Doctors don't need good financial incentives to provide good financial quality incentives , so the tenor at the Bavarian Doctors' Day in Weiden.
The quality-oriented remuneration of medical services (“Pay for Performance”, P4P) is not necessary from the perspective of the medical profession or from the perspective of Bavarian health policy. At the opening of the 73rd Bavarian Medical Congress on October 24th in Weiden (Upper Palatinate), the President of the Bavarian State Medical Association, Dr. med. Max Kaplan, it corresponds to the self-image of doctors to provide high quality care to patients. P4P instruments run the risk of steering the health system in the direction of the health economy if they are exclusively geared towards the quality of results.
Bavaria's Minister of Health Melanie Huml assured that there are currently no plans in Bavaria to introduce binding P4P instruments in the outpatient sector. Firstly, there is insufficient data available for this; secondly, the Bavarian health insurance companies would need appropriate financial resources, i.e. appropriate allocations from the health fund, in order to invest in such models. The fact is, however, that since the establishment of the health fund, insured funds have increasingly flowed out of Bavaria to other federal states, around 2.16 billion euros in 2011.
A persistent minister
Huml once again emphasized this in Weiden Bavarian demand to distribute the funds from the health fund more transparently and fairly. The introduction of regional factor is still on their agenda. That is why the minister also has concerns about the convergence of contract doctor remuneration, as announced in the draft law. The Free State insists on checking first of all whether different care structures in the associations of statutory health insurance physicians justify different levels of remuneration. In Bavaria, for example, there is significantly higher proportion of outpatient operations. Nor should individual CT regions be subsidized under the guise of the innovation fund. She therefore insists on the states having say and fair distribution of funds among the states. With view to the coalition partner in Berlin, she called for improvements in the interests of the Bavarian doctors and patients. Huml: "I can be very persistent."
In the discussion, the idea of pay-for-performance was received very cautiously. Dr.
Doctors don't need good financial incentives to provide good financial quality incentives , so the tenor at the Bavarian Doctors' Day in Weiden.
The quality-oriented remuneration of medical services (“Pay for Performance”, P4P) is not necessary from the perspective of the medical profession or from the perspective of Bavarian health policy. At the opening of the 73rd Bavarian Medical Congress on October 24th in Weiden (Upper Palatinate), the President of the Bavarian State Medical Association, Dr. med. Max Kaplan, it corresponds to the self-image of doctors to provide high quality care to patients. P4P instruments run the risk of steering the health system in the direction of the health economy if they are exclusively geared towards the quality of results.
Bavaria's Minister of Health Melanie Huml assured that there are currently no plans in Bavaria to introduce binding P4P instruments in the outpatient sector. Firstly, there is insufficient data available for this; secondly, the Bavarian health insurance companies would need appropriate financial resources, i.e. appropriate allocations from the health fund, in order to invest in such models. The fact is, however, that since the establishment of the health fund, insured funds have increasingly flowed out of Bavaria to other federal states, around 2.16 billion euros in 2011.
A persistent minister
Huml once again emphasized this in Weiden Bavarian demand to distribute the funds from the health fund more transparently and fairly. The introduction of regional factor is still on their agenda. That is why the minister also has concerns about the convergence of contract doctor remuneration, as announced in the draft law. The Free State insists on checking first of all whether different care structures in the associations of statutory health insurance physicians justify different levels of remuneration. In Bavaria, for example, there is significantly higher proportion of outpatient operations. Nor should individual CT regions be subsidized under the guise of the innovation fund. She therefore insists on the states having say and fair distribution of funds among the states. With view to the coalition partner in Berlin, she called for improvements in the interests of the Bavarian doctors and patients. Huml: "I can be very persistent."
In the discussion, the idea of pay-for-performance was received very cautiously. Dr.Christof Veit from the Institute for Quality and Patient Safety said that in certain situations you can control with P4P, but you also have to see: “We can do lot of nonsense with it.” In any case, President Kaplan considers it nonsense to use instruments such as benchmarking in health care. As result, selection would be made, serious illnesses would be postponed: "Quality in the region begins with the availability of sufficient doctors and hospitals." For Minister Huml, quality also includes the availability of doctor or hospital. You also have to make sure that there is no selection of risk patients.
Good quality costs money
Veit admitted that medicine is constantly striving to improve. But there are simply differences in quality. It is up to quality management to ensure that there is good supply everywhere in the country. It is not about quality first, second or third class.
There was also agreement that good quality costs money, but nobody wanted to know anything about discounts for poor quality. Prof. Dr. med. Georg Marckmann, Director of the Institute for Ethics, History and Theory of Medicine at the LMU Munich, asked whether it was right to use financial incentives to turn the doctor more and more into puppet. Kaplan believes it is mistake to believe that financial motivation is necessary for doctors to provide quality: "We take our medical mandate very seriously and do not need any financial incentives." The quality of medical care also depends largely on the active participation of the patient from. The comprehensive cooperation of the patient and the strengthening of personal responsibility for his health are indispensable in the context of quality promotion in medicine.
Klaus Schmidt
7
0
Do you want a website?