{"id":388491,"date":"2026-05-04T10:22:45","date_gmt":"2026-05-04T08:22:45","guid":{"rendered":"https:\/\/gastroenterologie-brunk.de\/?p=388491"},"modified":"2026-05-04T10:23:34","modified_gmt":"2026-05-04T08:23:34","slug":"outpatient-surgery-5","status":"publish","type":"post","link":"https:\/\/gastroenterologie-brunk.de\/en\/outpatient-surgery-5\/","title":{"rendered":"Outpatient surgery"},"content":{"rendered":"

[et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#EFF0F0″ custom_padding=”50px||50px||true|” global_colors_info=”{}”][et_pb_row _builder_version=”4.24.3″ _module_preset=”default” custom_padding=”0px||0px||true|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.3″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.6″ _module_preset=”default” text_font=”Rob Reg||||||||” text_text_color=”#3A4E55″ text_font_size=”22px” text_line_height=”180%” header_font=”Rob Sem||||||||” header_text_align=”center” header_text_color=”#668996″ header_font_size=”34px” header_line_height=”2em” header_2_font=”Rob Sem||||||||” header_2_text_color=”#668996″ header_2_font_size=”34px” header_2_line_height=”2em” header_3_font=”Rob Sem||||||||” header_3_text_color=”#3A4E55″ header_3_font_size=”24px” header_3_line_height=”2em” header_4_font=”Rob Reg||||||||” header_4_text_color=”#49bac8″ text_orientation=”center” custom_margin=”||14px|||” animation_style=”fade” text_font_size_tablet=”22px” text_font_size_phone=”18px” text_font_size_last_edited=”on|phone” header_font_size_tablet=”34px” header_font_size_phone=”28px” header_font_size_last_edited=”on|phone” header_line_height_tablet=”1.6em” header_line_height_phone=”1.6em” header_line_height_last_edited=”on|tablet” global_colors_info=”{}”]<\/p>\n

Ambulantisierung komplexer Eingriffe: Warum die Reform jetzt gemeinsam gelingen muss<\/strong><\/h1>\n

Fachdialog | 17. Juni 2026 | Berlin-Karlshorst<\/em><\/h3>\n

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Viele Menschen verbinden medizinische Eingriffe noch immer automatisch mit einem Krankenhausaufenthalt. Doch die Medizin hat sich weiterentwickelt:\u00a0<\/span>Heute k\u00f6nnen viele Untersuchungen und Behandlungen sicher ambulant durchgef\u00fchrt werden<\/b>\u00a0\u2013 ohne \u00dcbernachtung, aber mit gleicher medizinischer Qualit\u00e4t.<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_enable_color=”off” background_enable_image=”off” background_size=”initial” custom_padding=”50px||50px||true|” global_colors_info=”{}”][et_pb_row _builder_version=”4.24.3″ _module_preset=”default” custom_padding=”0px||0px||true|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.3″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.6″ _module_preset=”default” text_font=”Rob Reg||||||||” text_text_color=”#3A4E55″ text_font_size=”18px” text_line_height=”180%” header_font=”Rob Sem||||||||” header_text_align=”center” header_text_color=”#668996″ header_line_height=”2em” header_2_font=”Rob Sem||||||||” header_2_text_color=”#668996″ header_2_font_size=”34px” header_2_line_height=”2em” header_3_font=”Rob Sem||||||||” header_3_text_color=”#717575″ header_3_font_size=”24px” header_3_line_height=”2em” header_4_font=”Rob Reg||||||||” header_4_text_color=”#49bac8″ text_orientation=”center” custom_margin=”||||false|false” animation_style=”fade” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

Das deutsche Gesundheitssystem steht an einem strukturellen Wendepunkt.<\/h3>\n

Die Krankenhausreform baut station\u00e4re Kapazit\u00e4ten ab \u2014 aber der Aufbau tragf\u00e4higer ambulanter Alternativen hinkt hinterher.<\/p>\n

Diese L\u00fccke ist kein theoretisches Problem: Sie betrifft Patienten, die heute auf komplexe interventionelle Eingriffe warten, die ambulant sicher und kosteneffizienter erbracht werden k\u00f6nnten.<\/p>\n

<\/h3>\n

Potenziale nutzen, Sektorengrenzen \u00fcberwinden.<\/h3>\n

Die medizinischen Voraussetzungen sind vorhanden. Patienten, die eine Endosonographie mit Gewebeentnahme (EUS-FNA), eine endoskopische Submukosadissektion (ESD) oder eine interventionelle Koloskopie ben\u00f6tigen, k\u00f6nnen unter den richtigen Rahmenbedingungen hervorragend ambulant betreut werden. Das Problem liegt nicht in der Medizin \u2014 es liegt in den Strukturen. Der gesetzliche Rahmen aus AOP (\u00a7 115b), ASV (\u00a7 116b) und Hybrid-DRG (\u00a7 115f) wurde geschaffen, um komplexe Eingriffe aus dem station\u00e4ren in den ambulanten Sektor zu \u00fcberf\u00fchren.<\/p>\n

In der Gastroenterologie entfaltet er seine Wirkung jedoch nur unzureichend: Zentrale Eingriffe fehlen im AOP-Katalog oder sind nicht kostendeckend verg\u00fctet. Der Hybrid-DRG-Katalog bildet das gastroenterologische Standardspektrum kaum ab. Vorhalteleistungen werden f\u00fcr niedergelassene Schwerpunktversorger nicht finanziert \u2014 obwohl sie vergleichbare Infrastrukturanforderungen erf\u00fcllen wie Kliniken.<\/p>\n

<\/h3>\n

Einblicke in die Praxis Karlshorst<\/h3>\n

In unserer Einrichtung setzen wir komplexe interventionelle Endoskopie bereits erfolgreich im ambulanten Setting um. Als Teil der ASV f\u00fcr gastrointestinale Tumoren und internationales CED-Studienzentrum nutzen wir moderne Abrechnungswege wie die Hybrid-DRG. Unser Leistungsspektrum umfasst EUS-FNA, kleinere ESD, FTRD, PEG-Anlagen, Ballondilatationen und Radiofrequenzablationen.<\/p>\n

Diese Erfahrung zeigt: Ambulantisierung ist machbar \u2014 aber sie ist noch kein Selbstl\u00e4ufer. Die wirtschaftliche Tragf\u00e4higkeit h\u00e4ngt von Rahmenbedingungen ab, die heute noch nicht ausreichend gegeben sind.<\/p>\n

<\/h3>\n

Impulse f\u00fcr eine zukunftsf\u00e4hige Versorgung<\/h3>\n

Wir setzen auf vier konkrete Hebel: Erstens eine substanzielle Erweiterung des Hybrid-DRG-Katalogs um interventionelle gastroenterologische Eingriffe \u2014 auf Basis realer ambulanter Prozesskosten, nicht fortgeschriebener station\u00e4rer Daten.<\/p>\n

Zweitens strukturell definierte intersektorale Behandlungspfade zwischen Schwerpunktpraxis und Kooperationsklinik \u2014 mit klarer Zust\u00e4ndigkeit beim Komplikationsmanagement.<\/p>\n

Drittens eine qualit\u00e4tsgebundene Versorgungsform analog zur ASV, die Mindestzahlen, Ergebnisqualit\u00e4t und Netzwerkpflicht strukturell verankert \u2014 und gleichzeitig eine ungebremste Mengenausweitung verhindert.<\/p>\n

Viertens eine Angleichung der Strukturen f\u00fcr gesetzlich und privat Versicherte, damit moderne Verfahren f\u00fcr alle Patientengruppen gleicherma\u00dfen zug\u00e4nglich sind.<\/p>\n

<\/h3>\n

Der Fachdialog am 17. Juni<\/h3>\n

Am 17. Juni 2026 \u00f6ffnen wir unsere Praxis in Berlin-Karlshorst f\u00fcr geladene G\u00e4ste zu einem l\u00f6sungsorientierten Fachdialog. Wir freuen uns auf den Austausch mit Kolleginnen und Kollegen aus Klinik und Praxis und hoffen auf rege Beteiligung durch Verantwortlichen der Kassen\u00e4rztlichen Vereinigung und der Krankenkassen sowie Akteuren der Gesundheitspolitik. Die Veranstaltung beginnt um 16:00 Uhr mit einem Empfang.<\/p>\n

\n

Impulsvortr\u00e4ge:<\/span><\/h3>\n

1. Prof. Dr. J\u00fcrgen Hochberger, Charit\u00e9 Berlin<\/strong><\/span>
\u201eAmbulante interventionelle Endoskopie \u2014 wo liegen die Grenzen?”<\/em><\/span><\/h4>\n

<\/h4>\n

2. Dr. med. Susanna Scharrer, Gastroenterologie Berlin<\/strong><\/span>
\u201eCED-Versorgung im Verbund: Patientenpfade zwischen Praxis, ASV und Forschung”<\/em><\/span><\/h4>\n

<\/h4>\n

3. Dr. med. Thomas Brunk, Gastroenterologie Berlin<\/strong><\/span>
\u201eAmbulante interventionelle Endoskopie \u2014 Strategien f\u00fcr eine erfolgreiche Sektorenreform in der Praxis”<\/em><\/span><\/h4>\n

\n

<\/h3>\n

Im Anschluss:<\/span><\/h3>\n

Offener Fachdialog \u00fcber Hybrid-DRG und das Modell der vernetzten Schwerpunktpraxis.<\/p>\n

Moderation: Prof. Dr. Andreas W. Berger, Chefarzt Innere Medizin & Gastroenterologie, Evangelisches Krankenhaus K\u00f6nigin Elisabeth Herzberge, Berlin<\/span><\/strong><\/p>\n

Es geht nicht um theoretische Debatten \u2014 sondern um das direkte Gespr\u00e4ch dar\u00fcber, wie die Patientenversorgung von morgen heute schon praktisch umgesetzt werden kann.<\/p>\n

<\/em><\/p>\n

Dr. med. Thomas Brunk und Frau Susanna Scharrer, Fach\u00e4rzte f\u00fcr Gastroenterologie<\/em><\/p>\n

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In our practice, we rely on modern and patient-friendly treatment methods to offer you the best possible medical care – now also for patients with health insurance. <\/p>\n","protected":false},"author":10,"featured_media":388507,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[39,40],"tags":[],"class_list":["post-388491","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aktuelles","category-latest-news"],"yoast_head":"\nOutpatient surgery - Gastroenterologie Dr. Brunk | Berlin Sch\u00f6neberg und Karlshorst<\/title>\n<meta name=\"description\" content=\"In our practice, we rely on modern and patient-friendly treatment methods to provide you with the best possible...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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