The general practitioners are demanding further training as well as better representation of interests in medical bodies.
91 percent of people in Germany have permanent doctor; 94 percent consider his role as guide in the health system to be important. That is the result of survey among 1,000 citizens that the opinion research institute forsa carried out in September on behalf of the German Association of General Practitioners (HÄV). “The result encourages us in our work,” said its federal chairman, Ulrich Weigeldt, at the 1st International General Practitioner Conference, which took place on September 25th and 26th in Bonn. But it is not reason to lean back.
According to calculations by the HÄV, 2,000 Family doctors are closing their practices. It is unlikely that they will find enough successors. The share of specialists in general medicine in the specialist approvals is now only ten percent. Reason enough for Weigeldt to call for turnaround. Because: "In order to be able to adequately treat an aging society with more chronically ill and multimorbid people, we need good primary care." It prevents incorrect and undersupply and frees up resources for coordinated specialist care.
The HÄV chairman considers it scandal that there are still no general medicine chairs at eleven of the 37 medical faculties where students come into contact with the subject. After all, you can't decide on something you don't even know, said Weigeldt. In addition to improvements in medical training, he also called for better support for doctors in further training, for example through further training associations, as well as appropriate payment for further training in general practitioners' practices.
KV as stumbling block
The necessary Strengthening family medicine is primarily hindered by medical self-administration, criticized Weigeldt. The funding program for general medical training is not being implemented in targeted manner in some associations of statutory health insurance physicians. In addition, the KVen undermined family doctor-centered care (HZV). Pressure means, as recently in Bremen, the refusal to ensure the medical emergency service for those insured under the HZV contract or complicated regulations to adjust the total remuneration.
The general practitioners are demanding further training as well as better representation of interests in medical bodies.
91 percent of people in Germany have permanent doctor; 94 percent consider his role as guide in the health system to be important. That is the result of survey among 1,000 citizens that the opinion research institute forsa carried out in September on behalf of the German Association of General Practitioners (HÄV). “The result encourages us in our work,” said its federal chairman, Ulrich Weigeldt, at the 1st International General Practitioner Conference, which took place on September 25th and 26th in Bonn. But it is not reason to lean back.
According to calculations by the HÄV, 2,000 Family doctors are closing their practices. It is unlikely that they will find enough successors. The share of specialists in general medicine in the specialist approvals is now only ten percent. Reason enough for Weigeldt to call for turnaround. Because: "In order to be able to adequately treat an aging society with more chronically ill and multimorbid people, we need good primary care." It prevents incorrect and undersupply and frees up resources for coordinated specialist care.
The HÄV chairman considers it scandal that there are still no general medicine chairs at eleven of the 37 medical faculties where students come into contact with the subject. After all, you can't decide on something you don't even know, said Weigeldt. In addition to improvements in medical training, he also called for better support for doctors in further training, for example through further training associations, as well as appropriate payment for further training in general practitioners' practices.
KV as stumbling block
The necessary Strengthening family medicine is primarily hindered by medical self-administration, criticized Weigeldt. The funding program for general medical training is not being implemented in targeted manner in some associations of statutory health insurance physicians. In addition, the KVen undermined family doctor-centered care (HZV). Pressure means, as recently in Bremen, the refusal to ensure the medical emergency service for those insured under the HZV contract or complicated regulations to adjust the total remuneration.
More equality
Weigeldt used the General Practitioners' Day to again demand more equality for general practitioners in the self-administration committees. The decision of the representative assembly of the National Association of Statutory Health Insurance Physicians (KBV) in mid-September to create new committee for fairer balance of interests between general practitioners and specialists merely continued the dominance of specialists in the representative assembly, according to the HÄV chairman. An alternative proposal from our own ranks did not find majority in the KBV representative assembly. Among other things, the general practitioners had spoken out in favor of each health care area electing member of the KBV board separately and deciding independently on remuneration.
The HÄV received tailwind from politics. Lutz Stroppe, State Secretary in the Federal Ministry of Health, explained to the delegates: "We are of the opinion that legal adjustments must be made here." The ministry wants to regulate the representation of the interests of GPs in October within the framework of the Health Care Strengthening Act. Other requirements of the HÄV should also find their way into the law. According to Weigeldt, the promotion of general medicine should be improved and hurdles for cardiac output removed.
Heike Korzilius
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