Düsseldorf - The delegates of the German Medical Association unanimously approved the main proposal of the board of directors "Making the health system future-proof" under agenda item I "Health, social and medical professional policy". In it, the doctors support the quality offensive in the health system initiated by the federal government, but demand that "medical expertise be anchored at the top of the planned quality institute". Quality assurance is one of the primary tasks of the chambers of medical professions, so they should each have seat on the foundation's board of directors and have direct right to apply to the Federal Joint Committee to commission the institute.
The lead application also dealt with, among other things the underfunding of hospitals. As result of 30 percent decline in the federal states' investment subsidies, deficit of around 30 billion euros had arisen. From the doctors' point of view, there is also rigid, inflexible flat-rate system that systematically levels out hospitals in structurally weak regions that are disadvantaged and medical services that are of particular quality or particularly rarely provided.
Doctors' Day welcomes planned hospital reform Against this background, the delegates called for more leeway to take into account current cost developments as well as specialist and regional features of the hospitals. The Doctors' Day welcomed the German government's plan to initiate hospital reform and at the same time appealed to the federal states to ensure sustainable investment financing for the clinics.
The delegates also demanded the independence of doctors in medical decisions and to adhere to the recommendations of the German Hospital Association when formulating employment contracts, which, however, need to be further specified and tightened.
Cross-sector requirements planning must be consistently established In order to take advantage of the To counter demographic change, from the point of view of the medical profession, joint effort by all those responsible in the health care system is necessary. "A cross-sectoral requirement planning must be consistently established, among other things by strengthening the competencies of the state committees responsible for this in accordance with Section 90a of the Social Code Book V, in which the state medical association is to be included," says the lead application. It is also important to develop new cross-sectoral concepts to attract and promote the next generation of doctors. In addition, the delegates expressed their willingness to support the Federal Government in developing “Master Plan for Medical Studies 2020”.
There must be no standardization of health care In the lead proposal, the Doctors' Day also advocates Europe of individual health systems and calls on the federal government to "vigorously advocate the subsidiarity idea at European level". The European Commission must respect the sovereignty of the member states in the health sector and refrain from any inadmissible interference. There should be no standardization of health care via service directives of the EU and standardization activities of the European standardization institute CEN to minimum level.