The doctors' demand for appreciation and appreciation central motif at the opening event on May 28 in Hanover.
Video
Opening of the 116th German Medical Association 2013
The sweeping domed hall of the town hall, built between 1911 and 1914, provided the impressive backdrop for the opening event for the 116th German Medical Congress in Hanover. It was not comprehensive performance record that the President of the German Medical Association (BÄK), Prof. Dr. med. Frank Ulrich Montgomery (picture above), presented here, but rather the sometimes emotional discussion of topics that are currently perceived by the medical profession as particularly stressful. The right to be valued and recognized for what doctors do for patients was central motif in the President's speech. “Most of our colleagues strive every day to live up to the trust placed in them by the patients. They feel this great responsibility and act out of ethical self-commitment, ”emphasized Montgomery. In contrast, the headlines in the media would be dominated by catchphrases such as doctor botch or doctor corruption.
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Montgomery accused the health insurance companies in particular, “a few weeks before the doctors' day with their usual Campaigns to disavow the medical profession ”. As examples, he cited the assertion by the National Association of Statutory Health Insurance Funds that half of all hospital bills were incorrect, and the statistics presented by the medical service of the health insurance company on the frequency of errors in medical treatment. In doing so, they tend to forget that it is the medical profession itself who, with its expert commissions and arbitration boards, work constructively on resolving conflicts in the interests of patients and doctors.
Montgomery was also critical of those who produce the headlines critical of doctors. “Just as we doctors have to meet the standards of medical ethics, the principles of clean research and balanced reporting should also apply in journalism.
The doctors' demand for appreciation and appreciation central motif at the opening event on May 28 in Hanover.
Video
Opening of the 116th German Medical Association 2013
The sweeping domed hall of the town hall, built between 1911 and 1914, provided the impressive backdrop for the opening event for the 116th German Medical Congress in Hanover. It was not comprehensive performance record that the President of the German Medical Association (BÄK), Prof. Dr. med. Frank Ulrich Montgomery (picture above), presented here, but rather the sometimes emotional discussion of topics that are currently perceived by the medical profession as particularly stressful. The right to be valued and recognized for what doctors do for patients was central motif in the President's speech. “Most of our colleagues strive every day to live up to the trust placed in them by the patients. They feel this great responsibility and act out of ethical self-commitment, ”emphasized Montgomery. In contrast, the headlines in the media would be dominated by catchphrases such as doctor botch or doctor corruption.
Image gallery
Montgomery accused the health insurance companies in particular, “a few weeks before the doctors' day with their usual Campaigns to disavow the medical profession ”. As examples, he cited the assertion by the National Association of Statutory Health Insurance Funds that half of all hospital bills were incorrect, and the statistics presented by the medical service of the health insurance company on the frequency of errors in medical treatment. In doing so, they tend to forget that it is the medical profession itself who, with its expert commissions and arbitration boards, work constructively on resolving conflicts in the interests of patients and doctors.
Montgomery was also critical of those who produce the headlines critical of doctors. “Just as we doctors have to meet the standards of medical ethics, the principles of clean research and balanced reporting should also apply in journalism.“Of course, doctors occasionally make mistakes, but it is almost inevitable to read or hear about“ doctor botch ”in the media every time afterwards. But if the doctors successfully implemented error avoidance systems, it is mostly not worth line to the journalists.
In the opinion of the BÄK President, the media processing of cases of medical corruption also follows the same pattern: "The misconduct of single doctor is hyped up into the behavior of an entire profession." Montgomery agreed to law to combat it to agree to corruption in healthcare so that the few who accepted bribes would be punished. However, Montgomery stated that the condition for this willingness of the medical profession was that there should be no lex specialis just for doctors. In addition, bribers and bribes would have to be punished equally. "We have to be very careful that the evil seeds of rumor, slander and insinuation do not destroy everyday medical practice," said Montgomery to lively applause, summarizing the facts. "We don't want the few who do wrong ultimately ruin the reputation of the many righteous doctors who obey the law and who are tired of always being lumped together with the others in populist manner." p>
Also Montgomery sees similar mechanisms of action with view to known misconduct in transplant medicine. Although the medical self-administration has decisively advanced the education and state institutions have looked the other way too often, there are now public calls for more state to regulate organ donation and transplant medicine. “More government cannot be the solution,” said the BÄK President, referring to the successful review of liver transplants by the Federal Medical Association's commissions. Montgomery spoke of painful results, which were brought to light in few cases. It must be clear to all involved that manipulating organ distribution lists is not trivial offense, but serious legal offense.
Montgomery pointed out that the known violations were not about material advantages for the individual, but about lucrative operations for the whole house.“Of course, doctors occasionally make mistakes, but it is almost inevitable to read or hear about“ doctor botch ”in the media every time afterwards. But if the doctors successfully implemented error avoidance systems, it is mostly not worth line to the journalists.
In the opinion of the BÄK President, the media processing of cases of medical corruption also follows the same pattern: "The misconduct of single doctor is hyped up into the behavior of an entire profession." Montgomery agreed to law to combat it to agree to corruption in healthcare so that the few who accepted bribes would be punished. However, Montgomery stated that the condition for this willingness of the medical profession was that there should be no lex specialis just for doctors. In addition, bribers and bribes would have to be punished equally. "We have to be very careful that the evil seeds of rumor, slander and insinuation do not destroy everyday medical practice," said Montgomery to lively applause, summarizing the facts. "We don't want the few who do wrong ultimately ruin the reputation of the many righteous doctors who obey the law and who are tired of always being lumped together with the others in populist manner." p>
Also Montgomery sees similar mechanisms of action with view to known misconduct in transplant medicine. Although the medical self-administration has decisively advanced the education and state institutions have looked the other way too often, there are now public calls for more state to regulate organ donation and transplant medicine. “More government cannot be the solution,” said the BÄK President, referring to the successful review of liver transplants by the Federal Medical Association's commissions. Montgomery spoke of painful results, which were brought to light in few cases. It must be clear to all involved that manipulating organ distribution lists is not trivial offense, but serious legal offense.
Montgomery pointed out that the known violations were not about material advantages for the individual, but about lucrative operations for the whole house.This influencing of medical action, the economization of medicine, is developing into problem that doctors have to counter more. Montgomery: “In the hospital, economic efficiency, earnings before taxes, are more important than medical efficiency, the quality of patient care and humanity in the general interest for the patients entrusted to us. And in practice, budgets, lump sums and recourse dominate what is medically sensible. ”In the meantime, doctors have to constantly fight against the temptation to think primarily in economic categories.
Finally, the BÄK President turned to the topic of "Future of Financing Health Insurance". He presented the seven key points of reform paper drawn up by the BÄK board together with health economists. This provides for:
- clear commitment to maintaining the dual health insurance system,
- the restoration of the financial autonomy of the health insurance companies; they levy health contribution that is independent of income and that they determine independently;
- maximum limit of nine percent of household income;
- This compensation is made from funds from the health fund;
- the employer's share is set at 7.3 percent;
- this flows together with funds from the pension insurance and tax revenues for solidarity compensation in the health fund, with which the social compensation and the co-insurance for children and families are financed;
- health savings account for every child on which portable basic equipment is made available from tax revenues if they are adults who are subject to social insurance Takes up employment.
In the rejection of the citizens' insurance, Montgomery knows that he is in agreement with the Federal Minister of Health, Daniel Bahr, who had come to Hanover for the opening event. “Such universal insurance for everyone,” Bahr emphasized in his greeting, “does not meet people's needs and expectations.” Bahr's fear: “Citizens' insurance makes the patient the supplicant of single fund.” There would be no incentive without the pressure of private health insurance for the health insurance companies to exercise, explained Bahr. He advocated further expanding the system of additional contributions in statutory health insurance. “We want an insurance system that is based on diversity and meets the needs of the insured.This influencing of medical action, the economization of medicine, is developing into problem that doctors have to counter more. Montgomery: “In the hospital, economic efficiency, earnings before taxes, are more important than medical efficiency, the quality of patient care and humanity in the general interest for the patients entrusted to us. And in practice, budgets, lump sums and recourse dominate what is medically sensible. ”In the meantime, doctors have to constantly fight against the temptation to think primarily in economic categories.
Finally, the BÄK President turned to the topic of "Future of Financing Health Insurance". He presented the seven key points of reform paper drawn up by the BÄK board together with health economists. This provides for:
- clear commitment to maintaining the dual health insurance system,
- the restoration of the financial autonomy of the health insurance companies; they levy health contribution that is independent of income and that they determine independently;
- maximum limit of nine percent of household income;
- This compensation is made from funds from the health fund;
- the employer's share is set at 7.3 percent;
- this flows together with funds from the pension insurance and tax revenues for solidarity compensation in the health fund, with which the social compensation and the co-insurance for children and families are financed;
- health savings account for every child on which portable basic equipment is made available from tax revenues if they are adults who are subject to social insurance Takes up employment.
In the rejection of the citizens' insurance, Montgomery knows that he is in agreement with the Federal Minister of Health, Daniel Bahr, who had come to Hanover for the opening event. “Such universal insurance for everyone,” Bahr emphasized in his greeting, “does not meet people's needs and expectations.” Bahr's fear: “Citizens' insurance makes the patient the supplicant of single fund.” There would be no incentive without the pressure of private health insurance for the health insurance companies to exercise, explained Bahr. He advocated further expanding the system of additional contributions in statutory health insurance. “We want an insurance system that is based on diversity and meets the needs of the insured.“
Bahr warned against badmouthing the German health system. Other countries envied Germany's standard of medical care, which is the same for all insured persons. He referred to two major challenges that would have to be met if this standard was to be maintained. On the one hand, there are the consequences of demographic development with the higher costs of illness in old age. On the other hand, the competition for young specialists is getting tougher and it must be possible to create attractive working conditions for new generation of doctors.
Dr. med. Martina Wenker, President of the host Medical Association of Lower Saxony, in her welcoming speech. The shortage of doctors will worsen over the next few years with increasing morbidity; it assumes that 71,000 doctors, 20 percent of the currently almost 349,000 doctors, will retire in the next seven years. If you want to replace these, you have to adapt to the needs and expectations of the next generation, which primarily include:
- plannable, but also flexible working hours with the option of part-time work,
- Working in team, in cooperation, in networked supply structures,
- Compatibility of family and work.
But it is just as important, Wenker concluded, that everyone is active here Doctors are shown the appreciation they deserve due to their increasingly dense and rigid everyday work. For her, culture of appreciation also means, with view to the future-proof design of health care, “including the specialist expertise of the German medical profession in the future discussion and decision-making process”.
Thomas Gerst
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