Berlin - A review of the successes, an analysis of the current situation and look into the future - the order for celebration for the 60th anniversary of body like the (KBV) could not have been bigger. In his speech, Parliamentary State Secretary Lutz Stroppe praised the work of the KBV, but at the same time warned: “Those who stay young and active can still learn, adopt new habits and also endure opposition. And I hope that in this sense the KBV and the KVen will stay young and active for long time, ”said Stroppe in front of the party on Wednesday in Berlin.
Stroppe: fairness and trust, clarity and transparency He did not hold back with criticism: “The BMG does not expect any fraternization from the medical self-administration. But fairness and trust with one another is an expectation that we have of the medical profession. In doing so, clarity, transparency, reliability and seriousness must be promoted. This applies to the accounting system in the ASV as well as to the definition of retirement salaries and transitional payments, ”said Stroppe. The trust of politics and the BMG is great, "but not limitless."
He sees the "freedom of responsibility for the well-being of the patient" in many areas: So it is success of medicine and doctors that there is demographic change, people are living longer. But this creates challenges such as the increasing number of people with chronic diseases. "It's great what its members do 24 hours day, seven days week all year round," praised Stroppe. The State Secretary also praised the efforts of the resident doctors in the medical care of the refugees.
"They'll be playmakers again! For the future, Stroppe encouraged the representatives of the KBV to get back into their roles to find their way back as “playmaker”. "Use the freedom of design and the responsibility that this entails."
Medical ethicist Giovanni Maio from the University of Freiburg also appealed to responsibility in his lecture. "Industrial medical attempts at approximation deny that medicine is anything other than industrial production." He sees the danger that medicine will be compared more and more with "industrial production" and will be modified accordingly. Especially in view of the difficult role of doctors between the different demands of politics, society and patients, there is great opportunity for the KBV: As defender of the liberal profession, it can bring medical expertise into the political debate. "In order to achieve this, the KBV has to manage to let the doctors become common voice again," says Maio.
A complex world entails elaborate organization for supply For the chairman of the KBV, Andreas Gassen, the direction for the coming decades is clear: even if in the current situation, again and again If the question of meaning is asked whether an institution like the KBV is still needed, organizations are needed that organize statutory medical care: "We need the KBV because in world that is becoming more and more complex, outpatient care has to be organized more and more." p>
Gassen describes the Federal Joint Committee (G-BA) as successful model for joint self-administration. “The decisions that are made in the G-BA may not always please everyone. But they are definitely better than decisions that would be made at the green table by ministerial officials who have no real insight into the everyday situation of care. ”
On the six decades that the KBV can look back on , also heard that in the past decades of medical self-administration, the professional and self-image of doctors has changed significantly. Country doctor idyll - that was once upon time. “Work until the doctor comes, the young generation no longer has this self-image,” says Gassen.
Reunification: Great achievement during system transition With 60 years of history, reunification may have been 25 years ago and the upheaval in the organization of the health system in the five East German federal states cannot be forgotten. “A particularly great achievement is that the transition to the statutory health insurance system went almost smoothly. Anyone who went to their doctor in the polyclinic yesterday went to their general practitioner or specialist tomorrow. Nothing has changed for the population ”, said KBV Vice Regina Feldmann.
The local doctors, who were often“ thrown into the deep end ”when setting up practice, played an important role. "That this was possible has to do with the special commitment of the colleagues during the time of reunification and with the committed support of the KVs among themselves," says Feldmann.
Today the challenges in East and West are similar, especially the search for the offspring for care in the countryside. Therefore, the KBV and the KVen have already launched many projects to improve the compatibility of work in the practice and the family for the young generation of doctors.
The aim is to develop the "extremely efficient and comprehensive medical care ”in Germany in the coming decades. “In Germany we have care that is accessible to everyone: regardless of age, regardless of the economic situation, regardless of the severity of the illness. That's why many in the world envy us, ”said Gassen.