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In Germany the Federal Joint Committee decides on minimum volume regulations.
German minimum volume regulations oblige hospitals to comply but do not specify any sanctions.
Pertinent key figures for surgeries and procedures for each intervention are exactly defined in minimum volume regulations [ 44].
In 2004, 485 out of 1710 German hospitals providing acute care and approximately 0.14% of all hospital cases were affected by minimum volume regulations.
In 2004, the newly introduced minimum volume regulations affected only up to a quarter of German acute care hospitals and few cases.
Minimum volume regulations do not imply any scheduled structural revision of patient care with regard to the specific interventions, such as a systematic formation of centers and centralization.
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The Federal Joint Committee updates the minimum volume regulation.
Following these discussions, the minimum volume regulation came into force in 2004 [ 29].
Therefore this data source is currently the only available information on all procedures that are covered by minimum volume regulation.
In 2004 the external quality assurance did not cover any data on procedures that fell under the minimum volume regulation.
The minimum volume regulation explicitly states exceptions such as emergency treatment, build up and renovation of a hospital or ensuring geographically equal access to care.
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CEO of Professional Science Editing for Scientists @ prosciediting.com