Liebenberg - The number 116117, which is currently available outside of office hours for the on-call medical service, will be expanded to comprehensive service number from January 1, 2020. The chairman of the board of the National Association of Statutory Health Insurance Physicians (), Andreas Gassen, confirmed this to journalists in Liebenberg yesterday evening.
From this point on, the number can be reached around the clock and also applies to the appointment service points (TSS) of the statutory health insurance physicians Associations that arrange appointments with general practitioners, specialists and psychotherapists for statutory health insurance. The KBV thus implements an order from the Appointment Service and Supply Act. At the start of the extended offer, the Association of Statutory Health Insurance Physicians will increase the number of their employees in the call centers to around 1,200.
With large-scale advertising campaign that is to start on August 30th, the KBV wants to make 116117 better known among the population. According to the KBV insured person survey, 37 percent of those questioned knew the number for the medical on-call service last year.
The expansion of the offer is intended to help ensure that patients are treated at the level of care that is appropriate for their complaints. In the future, this should prevent patients with minor illnesses from clogging hospital emergency rooms. "In connection with standardized medical initial assessment system, the 116117 is the gateway to the supply system," said Gassen.
Initial assessment does not generate diagnosis
Such system has the Central Institute for Statutory Health Insurance () developed together with partners. Software from Switzerland was adapted to German conditions. With the "structured medical initial assessment procedure for Germany" (SmED), patient data such as gender and age, chronic illnesses, previous illnesses and medication, key symptoms and accompanying complaints are queried.
The result is not diagnosis, but an assessment of the urgency of the Treatment, said Zi managing director Dominik von Stillfried. The medically trained dispatchers then recommend the callers the right point of contact for treatment: the practice of resident doctor during regular office hours, an on-call practice or the emergency room of hospital.
If the condition of the caller is life-threatening according to the dispatchers , connect them to the ambulance service. SmED is currently being tested in several KVs. The system is to be rolled out across the board from January 2020 and will also be used at the counters in on-call practices or emergency rooms.
In order to use all digital possibilities for patient control, the KBV will also provide 116117 app from the end of August. Among other things, users can use this to establish telephone connection to the emergency number 112 and access the nationwide doctor search. From the beginning of next year, users should be able to book TSS appointments online. A version of SmED adapted for patients is expected to be available via the app in mid-2020.
KBV board of directors is against third sector for emergency treatment
In Liebenberg, the KBV board also expressed very fundamental opinion on the plans of the Federal Ministry of Health for reform of emergency care, which, however, have apparently not yet been coordinated with Federal Health Minister Jens Spahn (CDU).
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Among other things, they provide for the federal states to be responsible for planning and designing integrated emergency care in future. Deputy KBV chairman Stephan Hofmeister warned that KBV deputy chairman Stephan Hofmeister did not make any medical sense to withdraw the security order for on-call duty from the KVen from medical point of view and, due to the shortage of doctors, presented the hospitals with unsolvable tasks.
would surely welcome getting rid of the unloved on-call duty at night and on the weekends. In addition, the ministry's draft law leaves open how many integrated emergency centers would be needed at which locations in the future. "Somebody should have the courage to do that," said KBV board member Gassen. Such centers could not be created at all 2,000 hospital locations.
Both Gassen and Hofmeister spoke out against hospitals and KVs operating the integrated emergency centers together in the future. “We don't need third supply sector,” said Hofmeister. "We want to care for the patients in an integrated way, but not together." He therefore advocated that the KVen operate the counter for outpatients and the hospitals be responsible for the emergency rooms where the patients arrive by ambulance.