Abstracts by keywords: patient information
Health and long-term care insurance funds can evaluate insured persons' data. Various information obligations can arise from the data evaluation. These obligations arise first when a specific health risk to the insured person is identified. This requires that there is a sufficient probability of health damage. Health and long-term care insurance funds must also provide information if their data evaluation reveals that there is a possibility (not probability) of illness or the need for care in the foreseeable future that arises from the individual (life) circumstances of an insured person. Whether these thresholds are reached in each case is ultimately determined by medical science and health services research. Health and long-term care insurance funds must always be able to provide a comprehensible justification for how they arrived at their results and why they made which information decisions. These legal requirements limit the use of artificial intelligence to the extent and as long as they cannot make their procedures and results transparent and comprehensible. Violations of these requirements can result in claims for information and damages against the health or long-term care insurance funds.
02.06.2025
Von den weltweit circa 11 Millionen sepsis-assoziierten Todesfällen hält die WHO die Mehrzahl für vermeidbar. Hierfür gibt es zwei wesentliche Ansatzpunkte: erstens die Prävention von Infektionen und zweitens die frühzeitige Erkennung von Sepsis-Symptomen, denn eine Sepsis ist ein medizinischer Notfall, bei dem jede zeitliche Verzögerung die Prognose verschlechtert. Da seit langem bekannt ist, dass in Deutschland das Sepsis-Wissen älterer Menschen, die per se einer Risikogruppe angehören, gering ist (Eitze et al. 2018), fördert das Bundesgesundheitsministerium seit Juli 2021 den Aufbau der Kampagne „Deutschland erkennt Sepsis“ (1), die vom Aktionsbündnis Patientensicherheit, dem Sepsis-Dialog der Universitätsmedizin Greifswald, der Deutschen Sepsis-Hilfe sowie der Deutschen Sepsis-Stiftung gemeinsam umgesetzt wird.
02.08.2022
In the report of the Expert Commission for Health Policy of the Heinrich Böll Foundation under the title “How will we be tomorrow? - Paths to more efficiency, quality and humanity in a healthcare system based on solidarity” (Berlin, February 2013), among many other recommendations, a “legal right to information” is called for for patients in order to achieve quality transparency and thus build a more fruitful incentive structure in care. Numerous offers already make this possible today. For example, the white list offers patients the opportunity to search for a nursing home, hospital, doctor or dentist while taking into account the reviews of other patients (www.weisse-liste.de). These are important advances and development directions and the authors expressly welcome the recommendation of the expert commission - the responsible patient is getting closer. But from a psychological point of view, the path to becoming a responsible patient is not guaranteed solely by an appropriate offer. On the receiving end you encounter a complex structure of conditions and factors that can only be approached through an understanding dialogue. In addition, patients are also exposed to other influences, for example the treating doctors, who are often ambivalent towards pre-informed patients (Baumgart 2010).
