If economic guidelines override the medical healing mandate and endanger the protected doctor-patient relationship, reflection on the essence of medical action is appropriate.
The question is not new, but important in light of the current developments in healthcare. “Between altruism and economic interests: When is doctor good doctor?” Was the topic of the 6th Westphalian Medical Conference on July 5th in Münster. "Health and recovery is something that cannot be bought even with lot of reserves," emphasized the President of the Westphalia-Lippe Medical Association, Dr. med. Theodor Windhorst. The doctors came with the conviction that the patients entrusted to them need very special level of care.
Prof. Heinz Lohmann, as healthcare entrepreneur and chairman of the Initiative Gesundheitswirtschaft e.V., brought consciously provocative perspective to the Westphalian Doctors' Day. As in other areas of the economy - albeit little belatedly - there is currently process of securing income in the healthcare sector by increasing volumes. “More and more services have to be provided with the available resources.
If economic guidelines override the medical healing mandate and endanger the protected doctor-patient relationship, reflection on the essence of medical action is appropriate.
The question is not new, but important in light of the current developments in healthcare. “Between altruism and economic interests: When is doctor good doctor?” Was the topic of the 6th Westphalian Medical Conference on July 5th in Münster. "Health and recovery is something that cannot be bought even with lot of reserves," emphasized the President of the Westphalia-Lippe Medical Association, Dr. med. Theodor Windhorst. The doctors came with the conviction that the patients entrusted to them need very special level of care.
Prof. Heinz Lohmann, as healthcare entrepreneur and chairman of the Initiative Gesundheitswirtschaft e.V., brought consciously provocative perspective to the Westphalian Doctors' Day. As in other areas of the economy - albeit little belatedly - there is currently process of securing income in the healthcare sector by increasing volumes. “More and more services have to be provided with the available resources.“This increase in volume has two main problems: frustrated employees, as the workload is increasing, and growing concern on the part of patients, who at the same time are increasingly becoming consumers and are willing to spend money on health services themselves.
According to Lohmann, the increase in productivity that will be necessary in the next few years cannot be achieved through faster work and / or job cuts. Individualized and at the same time standardized processes as in other production areas are also possible in hospitals using digital technologies. Only the implementation is still lacking at the moment. Technology in and of itself is not the key to improved productivity. Lohmann: “The necessary progress, namely structuring medicine itself, enabling it to interact with all other actors, this step has not yet been taken correctly. That is why we are in truth still unable to make sensible use of the technology and methodology of the 21st century. ”
However, Lohmann does not see the responsibility for this with the doctors, who have dealt intensively with economic aspects in recent years The real problem lies in the fact that health management has not yet dealt sufficiently with what medicine actually does.
Thomas Gerst
Election test stones from Westphalia-Lippe
In the run-up to the Bundestag elections in September, the Westphalia-Lippe Medical Association met with the professional and professional associations there with basic demands on politics.
What is required are:
- political culture of trust and appreciation for what doctors do (instead of culture of distrust)
- the primary alignment of the health care system with the needs of patients (not with economic and market interests)
- an end to ever shorter-term legislative interventions in medical practice
- the immediate stop of bureaucratic regulations that hinder and burden work through the social security code
- rapid measures against the shortage of doctors
- the financing of structured medical training in outpatient and inpatient areas from the Health Fund
- the receipt an insurance and pension system that offers options.“This increase in volume has two main problems: frustrated employees, as the workload is increasing, and growing concern on the part of patients, who at the same time are increasingly becoming consumers and are willing to spend money on health services themselves.
According to Lohmann, the increase in productivity that will be necessary in the next few years cannot be achieved through faster work and / or job cuts. Individualized and at the same time standardized processes as in other production areas are also possible in hospitals using digital technologies. Only the implementation is still lacking at the moment. Technology in and of itself is not the key to improved productivity. Lohmann: “The necessary progress, namely structuring medicine itself, enabling it to interact with all other actors, this step has not yet been taken correctly. That is why we are in truth still unable to make sensible use of the technology and methodology of the 21st century. ”
However, Lohmann does not see the responsibility for this with the doctors, who have dealt intensively with economic aspects in recent years The real problem lies in the fact that health management has not yet dealt sufficiently with what medicine actually does.
Thomas Gerst
Election test stones from Westphalia-Lippe
In the run-up to the Bundestag elections in September, the Westphalia-Lippe Medical Association met with the professional and professional associations there with basic demands on politics.
What is required are:
- political culture of trust and appreciation for what doctors do (instead of culture of distrust)
- the primary alignment of the health care system with the needs of patients (not with economic and market interests)
- an end to ever shorter-term legislative interventions in medical practice
- the immediate stop of bureaucratic regulations that hinder and burden work through the social security code
- rapid measures against the shortage of doctors
- the financing of structured medical training in outpatient and inpatient areas from the Health Fund
- the receipt an insurance and pension system that offers options.
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