Berlin - This year, the (GBA) will no longer adopt comprehensive guideline on outpatient specialist medical care. This is what Regina Klakow-Franck, an impartial member of the GBA, reported at the 17th Handelsblatt Annual Health Conference in Berlin today. “The new directive will come next year. Anything else would have been unrealistic, ”said Klakow-Franck. Ultimately, the GBA entered "methodical no man's land" with this task.
She described it as great challenge to formulate the criteria for participation in specialist medical care in such way that synergies can actually arise and not predatory competition takes hold. Overall, she was satisfied with the way the discussions went, said Klakow-Franck. The plenum of the GBA will possibly be able to agree on initial determinations as early as the end of December.
Stephan Schmitz, chairman of the and oncologist, demanded that access to the provision of services in the new area must remain open to all who are appropriately qualified: "We do not need any new artificial hurdles." The decisive factor is that "the idea of cooperation is established found in the guideline ". Resident hematologists and oncologists are already working contractually with more than 600 hospitals. "We will measure the guideline by the fact that this cooperation can also be lived in the new world", emphasized the chairman of the professional association.
Schmitz also spoke out against the care of cancer patients with severe courses on some few oncology centers in the country concentrate. In 20 years' time, as result of demographic change, twice as many oncology patients will have to be cared for as today. It is therefore necessary to minimize friction losses in care and to increase productivity through cooperation.
The new regulations for separate area of outpatient specialist medical care are intended to replace the requirements in § 116 b SGB V, with the the hospitals have been opened to outpatient care. According to Klakow-Franck, the clinics have submitted around 2,500 applications for approval for outpatient care in accordance with Section 116b in recent years. 1,600 of these were approved. The Association of Statutory Health Insurance Physicians sued against 150 admissions. More than half of the commitments related to oncological diseases.