To solve the problem of overcrowded emergency rooms, the Marburger Bund on the cooperation with the contract doctors. When it comes to digitization, doctors no longer want to be perceived as holding back the brakes.
Concentrated, factual and future-oriented - this is how you could describe the working atmosphere in the Freiburg concert hall. On May 20 and 21, the 200 delegates of the Marburger Bund (MB) met there for their 131st Annual General Meeting, which traditionally took place in advance of the German Medical Association. This time, the focus was on digitization, which is also advancing in the healthcare sector, and emergency care.
According to the MB, more and more patients are looking for Hospital emergency rooms, although they could just as easily be treated by resident doctor. The fact that millions of patients per year choose the direct route to the emergency rooms indicates structural problems in the division of labor organized emergency care, explained the 1st chairman of the MB, Rudolf Henke. Apparently the respective responsibilities, opening times and accessibility of the health insurance company on-call service are insufficiently known. The MB therefore very much welcomes the fact that the National Association of Statutory Health Insurance Physicians (KBV), as well as some associations of statutory health insurance physicians, are making additional efforts to make their emergency service and the central on-call service number 116117 better known.
Relieve emergency admissions
To solve the problem of overcrowded emergency rooms, the Marburger Bund on the cooperation with the contract doctors. When it comes to digitization, doctors no longer want to be perceived as holding back the brakes.
Concentrated, factual and future-oriented - this is how you could describe the working atmosphere in the Freiburg concert hall. On May 20 and 21, the 200 delegates of the Marburger Bund (MB) met there for their 131st Annual General Meeting, which traditionally took place in advance of the German Medical Association. This time, the focus was on digitization, which is also advancing in the healthcare sector, and emergency care.
According to the MB, more and more patients are looking for Hospital emergency rooms, although they could just as easily be treated by resident doctor. The fact that millions of patients per year choose the direct route to the emergency rooms indicates structural problems in the division of labor organized emergency care, explained the 1st chairman of the MB, Rudolf Henke. Apparently the respective responsibilities, opening times and accessibility of the health insurance company on-call service are insufficiently known. The MB therefore very much welcomes the fact that the National Association of Statutory Health Insurance Physicians (KBV), as well as some associations of statutory health insurance physicians, are making additional efforts to make their emergency service and the central on-call service number 116117 better known.
Relieve emergency admissions
Henke also criticized the German Hospital Society (DKG). She had stated that the hospital doctors would only have two minutes to clarify emergencies. For more, the lump sum of 4.74 euros, which has recently been paid for the initial assessment of patients who are then referred to contract doctors, is insufficient. The statement of the DKG had deeply unsettled the patients, said Henke. Admittedly, the inadequate remuneration suggests such business calculation. "But if patients need more time to clarify their complaints, doctors will take them," assured Henke. "They are more likely to accept balance sheet damage to the hospitals than health damage to the patients."
Doctors are overloaded
Henke also discussed the inadequate staffing levels in the hospitals. Overwork, time pressure and millions of overtime for doctors and nursing staff are the result. These problems are regularly swept under the table by the health insurance companies. They would rather speak of minimum quantities that hospitals would have to meet than minimum staffing levels when discussing quality requirements. The MB therefore welcomes the legally planned regulation for lower limits for the number of nursing staff in somatic hospitals. But that is only first step. There must also be minimum limits for the number of doctors. This was the only way to prevent the undesirable effects of the DRG system.
Self-critical and open-minded, the delegates devoted themselves to the second main topic of the Annual General Meeting: the advancing digitization in the healthcare sector. It was also at the top of the agenda at the 120th German Medical Congress that followed. "It is high time to talk about the subject," said MB board member Dr. med. Peter Bobbert. Digitization is changing all of life. But this revolution has not yet arrived in medicine. The medical profession must actively participate in the developments and also recognize the opportunities of digitization. "So far we have always been the admonisher and brakeman," criticized Bobbert. According to motion that the delegates approved with large majority, this has hindered the process of future-oriented structuring of telematics. Digitization could improve health care through more effective and efficient work processes."This triage system must be the same for emergency services, emergency services, emergency rooms and rescue control centers," demanded Henke. The MB is interested in real dialogue to solve the problem. He is therefore also happy to take the offer of the chairman of the KBV, Dr. med. Andreas Gassen. A first meeting may already take place in July.
Henke also criticized the German Hospital Society (DKG). She had stated that the hospital doctors would only have two minutes to clarify emergencies. For more, the lump sum of 4.74 euros, which has recently been paid for the initial assessment of patients who are then referred to contract doctors, is insufficient. The statement of the DKG had deeply unsettled the patients, said Henke. Admittedly, the inadequate remuneration suggests such business calculation. "But if patients need more time to clarify their complaints, doctors will take them," assured Henke. "They are more likely to accept balance sheet damage to the hospitals than health damage to the patients."
Doctors are overloaded
Henke also discussed the inadequate staffing levels in the hospitals. Overwork, time pressure and millions of overtime for doctors and nursing staff are the result. These problems are regularly swept under the table by the health insurance companies. They would rather speak of minimum quantities that hospitals would have to meet than minimum staffing levels when discussing quality requirements. The MB therefore welcomes the legally planned regulation for lower limits for the number of nursing staff in somatic hospitals. But that is only first step. There must also be minimum limits for the number of doctors. This was the only way to prevent the undesirable effects of the DRG system.
Self-critical and open-minded, the delegates devoted themselves to the second main topic of the Annual General Meeting: the advancing digitization in the healthcare sector. It was also at the top of the agenda at the 120th German Medical Congress that followed. "It is high time to talk about the subject," said MB board member Dr. med. Peter Bobbert. Digitization is changing all of life. But this revolution has not yet arrived in medicine. The medical profession must actively participate in the developments and also recognize the opportunities of digitization. "So far we have always been the admonisher and brakeman," criticized Bobbert. According to motion that the delegates approved with large majority, this has hindered the process of future-oriented structuring of telematics. Digitization could improve health care through more effective and efficient work processes.However, information technology should not be geared primarily towards optimizing administrative processes, but must be tailored to the requirements of clinical activity. That is why it is also important that doctors bring in their expertise earlier and more constructively.
Ten billion euros for IT
In order to be able to use the opportunities of digitization, it is also essential to be user-friendly and to create safe medical IT jobs. In the opinion of the MB General Meeting, however, this cannot be done without additional financial resources. In addition to the long overdue increase in hospital investment funds by the federal states, special state program for the modernization of hospital IT worth ten billion euros over the next six years, demanded the delegates. They also called on the legislature to draw up positive list for digital health applications that assess their effectiveness, safety and medical quality. This is the only way to create transparency about the meaningfulness of the offers. MB board member Bobbert praised the constructive discussion of the delegates. “We mustn't let our fears guide us,” he said. Because the question is no longer whether, but how the medical world of work will change through digitization.
Heike Korzilius
Further education novella: Keep it up
The general assembly of the Marburger Bund (MB) called on the German Medical Association to attend the pending amendment of the (model) further training regulations to pursue the chosen path and to orient further training to content and competencies instead of reference numbers and times. The delegates also called on the Doctors' Day to adhere to the schedule for the adoption of the amendment to further training in 2018. Content that has been agreed could be voted on this year.
The delegates also emphasized that doctors receive further training while they are practicing their profession. Your work would therefore have to be remunerated accordingly by the cost bearers. This also applies to activities in outpatient care. Funding that flows, for example, for outpatient training in general medicine, is "contrary to the system" and not permanent solution. "Medical services must be remunerated", demanded the 1st chairman of the MB, Rudolf Henke, in front of the press in Freiburg. The fee distribution of the statutory health insurance physicians must be adjusted accordingly and quantity restrictions abolished so that the doctors who receive further training can also earn their salaries in the practices of established doctors.However, information technology should not be geared primarily towards optimizing administrative processes, but must be tailored to the requirements of clinical activity. That is why it is also important that doctors bring in their expertise earlier and more constructively.
Ten billion euros for IT
In order to be able to use the opportunities of digitization, it is also essential to be user-friendly and to create safe medical IT jobs. In the opinion of the MB General Meeting, however, this cannot be done without additional financial resources. In addition to the long overdue increase in hospital investment funds by the federal states, special state program for the modernization of hospital IT worth ten billion euros over the next six years, demanded the delegates. They also called on the legislature to draw up positive list for digital health applications that assess their effectiveness, safety and medical quality. This is the only way to create transparency about the meaningfulness of the offers. MB board member Bobbert praised the constructive discussion of the delegates. “We mustn't let our fears guide us,” he said. Because the question is no longer whether, but how the medical world of work will change through digitization.
Heike Korzilius
Further education novella: Keep it up
The general assembly of the Marburger Bund (MB) called on the German Medical Association to attend the pending amendment of the (model) further training regulations to pursue the chosen path and to orient further training to content and competencies instead of reference numbers and times. The delegates also called on the Doctors' Day to adhere to the schedule for the adoption of the amendment to further training in 2018. Content that has been agreed could be voted on this year.
The delegates also emphasized that doctors receive further training while they are practicing their profession. Your work would therefore have to be remunerated accordingly by the cost bearers. This also applies to activities in outpatient care. Funding that flows, for example, for outpatient training in general medicine, is "contrary to the system" and not permanent solution. "Medical services must be remunerated", demanded the 1st chairman of the MB, Rudolf Henke, in front of the press in Freiburg. The fee distribution of the statutory health insurance physicians must be adjusted accordingly and quantity restrictions abolished so that the doctors who receive further training can also earn their salaries in the practices of established doctors.
In addition, the Annual General Meeting advocated the use of training officers, especially in large institutions, who coordinated training and supported the trainees. In order to be able to continuously document the status of the training, electronic logbooks should be kept in the future, according to the MB.
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