Taking into account recent health care reforms in Germany a change of the structure in the provision of HIV health care services seems inevitable. Having this in mind representatives of multiple disciplines met in November 2008 to discuss future health-political and health-economic challenges for HIV health care. As a result challenges for five stakeholder groups could be identified: health care providers, third party payers, the pharmaceutical industry, health politicians, and patients. Furthermore five methodological and health political topics, namely clinical outcome/guidelines, health economic evaluation, benefits/efficiency frontier, health service research, and contracting policies, emerged has being the most discussed at the moment.
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