This would then have to be paid for out of the budget of the practice physicians. This was announced by the negotiators from the CDU/CSU and the SPD, jens spahn and karl lauterbach, in berlin on thursday. "This is an important step toward dismantling two-tier medicine," said lauterbach.
"Those with statutory health insurance pay up to 350 euros a month in premiums. We think it must also be possible to arrange appointments promptly," said spahn. "It’s a clear message that we are making."How this is regulated in detail, the politicians love openly. Today, patients usually go directly to doctors’ offices and not to the associations of SHI-accredited physicians.
A survey commissioned by the federal association of panel doctors showed that a good one in five people with statutory health insurance has to wait several weeks for an appointment with a doctor. Only four percent of privately insured patients have to wait longer than three weeks.
For the MLP health report, the allensbach institute for public opinion research showed that 38 percent of those with statutory health insurance had waited a long time for a doctor’s appointment several times within two years, and 17 percent had waited once. Despite appointments, 67 percent of patients with health insurance have to wait in the waiting room for a long time, but only 48 percent of patients with private insurance.
Progress has also been made in the goal of improving hospital quality, although negotiations are to continue this friday. It has already been agreed that the extensive data on patients and treatment, which is collected at various locations, will be combined, lauterbach said. According to drogba, this is a prerequisite for quality-oriented increases and reductions in hospital payments. Spahn also said that the ideas went as far as agreeing to knock offs.
Lauterbach told the phoenix television channel that there are plans to have a quality institute jointly evaluate the data of hospitals, health insurance companies and the financial equalization between the insurance companies. It is conceivable, she said, "that many patients will decide to have the services done where particularly good quality has been proven". Today, instead, "many patients go to the next best hospital"."
Another new development is the disclosure of problems after a patient has been discharged from hospital – for example, whether follow-up interventions are necessary in a practice later on.
The chief executive of the german hospital association, georg baum, criticized: "the patients certainly don’t benefit from the cuts."The clinic quality is already good. The spokesman for the association of statutory health insurers, florian lanz, on the other hand, said: "the quality of treatment is crucial for patients. Why shouldn’t good quality be paid better and poor quality worse or not paid at all??"