In the rural part of Westphalia look for Together with the Association of Statutory Health Insurance Physicians, we are looking for ways to ensure comprehensive outpatient care - especially with general practitioners.
Surrounded by fields, meadows and forests, Barntrup is located in the Teutoburg Forest Nature Park. The small town with its 10,000 inhabitants is part of the Lippe district and one of the rural communities that will lose its doctors in the foreseeable future. There are still three general practitioners in Barntrup, one of whom is over 70 years old. There are no successors in sight. Mayor Herbert Dahle has therefore decided to break new ground. Together with the mayors of the cities of Büren (Paderborn district) and Marsberg (Hochsauerland district), he signed declaration of intent almost exactly year ago with the Association of Statutory Health Insurance Physicians (KV) Westfalen-Lippe, in which the parties undertake to tackle the problem together / p>
A doctor from the neighboring town will set up branch
Now Dahle praised the good cooperation with KV Westfalen-Lippe, which he does not experience as “Moloch” but as “fighter for common cause, namely medical care”. At the 3rd annual congress of KV Westfalen-Lippe on the “future prospects of medical care”, the mayor was clear-cut and very pragmatic. First of all, he was advised to create an image brochure, for example to advertise Barntrup as location for branch at congresses. “The doctors asked me if I didn't have something else with a“ B ”on offer - Berlin, Bremen, Bonn,” says Dahle.
Nevertheless, his commitment was not in vain: "I spoke to as many doctors in the last year as I had not in 15 years before." And solution to the looming supply problem is also becoming apparent. "We will build practice in which doctor from the neighboring municipality will run branch," announced Dahle in Dortmund. The response from the population was very positive. At the same time, the mayor was disappointed by the reaction of the local doctors, who see the community's commitment as unpleasant competition. "I am very upset by this reaction," said Dahle. "Is that the fear for benefices?"
The question that worries everyone involved is how to get young doctors to settle in the country. "We cannot force anyone," explained KV board member Dr. rer. soc. Thomas Kriedel. “We have to convince.
In the rural part of Westphalia look for Together with the Association of Statutory Health Insurance Physicians, we are looking for ways to ensure comprehensive outpatient care - especially with general practitioners.
Surrounded by fields, meadows and forests, Barntrup is located in the Teutoburg Forest Nature Park. The small town with its 10,000 inhabitants is part of the Lippe district and one of the rural communities that will lose its doctors in the foreseeable future. There are still three general practitioners in Barntrup, one of whom is over 70 years old. There are no successors in sight. Mayor Herbert Dahle has therefore decided to break new ground. Together with the mayors of the cities of Büren (Paderborn district) and Marsberg (Hochsauerland district), he signed declaration of intent almost exactly year ago with the Association of Statutory Health Insurance Physicians (KV) Westfalen-Lippe, in which the parties undertake to tackle the problem together / p>
A doctor from the neighboring town will set up branch
Now Dahle praised the good cooperation with KV Westfalen-Lippe, which he does not experience as “Moloch” but as “fighter for common cause, namely medical care”. At the 3rd annual congress of KV Westfalen-Lippe on the “future prospects of medical care”, the mayor was clear-cut and very pragmatic. First of all, he was advised to create an image brochure, for example to advertise Barntrup as location for branch at congresses. “The doctors asked me if I didn't have something else with a“ B ”on offer - Berlin, Bremen, Bonn,” says Dahle.
Nevertheless, his commitment was not in vain: "I spoke to as many doctors in the last year as I had not in 15 years before." And solution to the looming supply problem is also becoming apparent. "We will build practice in which doctor from the neighboring municipality will run branch," announced Dahle in Dortmund. The response from the population was very positive. At the same time, the mayor was disappointed by the reaction of the local doctors, who see the community's commitment as unpleasant competition. "I am very upset by this reaction," said Dahle. "Is that the fear for benefices?"
The question that worries everyone involved is how to get young doctors to settle in the country. "We cannot force anyone," explained KV board member Dr. rer. soc. Thomas Kriedel. “We have to convince.“Kriedel expects lot from the specifications in the planned supply structure law, which will make it possible to support projects like the one in Barntrup. According to this, the KV should be able to set up structural fund in the future, into which the KV and health insurance funds each pay 0.1 percent of the total remuneration in order to create incentives for setting up in underserved areas.
Thomas Müller, KV Managing Director Corporate Development / Control, thinks branch model is very promising, according to which the family doctor rents out rooms in his own practice on fixed days that are more distant and therefore more difficult for patients to reach and coordinating the appointments for his patients accordingly. “This is model in which branch formation makes sense,” said Müller.
It is still too early for final assessment of the opportunities and risks of the Supply Structure Act, said State Health Minister Barbara Steffens (Greens). There are many points in agreement with the draft bill from the FDP-led Federal Ministry of Health, such as the introduction of more flexible requirements planning or the relaxation of the residency requirement for resident doctors. "But we still do not know what is behind lot," the minister pointed out. Steffens criticized the draft for not playing the role "that they should play". For example, the Federal Joint Committee wants right of opinion not only of requirements planning, but also when it comes to quality standards, such as in the case of minimum quantities for certain surgical interventions.
Morbidity should be taken into account when planning requirements
Steffens also complained that the morbidity of the population should not play role in the needs planning. "That would have been very important for North Rhine-Westphalia," said the minister. In this context, she described it as "catastrophic" that the Supply Structure Act provides for the nationwide application of the outpatient coding guidelines to be withdrawn. "How should we now get numbers and data to prove morbidity?"
Heike Korzilius
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