Abstracts by keywords: qualitative study
The affiliated doctor system is a long-established form of integrative and cross-sectoral care (Hahn et al., 2015a, 2015b; Wienke and Mündnich, 2011). Both care approaches are also currently in the focus of German politics: (More) integrated care has been repeatedly demanded for almost 20 years now (Mühlbacher et al., 2006). The innovation fund, which became German law in the Supply Strengthening Act of June 10, 2015, provides 225 million euros per year to "new forms of care that aim to improve cross-sector care and have sufficient potential to be permanently included in care". (German Bundestag, 2015). In the classic understanding of affiliated doctors, a doctor who primarily works as a panel doctor/outpatient treats his patients using inpatient resources in a hospital in an affiliated department. For this purpose, the attending doctor has a contract with the hospital to be able to use the infrastructure (including staff) in the hospital. The attending doctor and the hospital are paid independently of each other. While the affiliated doctor accounts for his work using the uniform assessment scale (EBM), the hospital receives a so-called affiliated doctor DRG.
31.03.2016
The affiliated doctor system is a long-established form of integrative and cross-sectoral care (Hahn et al., 2015a, 2015b; Wienke and Mündnich, 2011). Both care approaches are also currently in the focus of German politics: (More) integrated care has been repeatedly demanded for almost 20 years now (Mühlbacher et al., 2006). The innovation fund, which became German law in the Supply Strengthening Act of June 10, 2015, provides 225 million euros per year to "new forms of care that aim to improve cross-sector care and have sufficient potential to be permanently included in care". (German Bundestag, 2015). In the classic understanding of affiliated doctors, a doctor who primarily works as a panel doctor/outpatient treats his patients using inpatient resources in a hospital in an affiliated department. For this purpose, the attending doctor has a contract with the hospital to be able to use the infrastructure (including staff) in the hospital. The attending doctor and the hospital are paid independently of each other. While the affiliated doctor accounts for his work using the uniform assessment scale (EBM), the hospital receives a so-called affiliated doctor DRG.
31.03.2016
In recent weeks and months there has been an increase in public perception and in the media of reports and images of people trying to reach European soil via the Mediterranean. They risk their lives in overcrowded boats hoping for a better life in Europe. In the TV and newspaper reports, capsized boats and drowned people are often reported. If illegal immigrants do reach European territory, they usually end up in overcrowded refugee camps with the hope of escaping to Germany or another European country. The number of asylum seekers in Germany is currently higher than ever before, and new records are being broken every month. For 2015, almost 330,000 initial asylum applications were recorded (as of October 2015), which corresponds to an increase of 1,44% compared to 2014. The numbers appear even more serious compared to previous years: in 2007 there were only 19,000 initial asylum applications in Germany and 41,000 in 2010 (Federal Office for Migration and Refugees 2015a). The overall protection rate, i.e. all positive decisions according to Art. 16a Paragraph 1 GG, according to Section 3 Paragraph 1 AsylVfG, according to Section 4 Paragraph 1 AsylVfG and according to Section 60 Paragraphs 5 and 7 Residence Act, is 39.1% in 2015 is thus higher than in the previous year (31.5%) (Federal Office for Migration and Refugees 2015a). The remaining asylum seekers have few options to be able to live permanently in Germany. One possibility: you decide to live illegally under the residency law.
31.03.2015
Current data from a cross-sectional study of referral patients from 29 general practitioner practices in Germany suggest that around a quarter of referrals take place at the request or request of the patient [1]. Information about such transfers in Germany is mainly based on opinion pieces and experience reports. There are numerous hits on the topic in the open Internet search service Google, especially in health-related public publications and general medical publications (“medical tribune”, “Ärztezeitung”, etc.). Referrals are sometimes issued after this without any doctor-patient contact having taken place [2-3]. Such referrals can lead to oversupply and thus endanger patient safety and strain medical and solidarity-funded resources. Due to the sparse scientific data for the German care system, the aim of this work was to collect experiences and opinions from general practitioners in the context of the active demand from patients explore transfer.