Nuremberg - The 115th German Doctors' Conference in Nuremberg called on the hospital operators and the operators of outpatient health facilities to forego purely economic incentive mechanisms. Bonus payments should therefore be based primarily on medical-qualitative criteria in order to avoid “number of items mentality”, according to the Doctors 'Day.
Fee for contract doctors The German Doctors' Day has to Politicians appeals to end the austerity measures at the expense of patients and doctors. "The lid on outpatient medicine has to disappear if the medical care of the population is to be kept at the current level of quality," says resolution of the Doctors' Day. The delegates demanded calculable and transparent fee for general practitioners and specialists in private practice as well as the introduction of fixed point value based on the minimum point value of 5.11 cents calculated from an economic point of view in 2004 plus an inflation adjustment. In addition, the budgets would have to be abolished and instead, to large extent, individual performance remuneration implemented.
hospital financing The delegates have asked the federal government to secure solid basic financing for German hospitals. The current capped flat rate system with its unjustified discounts inevitably leads to "flight into the crowd", which is neither economically nor ethically justifiable. The delegates also demanded to immediately reduce the workload in the clinics in order to protect patients and employees.
The Doctors' Day calls for the full refinancing of tariff increases and the binding introduction of the full orientation value determined by the Federal Statistical Office from 2013. The government should adhere to the objectives originally pursued with the orientation value and design them in such way that the result is reliable and adequate financing of the increasing personnel and material costs in the hospital.
The state base case value, i.e. the calculation basis for hospital services, which vary from state to state, must be standardized nationwide immediately, according to the delegates.
Recording of work done The Doctors' Day calls on all physicians who are employed, especially in inpatient facilities as well as their direct e supervisors and employers to correctly and completely record and document the hours actually worked.
Safe patient care In order to ensure high level of safety in patient care in hospitals, the Doctors' Association has called for sufficiently qualified, in particular medical and nursing staff to be provided. What is needed are humane working hours that comply with legal requirements, an employee-oriented, participatory management style and regular training on patient safety during working hours. The delegates also called for functioning error learning, quality and risk management system.
The Doctors' Day called on the hospital owners to improve the working conditions for doctors in general and in further training in particular.
Company health promotion The German Medical Association in Nuremberg has called for occupational medicine and company medical care to be expanded into central pillar of preventive healthcare in Germany. In order to strengthen prevention in the world of work, the delegates called on the federal states to expand the occupational medicine chairs at universities. Statutory accident, pension, and health insurance should work more closely together. A regional, cross-sectoral concept for the networking of company health promotion and prevention by the company doctor is also necessary.
Company doctors and family doctors should receive the same remuneration for preventive measures. The delegates emphasized that company doctors, as medical advisors for employees and companies, have key role in all questions of work and health. They played an important role in guiding between preventive and curative medicine.
Promotion of young professionals The German Medical Association has asked the federal states to take on greater responsibility for the promotion of young medical professionals. The federal states would have to create sufficient number of medical study places so that outpatient and inpatient care would remain at the current high quality level in the future.
In addition, the German Medical Association rejected further consolidation of medical studies by shortening the duration of the study. The background to this is directive proposal by the European Commission. This provides for the minimum duration of medical studies to be shortened from six to five years while maintaining the same minimum number of hours (5500 hours).