Düsseldorf - At the 117th German Medical Congress in Düsseldorf, the 250 delegates discussed under the agenda item I health, social and medical professional policy, among other things, the quality initiative announced by the federal government and the Institute for Quality planned in this context.
Bernhard Rochell, Managing Director of the, pointed out in the introduction that the discussion about more quality and transparency in health care also affected the rating portals for doctors and hospitals. The new quality institute should also deal with these.
"Patients who wanted to find out the best address for the treatment of their illness can now get one from one A multitude of such portals, multitude of answers, ”said Rochell.
A study from 2013 would also have pointed to the downside of such navigation systems for the supposedly best quality of treatment. A comparison of several portals, including the Weisse Liste and Qualitätskliniken.de, showed that the ratings for the same hospitals for hip arthroplasty are very different and that the patient seeking advice for the same hospital can find completely different rating in portal A than in portal B. “It cannot go on like this,” stressed Rochell.
It is therefore essential to first work out the quality coordinate system before producing quality navigators, in which, according to general agreement, the goal of good treatment quality and the manipulated variables for the Target achievement could be located. "Such coordinate system is necessary, and it would be good if the new quality institute could create serious standards for this," stressed Rochell.
The word "quality" appears 30 times in the coalition agreement, said Wulf Dietrich. However, the question should be: "How do we doctors get involved in the new institute?" Above all, the outcome quality is difficult to measure. “We know almost nothing about that. But that's what interests the patient, "said Dietrich.
Quality institute: Doctors must be involved at an early stage Ulrich M. Clever, board member of the German Medical Association, also pointed out risks, which could be associated with the institute for the doctors: "The danger of locking out non-measurable abilities from us doctors is also the exclusion of the variety of possibilities." If measurability is the top priority in the quality institute, speaking medicine may stay up the way. “So that the quality institute does not become 'torture institute' for us doctors, we have to ensure that we doctors are involved at an early stage."
" Express transfer "in the discussion The delegates were also concerned with the subject of waiting time regulation. It was discussed whether so-called "express transfer" as sub-category of the referral by contract doctor is expedient. Angelika Haus,, spoke out against classifying the patients in general practices according to urgent or not at all urgent. This leads to "unworthy" discussions with the patients who do not understand this, says Hauser.
Jens Schweizer, Lower Saxony, assumes that patients with specialist do not have up to 20 appointments per week perceive. Failure to meet the deadlines results in economic damage to the practices: "I wonder where the political problem actually lies," said Jens.
The threat of "Europeanization" in medicine A number of delegates warned against “Europeanization” of medicine. The German Medical Association rejects standardization of health care by the European Union, in particular by the European standardization institute CEN, in its lead proposal. The EU interferes in things that are none of their business, says Christian von Ascheraden, Medical Association of Baden Württemberg.
Christian Albring, Lower Saxony, was also of the opinion that Europe is increasingly approaching the medical profession in negative sense. For example, Europe wants Germany to release the morning-after pill, as is customary in England. In England five times higher dispensing of the drug than in Germany is recorded, but also five times higher abortion rate, so Albring.
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