Frankfurt am Main - With series of resolutions passed unanimously or with large majorities, the 118th German Medical Association in Frankfurt am Main called on the legislature to adopt legal measures such as the forced purchase of contract doctor's offices, the establishment of appointment service points or the legally regulated second opinion regulation take back. Such plans are massive interventions in the competencies of medical self-administration, judged the delegates of the medical parliament.
Especially the medical activity implemented in freelance profession, according to an application submitted by the board of the German Medical Association, is based “on professional Autonomy with ethically based norms and values ”such as professional competence, motivation, integrity and confidentiality. “Freedom and responsibility” are “the foundation of trust between doctor and patient”, and thus also between the medical profession and society. The overregulation of the health care system is increasingly disrupting this trust ”.
Medical freelance work ensures freedom of diagnosis and therapy It is important to ensure that the mutual play of specialists in outpatient and inpatient care through the introduction of the appointment service guarantee, the relaxation of the principle of medical delegation and the further transfer of competencies of medical self-administration to the (GBA) provided for in the draft law. It is only through these measures that the goal set in the coalition agreement itself can be achieved, namely to secure the medical freelance as "guarantee for freedom of diagnosis and therapy and for the free choice of doctor", it says in the resolutions introduced by the Doctors' Day, which were passed by large majority / p>
Clear obligation to invest in hospitals At the same time, the legislature should “have clear and enforceable obligations of the federal states for hospital investments as well as supplementary federal funds ”. According to the application, "new conception of the DRG flat-rate system" is also necessary, taking greater account of rising expenses, for example through tariff adjustments, special care needs and premium increases for liability insurance. According to the Doctors' Day, the legislature should present hospital reform "which also takes into account the content of the announcements of major fundamental reform".
The delegates demand "appropriate remuneration for the practices of resident doctors in the statutory health insurance sector." the services and the termination of fee budgeting, thus the chronic underfunding of the outpatient statutory health insurance system ”.
Projects to combat the shortage of doctors have been initiated several times by the medical profession and politicians, the Doctors' Day notes, for example through measures to secure staff and locations, new forms of cooperation, through networking and coordination or through projects for improvement mobility through patient buses and mobile medical practices.
Against competence centers in the context of further training outside the medical association area Many of these advances have since shown initial success. In the meantime, the number of further training assistants in general medicine has been increasing continuously since the new general medicine funding program came into effect. According to the representatives of the medical profession, it is right to “increase this program”. At the same time, large majority of the delegates spoke out against the formation of competence centers as part of further training outside the medical association area. The original responsibility of the medical associations for the professional qualification of doctors should be preserved.
However, in order to permanently remedy the shortage of doctor's hours in Germany, the Doctors' Day calls on the federal and state health and science ministers to "To quickly implement the master plan for medical studies 2020 announced in the coalition agreement". Above all, it is necessary to provide sufficient funds for research and teaching, more appropriate selection procedures for the allocation of study places and the strengthening of the role of general medicine in studies.
Design quality assurance in practical and patient-oriented manner That of the Federal Government commissioned with the implementation of the "quality offensive" and they are called upon by the German Medical Association to "develop practical solutions geared towards the benefit of patients and their preferences". To this end, "systematic inclusion of medical expertise - represented by the medical associations - is essential". According to the Doctors' Association in its justification for the resolution, attention should rather be directed towards “establishing and ensuring the actual needs that are geared towards the patient's welfare as well as the need for care services”.
Tariff and the right to strike for doctors received The 118th German Medical Association calls on the federal government to withdraw the draft law on collective bargaining. The Basic Law guarantees all employees the right to organize in unions of their choice. That includes their own collective agreements and the right to strike. The draft law contradicts elementary principles of our constitution and will impair patient care, judged the doctors' parliament. Doctor-specific collective agreements improved the working conditions for employed doctors and contributed to the fact that the doctors of curative medicine were retained in Germany.
In addition, the German Medical Association strictly rejects any relaxation of medical confidentiality that is currently being discussed. According to the motion for resolution, sick people should have the opportunity to open up to their doctor in confidential conversation.
At the same time, the delegates demanded the legal processing of the search decisions of doctors' practices obtained by the Düsseldorf public prosecutor after the Germanwings aircraft disaster. Respect for confidentiality applies not only to doctors, but also to courts and investigative authorities.
Avoid corruption, but do not create new legal uncertainties The German Medical Association also demanded the legislature, the one presented To amend draft law to combat corruption in the health care system in such way that, in particular, the newly created criminal law standard of Section 299 of the STGB-E meets the necessary constitutional requirements. The aim is to "prevent massive legal uncertainty within the medical profession and in the health system as whole". Doctors should not be subjected to separate criminal offense without thorough analysis of possible corrupt structures and mechanisms. The welcome fight against corruption can only be successful if the identified undesirable developments and causes are eliminated “at least in parallel and systematically” in an increasingly competitive environment introduced by politicians. The 118th German Doctors' Conference “stands up firmly against corruption and in favor of indications uninfluenced by third parties”.
Politicians and the media were also asked to “support the medical profession in promoting patient safety and to promote culture of to contribute shared responsibility. More resources should be made available for the promotion of initiatives that serve patient safety, as well as error reporting and learning systems in the outpatient and inpatient sector, but also for investments in training, further education and training.
Top medical organizations must be represented in the prevention conference In addition, the Doctors' Day advocated that the legislature should ensure “that the above-mentioned top medical organizations are also represented in the new prevention conference to be created. Consideration for the advisory National Prevention Forum, however, does not represent an adequate inclusion of medical expertise.
Against the background of the current measles outbreak in Germany, the Doctors' Day decided to adopt and consistently implement the National Action Plan 2015-2020 to eliminate the Measles and rubella in Germany.