Control models yes, financial contribution no

Control models yes, financial contribution no



Mainz The members of the 128th German Doctors’ Day want to debate a concept for socially balanced care management at the next Doctors’ Day in Leipzig. The board of the Federal Medical Association (BK) should develop this concept in the next few months and present it to members of parliament.

It is essential to take into account the various options for patients’ personal responsibility, according to a motion as part of the debate on patient control. This was approved with a large majority.

However, the delegates clearly rejected exclusively financial participation from patients or some type of deductible as a control model with 201 votes against and 25 votes in favor.

In the discussion surrounding the agenda item, the delegates held a long debate in favor of improved coordination of the outpatient and inpatient sectors, more time for actual medical work and the reduction of bureaucratic tasks.

The increasing need for care while doctors are aging, the shortage of skilled workers and the declining health literacy in the population pose challenges for the medical profession and require a rethinking of structures. The care must therefore become more coordinated and tailored, said the President of the BK, Klaus Reinhardt, at the beginning of the main topic at the 128th German Doctors’ Day.

We have to reorganize ourselves within the sectors, emphasized Gisa Weigerber from the Baden-Württemberg State Medical Association in the subsequent discussion. You need a change of perspective and you have to restructure the sector boundaries. Other doctors agreed with her opinion. Coordinated collaboration between family doctors, specialists and clinics is necessary to provide patients with optimal care.

Wolf Andreas Fach from the Hesse State Medical Association made it clear that outpatient care should be linked to hospitals, as the Federal Ministry of Health (BMG) plans, in terms of quantity and content. The medical profession must raise a clear objection here. It’s about patient care, which he sees as being at risk.

The concrete implementation can only work with us as service providers, emphasized Christina Hillebrecht, President of the Bremen Medical Association. Other speakers agreed that doctors’ skills had not been sufficiently taken into account in the BMG’s proposals to improve patient care.

There was also a desire for more time for patients and the actual doctor’s work. “I want to be able to take care of the needs of my patients,” said Marion Charlotte Renneberg, deputy president of the Lower Saxony Medical Association. She emphasized that more doctor’s time, but at the same time more patient control, was necessary.

Many of the MPs could imagine this through the reduction or outsourcing of bureaucratic tasks. There is bureaucratic madness, said Stefan Windau from the Saxony State Medical Association.

We have to bring the patients to the right level, said Norbert Smetak, Baden-Württemberg Medical Association, clearly. If the outpatient and inpatient sectors worked together in a coordinated manner and family doctors, specialists and clinics were better networked, doctors could also provide the right care for their patients. Hillebrecht emphasized that this does not always require the creation of new structures, such as a pilot program. It can be docked to the existing structures.

Gisbert Voigt from the Lower Saxony Medical Association advocated the development of health skills among the population and campaigned for the introduction of a corresponding school subject in primary and secondary schools. We need early measures that change health behavior, he demanded.

Erik Bodendiek, President of the Saxon Medical Association, also wanted intelligent systems to give all patients access to the health system and to strengthen their health literacy. Susanne Johna, Vice President of the Federal Medical Association, pointed out that the topic of health literacy and the school subject of health had already been debated in detail at the last Doctors’ Day in Essen.

Julia Grauer and Susanna Colopi-Glage pointed out that the possible control elements would also have to take the needs of older people or foreign patients into account. The two doctors from the Baden-Württemberg State Medical Association explained that they often did not know where they could turn to with their health problems. What is needed here are awareness campaigns and sufficient information.

Another application demanded that low-threshold access to health facilities must also be maintained for people with low incomes and who belong to vulnerable groups. Access to health care should be regulated without discrimination. © bee/nfs/

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