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<p>As the German government plans to introduce a&#xa0;general practitioner (GP) gate keeping system to statutory health insurance, this article takes a&#xa0;look at potential effects on the utilization of ambulatory health care provided by practices of different specialties for patients with a&#xa0;cancer diagnosis using claims data of physician practices. A&#xa0;previous analysis has shown that utilization of ambulatory care for patients with a&#xa0;new cancer diagnosis is fairly focused in particular specialties and follows plausible patterns. A&#xa0;focused analysis of cancer patients’ claims data for 2024 reveals little utilization of several providers from the same specialty. Therefore, only little extra capacity might be gained from tighter control by GPs. For relevant types of cancer, particularly in the fields of gynecology and urology, patients apparently seek care mainly from specialists. Unless exceptions are defined, around a&#xa0;quarter of cancer patients would potentially have to resettle with a GP for care coordination.</p>

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Patientensteuerung in der Onkologie

  • 期刊论文

  • 发表日期：

    2026年1月15日

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  • Dominik von Stillfried,
  • Emil Hu,
  • Sandra Mangiapane

摘要

As the German government plans to introduce a general practitioner (GP) gate keeping system to statutory health insurance, this article takes a look at potential effects on the utilization of ambulatory health care provided by practices of different specialties for patients with a cancer diagnosis using claims data of physician practices. A previous analysis has shown that utilization of ambulatory care for patients with a new cancer diagnosis is fairly focused in particular specialties and follows plausible patterns. A focused analysis of cancer patients’ claims data for 2024 reveals little utilization of several providers from the same specialty. Therefore, only little extra capacity might be gained from tighter control by GPs. For relevant types of cancer, particularly in the fields of gynecology and urology, patients apparently seek care mainly from specialists. Unless exceptions are defined, around a quarter of cancer patients would potentially have to resettle with a GP for care coordination.