rztetag rejects the recommendation to dismantle the double specialist track

rztetag rejects the recommendation to dismantle the double specialist track


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Mainz The 128th German Medical Association clearly rejected the recommendation of the Government Commission for Hospitals to dismantle the double specialist track. Federal Health Minister Karl Lauterbach (SPD) was also critical of this idea at the opening of the Doctors’ Day.

The Government Commission for Hospitals presented a corresponding recommendation in its tenth statement last week. The commission argued that sectoral separation, particularly the outpatient-inpatient sector separation, creates significant mismanagement and other problems.

However, the delegates to the Doctors’ Day see it differently. The high-quality, comprehensive specialist medical care in hospitals and practices is a quality feature of the German healthcare system. Specialists in clinics and practices carry out tasks for their patients in different ways, according to the proposal passed today.

The respective specialist medical care levels do not represent double structures, but are evidence and guarantee of high-quality, needs-based and patient-oriented healthcare in Germany. According to the delegates, the government commission’s demand does not recognize the efficiency and quality of the work of specialists.

The delegates criticized this demand, which also calls into question primary care and specialist care in its entirety and particularly unsettles young doctors who want to establish themselves and who want to take the step towards economic independence. With this proposal they are endangering patient care in Germany, it goes on to say.

Consider indications for emergency physicians

The delegates also called for rapid consideration of the catalog of indications for emergency medical intervention – handout for dispatchers in rescue control centers and emergency service centers (NAIK). The BK’s recommendations have been available since December 2023 and are intended to serve as a basis for action by dispatchers in integrated regional control centers, rescue control centers and emergency service centers for the needs-based deployment of emergency doctors in Germany.

When using structured emergency call query schemes, the NAIK 2023 forms the basis for alerting emergency doctors. The aim is to reduce false alarms and deploy emergency doctors as needed in the interest of continuing to provide high-quality, evidence-based emergency care in Germany, according to the application.

In addition, the NAIK, which largely standardizes emergency doctor scheduling nationwide and helps to clarify medical competencies in pre-clinical care, is important for scientific investigations (including telemedical connection, transfer of individual medical measures to emergency paramedics).

Increase investments in IT security

In order to better equip hospitals with regard to their IT security, the legislature should ensure the necessary investments, the delegates further demanded. As part of the critical infrastructure to build and maintain a resilient IT security structure, hospitals need sufficient financial resources to be invested in IT as needed in order to build and maintain adequate long-term protection of their IT structure against attacks. These financial resources must always be part of the legislative proposals that shape the hospital landscape.

The principles of New Work self-responsibility, participatory hierarchy and hybrid leadership should also be established in the clinics. Another motion passed today called on the hospital owners to introduce appropriate options. © cmk/aerzteblatt.de

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