10:02:11 insured patients have to pay more for drugs
per pack on average 2.40 euros to fork out extra. Non-prescription drugs, health insurance does not reimburse.
2.40 euros per pack, on average: state patients need for prescription drugs to more and more into their pockets. In 2010, they had to pay some 1.8 billion € to the medically prescribed drugs, said the Federal Union of German Associations of Pharmacists (ABDA) with. These were 71 million euros more than in 2009.
Legally insured patients, need for medicines on prescription more and more into their pockets. In 2010, they had to pay some 1.8 billion € to the medically prescribed drugs, said the Federal Union of German Associations of Pharmacists (ABDA) with. These were 71 million euros more than in 2009. One reason for the increase is the Reduction of many fixed amounts and co-payment exemption limits by the statutory health insurance 1 September.
had to shell out the cash in the average patient has been calculated that the 2.40 euros per pack. In the years 2007, 2008 and 2009 the rate was 2.30 euros. co-payments for prescription drugs, each insured patient ten percent of the sales price - at least five euro, but no more than ten euros. The additional payment shall, however, never higher than the actual price. According to Pharmacists Association, the trend is for co-payments for years upwards. 2007, the rate was 1.626 billion, 2008 has 1.674 billion, 1.696 in 2009 and 2010, finally EUR 1,767 million. Non-prescription drugs - including most cold remedies - by the health insurance since 2004 for adults do not pay more anyway. (Rtr Hamburger Abendblatt)
28.07.10 long distances and long waiting times
Because it is missing from the country of doctors have to take patients for a doctor's visit more and more roads and long waits at the .
In rural areas must take patients for a doctor's visit more and more roads and long waits on himself. The shortage of doctors, the hospitals in the re- or create new appointments to bodies makes the impact is also to patient care. There are no family doctors in particular.
which not only areas in the northern and eastern Germany are affected. Even in Hesse, it is not secluded regions in which to settle GP reluctantly. In the conurbation of the Rhine-Main area missing after calculation of the physicians' association England (KVH), about 30 family physicians - only 14 in the district of Darmstadt-Dieburg. This plan is in demand behind the district of Kassel, relates to what the supply of family physicians, the greatest need help. The Rheingau-Taunus-Kreis with seven open spots before the Fulda district. And in the Frankfurt will be searched four doctors, as many as in the Vogelsberg.
search for a successor will be more difficult
for the practice owner, it is increasingly difficult to find a successor. Thus they miss but income they had planned for their retirement. Since the average age is the Hesse family physicians in nearly 53 years, the situation will get worse.
existence as a country doctor from a dream very few young doctors. They want, according to the state medical board would rather make a career in a hospital. Estimated there would mainly work on with colleagues and research opportunities and training.
The classic country doctor, however, is a lone warrior who must deal with other than a long day at work and emergency services at night and in the evening. This burden discourages many as 60 percent of female graduates. After long study, they often think after about a family foundation. But a maternity leave or part-time job is to organize in their own practice is difficult.
No lush merit
Furthermore, not the rural doctors, their use thanks to a sumptuous earnings. The general practitioners feel in recent times rather than losers in the health sector. In Hesse, according to the deputy chairman KVH-Gerd Zimmermann, around a quarter of family doctors in the past year, wage losses. In June, the family doctors pulled out of the meeting of representatives from the KVH to protest against the proposed fee division. The reform will lead to general practitioners another three million euros per quarter would get less, shared with her association. The KVH-chairman Bert Margita criticized the ongoing reforms in health care led to an uncertain income situation for the doctors who would be complicated by recourse systems. Even Health Minister Philippe Rösler (FDP) had at the Spring Health Economics Association Rhein-Main in Frankfurt said it could not be that a practicing knew only considered after two years what he deserved. were
With such uncertain income make no repayment plans, says Bert. To take a practice or open, the doctors need from the bank, however, a start-up capital. To this risk could be just a few.
complaints about shortage of doctors had
In the nineties, however, still many physicians sought independence. To ensure that the practices could contribute economically to their number was limited. The then planning should be introduced also ensure that enough doctors are available everywhere and the clenched practices not only in major cities.
were defined planning areas, the limits of which are based in Hesse to the counties, and ratios that indicate how many patients may come to a doctor. For practitioners, the sample size is just under 1000, for specialists, even higher. Whether an area is under-or over-supplied, is the national committee of physicians and health insurance be based on these specifications.
But even in areas that are supplied as the lush, citizens, and politicians complain of a shortage. Sun recently approached the city on Haiger the physicians' association, because it fails to locate a new doctor in town. The practices are concentrated in the Lahn-Dill-Kreis strong in Wetzlar, and Dillenburg, Herborn and are well cared for. In contrast, there are not a single victory Bach family doctor.
image campaign for the country doctor's
As KVH-chairman Bert said this development was inconceivable only a few years. To prevent such abuses, the planning areas would be reduced. Given the demographic trend - the patients are living longer, their treatment is caused by multiple diseases demanding - moreover, the ratios be reconsidered, she recommended.
the Hessian Ministry of Health sees the light of the difficult situation, forced to act. First, according to department manager Jörg Osmers an image campaign for the country's doctor is planned. Hesse also will seek to ensure that each medical faculty gets a chair in general practice. A demand that has made the state medical board also. It is conceivable, according to Osmer also introduce in the allocation of places a quota for rural doctors.
create incentives for primary care office
measure would encourage the primary care office created to be responsible in the physicians' association, state medical association and the Ministry agree. Local authorities should, for example, practice rooms be made available which are suitable for communities. They would also support the doctors in the relief and emergency arrangements.
In the country could be part approvals, branch practices that contribute simultaneous inpatient and outpatient activity or telemedicine to improve care. Because of the increasing number of women in medicine had to reconcile work and family life can be improved. Offers a flexible child care would be, for example in cooperation with local Hospitals conceivable.
An attempt by the physicians' association (KV) in Thuringia had run promising Osmers reported. There, the CA took over empty clinics and doctors employed. They would not have the economic risk and could be incorporated gradually into the bureaucracy. Most of them had taken over the practices after a few years. (FAZ)
12:02:11 inequality insured by law. Rösler resists penalties
When doctors prefer private patients and can legally wait insured, they are fine . Pay The wish in any case, the SPD. The Minister of Health is against it. He would rather create incentives to alleviate the shortage of doctors.
Federal Health Minister Philipp Rösler (FDP) has rejected a legal action against unequal treatment of cash and private patients, and promotes instead for measures against the shortage of doctors.
"penalties, as envisaged by the SPD are the wrong approach. A further exodus of doctors would be the result, "the FDP politician said on Saturday the news agency DAPD. The SPD group had previously prepared a draft law also provides for penalties for doctors who are private patients prefer.
Roesler said "intelligent it is against the shortage of doctors take action, especially in the countryside. . This helps to reduce waiting times particularly for the publicly insured "
" punishments instead of incentives - that's typical social-democratic "
In the Bild am Sonntag," the minister criticized according to preliminary report, "It is typical of social democratic, to . penalties rather than incentives to put "The problem of long waiting times for an appointment, he sees the shortage of physicians founded:" It is doctors who work in underserved areas have particularly many patients and very little available dates. Therefore, we must ensure that more young people to become a doctor -. Especially in rural areas "
Rösler exhorted the doctors, health insurance patients not to have to wait too long. "Basically, doctors are obliged by law to treat insured within a reasonable period of time. In acute cases, immediately, "he told the paper. (FAZ)
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