A. Survey on reimbursement strategy for robot-assisted surgery (such as Da Vinci system)
1. Is robotic surgery reimbursed through public health insurance system of your country? xYes □No
2. If yes, please answer the following questions:
(1) What kind of indications is robotic surgery reimbursed for? (for example, radical prostatectomy, hysterectomy)
According to the manufacturer, 85% of interventions are done on the prostate
(http://www.n24.de/n24/Wissen/Technik/d/2698108/system-neustart-am-op-tisch.html). List of hospitals that use the da Vinci system:
http://www.prostatakrebse.de/informationen/pdf/da-Vinci-Kliniken.pdf
(2) What kind of reimbursement strategy, such as fully-covered, co-payment scheme, DRG, or other reimbursement strategies (please
specify), is applied for robotic surgery? Is robotic surgery reimbursed at a higher rate than the standard/traditional procedures, such as
open surgery or laparoscopic surgery?
DRG system, usually fully covered
B. Survey on reimbursement strategy for treatment for benign prostatic hyperplasia (BPH)
Type of treatment
1. Transurethral resection of the
prostate (TURP)
2. Holmium laser
(1) Ho-laser enucleation of the
prostate (HoLEP)
Reimbursed?
Is the treatment
reimbursed through
public health
insurance system of
your country?
xYes □No
Coverage with restrictions?
If it is reimbursed, are coverage
restrictions applied such as some
sub-population of BPH? If yes,
please specify.
Reimbursement Strategy?
If it is reimbursed, please
specify the reimbursement
strategy such as fully-covered,
co-payment scheme, DRG, or
other strategies.
□Yes, with restrictions: ______
xNo, without restrictions
DRG
At a Higher Rate
Than TURP?
If it is reimbursed,
is it reimbursed at a
higher rate than
TURP?
--
DRG
xYes
□No
□Yes, with restrictions: ______
□No, without restrictions
(2) Ho-laser resection of the
prostate (HoLRP)
xYes
□No
□Yes, with restrictions: ______
□No, without restrictions
DRG
□Yes, higher rate
□No, same rate
3. Photoselective vaporization of
the prostate (PVP)
(GreenLightTM)
xYes
□No
□Yes, with restrictions: ______
□No, without restrictions
DRG
□Yes, higher rate
□No, same rate
4. Thulium laser resection of the
prostate
xYes
□No
xYes, with restrictions: quality
DRG
□Yes, higher rate
□No, same rate
assurance specified, e.g.
surgeons need to demonstrate
that they completed successfully
□Yes, higher rate
□No, same rate
at least 50 resection with
thulium laser before they are
allowed to do it routinely______
□No, without restrictions
5. Diode laser
□Yes
□No
□Yes, with restrictions: ______
□No, without restrictions
□Yes, higher rate
□No, same rate
6. Bipolar
(1) Bipolar transurethral resection □Yes
of the prostate
□Yes
(2) Bipolar vaporization of the
prostate
□No
□Yes, with restrictions: ______
□No, without restrictions
□Yes, higher rate
□No, same rate
□No
□Yes, with restrictions: ______
□No, without restrictions
□Yes, higher rate
□No, same rate