Hanover - The 116th German Medical Congress in Hanover has called on the federal government to immediately adopt regulations against further increase in the recently dramatically increased liability insurance premiums for doctors. Specifically, the Doctors' Day spoke out in favor of lowering the insurance tax for medical liability insurance from the current 19 percent to 11 percent. In the context of services of general interest, the legislature has promoted various insurances through reduced insurance tax of eleven percent. In addition, the legal regulations for adjusting remuneration, revenue budgets and total remuneration for medical services should be supplemented so that, if necessary, the development of premiums for medical liability insurance can also be taken into account during the year.
Liability risks within the framework regulate the training of emergency paramedics The medical parliament has called for liability risks and risks in the area of education that arise in the context of the training of emergency paramedics to be regulated by law in accordance with the patient rights law so that no liability risks remain with the training hospitals / doctors. As part of his training, the paramedic should "master" the competence level for some highly invasive activities in order to be able to carry out these activities in vitally threatening situations without the availability of doctor.
To achieve this level of competence, it is necessary in some cases to be performed on the patient under supervision and clinical conditions. However, these are services that cannot be delegated and there is no entitlement to practice medicine - as is the case with newcomers to the medical profession. Without the required further legal regulations, this would raise considerable (liability) legal problems for the training doctors.
Doctors 'Day: Reduce the risk of recourse for doctors The delegates to the Doctors' Day recognized the intention of the legislature to reduce the risk of recourse for general practitioners, but called for further measures. The fear of possible recourse is one of the main obstacles for branch. In order to remedy the still existing massive uncertainty in the contract medical profession, the extension of the principle of "advice before recourse" to other forms of performance auditing for own services as well as medically justified cases of repeated rule violations is essential.
Redesign of the EBM In further resolution, the Parliament of Doctors pleaded for the creation of legal framework to redesign the Uniform Assessment Standard (EBM) into "real fee schedule" for the contract doctor area . Essential features are remuneration for individual services, fixed prices in euros and the use of recognized, economically calculated practice costs with adjustment to the actual cost development.
Additional compensation for personnel development costs The Doctors' Conference called on the legislature to reduce personnel development costs are additionally remunerated in the clinic and practice. Medical progress, demographic development, difficult working conditions, but also organizational changes such as increased teamwork, delegation and telemedicine made increased efforts to qualify those working in the healthcare sector inevitable.
Do not misuse prevention as marketing instrument of the health insurers strong> The delegates asked legislators and health insurance companies to evaluate existing prevention strategies for their effective benefits. It must be ensured that prevention programs serve sustainable health care and are not misused as marketing instruments by health insurance companies. "A prevention strategy based on sustainability is an important component of health policy," says the Doctors' Parliament.
Doctors' day for nationwide criteria for language proficiency The Doctors' Day has asked the federal and state governments to set uniform national criteria for the Provide proof of the knowledge of the German language required for the medical profession. Language skills are an essential element of quality assurance and serve to considerable extent for patient safety.
Doctors for free choice of seasonal vaccines The delegates demanded that general practitioners can use the most effective vaccines in each case, without being tied to certain funds by discount agreements. Seasonal vaccines would therefore have to be removed from the legal requirements of the Medicines Reform Act (AMNOG) for tenders to conclude discount agreements. It has been shown that the health insurance companies' exclusive contracts with the manufacturers have worsened the supply of vaccines to patients. In addition to price, quality and reliability are indispensable criteria for maintaining the quality of care.
Do not criminalize substituting doctors The German Medical Association also called for an improvement in the conditions for doctors when treating opiate addicts.The so-called substitution treatment, in which doctors prescribe methadone for their addicted patients, should no longer lead to criminalization of the treating doctors in the future. The Doctors' Day called on the federal government to incorporate appropriate changes in the Narcotics Prescription Ordinance.
In particular, the allocation of take-home drugs and the provisions on the additional consumption of opiates during treatment needed to be revised. The current regulations do not reflect the current state of science, it said in the justification of the Doctors' Day. In addition, with the current legal situation, there is risk that doctors will give up the substitution activity because they would have to fear for their existence due to criminal consequences.