Stuttgart - A model experiment entitled “DocDirekt” is to show in Stuttgart and Tuttlingen whether patients can be better controlled on the way to the doctor. The remote treatment project of the Association of Statutory Health Insurance Physicians in Baden-Württemberg (KVBW) also wants to counteract the shortage of doctors.
The long-term goal is to make patients low-threshold and quick offer to seek medical advice, said spokesman for the German Medical Journal. This should properly coordinate treatment routes and, for example, prevent patients from going to the hospital emergency rooms. At the same time, it should bring doctors back into the care sector who would not work in practice for family reasons, for example.
Specifically, it is planned that patients will be able to dial central number in the future. There, medical assistant (MFA) decides whether there is an emergency that she would forward to the rescue center 112, or whether family doctor or specialist is the right contact. She enters the patient's concerns in an online portal, to which doctors approved for the project have access.
They call the patient either by phone or via internet, i.e. with picture if necessary. The doctors, who can work from home for this task, advise and treat the patient or decide whether he should go to practice. For this case, there should be selected practices in the model district that can then handle these cases directly, according to the KV.
The KVBW spokesman emphasized that the model is currently reaching its limits due to the lack of legal framework. This is the case, for example, when prescribing drugs. At the moment, it is necessary to send the mail or collect it from the doctor. However, the KV suggests that, ideally, doctors and pharmacists could have access to prescription via an online portal. This prevents patient from printing out prescription multiple times and can solve the problem that pharmacists only receive original prescriptions.
KV plans to get the project off the ground this year. A spokesman said that an application for approval had already been submitted to the. The approval is still pending. The chamber recently loosened the ban on remote treatment in the professional code to enable such model projects.
Interview with Ulrich Clever, President of the Baden-Württemberg State Medical Association
KV and health insurance companies are currently in talks about financing. The health insurance companies are very interested and support the model, said the KV spokesman. It is still unclear how high the costs will be and what exactly the remuneration of the doctors participating in the project will look like.