Clinical Economics and Nursing.

(1) with the clinical-economic perspectives of different subjects, i.e. individual, group-specific, and societal perspectives. Considering different perspectives – including the patients' perspective – is one of the core requirements of Clinical Economics (CLINECS). CLINECS means to apply economic principles to health care services. The meaning of the word " economic " must not be mixed up with the meaning of the word " commercial ". A complete economic analysis includes three parts: 1) " costs " i.e. what you have to accept such as hospitalization, side effects, the risk of a treatment or monetary costs, 2) " consequences " i.e. what you will get back such as a solution of your health problem, 3) " alternative ways of actions " which means you have always to compare costs and consequences of at least two or more possible actions. Clinical Economic decisions are a helpful tool to find the best of several possible solutions to the patient. In contrast, a commercial decision means to make profit, usually monetary profit to our own or our company's pocket. Anchoring these demands in a new nursing structure law will not guarantee the desired elimination of existing shortcomings. Without claiming to be an expert in the field of nursing, I would like to propose some ideas that are still considered unfeasible by many, but should be brought up for discussion. We should comprehend that good nursing is more valuable than many excellent high-tech solutions for which we expend a dizzying amount of resources. Many of these high-tech solutions can make life more comfortable, but are not essential. Nursing care is essential because a dignified life will no longer be possible for many people without good nursing care. In other words, nursing care is the price we have to pay for the lengthening of our life expectancy. Three dramatic changes in our healthcare system could be necessary to meet this challenge. The best manager, the best nursing care, the best doctors, and the best politicians will tilt at windmills if even only one of these groups is not able to fulfill the required demands. Maintaining and regaining health requires teamwork. Health recognizes neither sectors nor specialist boundaries, which means that management, nurses, physicians, and politicians are not only to be equally involved on paper. Everyone is ultimately responsible for his/her field of endeavor. The ways of achieving this can vary greatly. The concept of the Y-nurse …