Malnutrition has been known in hospital and outpatient care for more than 30 years. It is estimated that an average of 30% of patients are affected, and in the majority of cases the problem remains unrecognized and untreated. Moreover, this disease-related malnutrition increases health costs by 30-70% as recent studies have shown, exceeding even the costs of obesity. Nutrition interventions, generating in comparison only a small cost, may therefore result in substantial absolute savings. This publication gives an overview of the current state of affairs in Europe and the US, also examining the economics of malnutrition. Also discussed are reimbursement models for enteral nutrition as well as regulatory aspects and their impact on practice. The book closes with a discussion of future challenges and opportunities. Considering the extent of the problem, this publication will be of interest not only to doctors directly involved in the care of patients, but also to policy makers and administrative personnel.
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