in North Rhine-Westphalia is being closely watched nationwide. Dr. Achim Dohmen, Chief Physician of the Traumatology and Orthopedics Center West in Geilenkirchen discusses the change process so far.<\/p>\n","protected":false},"author":1,"featured_media":36630,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","footnotes":""},"categories":[376,353],"tags":[],"class_list":["post-37596","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-home-en","category-news"],"yoast_head":"\nThe reform is unavoidable for the preservation of our healthcare system.<\/title>\n<meta name=\"description\" content=\"The hospital reform in North Rhine-Westphalia is being closely watched nationwide. 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