Goebell PJ (2023)
Publication Type: Journal article, Review article
Publication year: 2023
Book Volume: 62
Pages Range: 784-789
Journal Issue: 8
DOI: 10.1007/s00120-023-02144-y
Overall, the German healthcare system is shaped by numerous players and institutions. With the state medical associations as public corporations for self-governance and the Heilberufsgesetz (German Health Professions Act), professional practice, professional representation and professional jurisdiction are regulated at the state level. The Joint Federal Committee (“Gemeinsame Bundesausschuss”), the highest decision-making body of joint self-governance in the German health care system, plays a central role. Practicing a liberal profession is intended to guarantee an undisturbed physician–patient relationship. Neither in hospitals nor in outpatient care can medical care be separated from economic constraints, but the fundamental binding of medical care to pure service catalogs leads to mismanagement. The goal of the hospital reform proposals currently being developed by the German Federal Ministry of Health is to avoid unnecessary hospital closures and to ensure high-quality care throughout the country, even in rural regions. In the age of strict separation of outpatient and inpatient care, the diagnosis-related group (DRG) system has primarily led to services migrating to the inpatient sector. It may no longer be possible to offer all continuing education courses at all continuing education centers following a reform of the care structure.
APA:
Goebell, P.J. (2023). Another encroachment on our liberal profession—The German Federal Ministry of Health continues to stubbornly ignore the self-government Ein weiterer Eingriff in unsere Freiberuflichkeit – das Bundesgesundheitsministerium ignoriert weiter hartnäckig die Selbstverwaltung. Die Urologie, 62(8), 784-789. https://dx.doi.org/10.1007/s00120-023-02144-y
MLA:
Goebell, Peter J.. "Another encroachment on our liberal profession—The German Federal Ministry of Health continues to stubbornly ignore the self-government Ein weiterer Eingriff in unsere Freiberuflichkeit – das Bundesgesundheitsministerium ignoriert weiter hartnäckig die Selbstverwaltung." Die Urologie 62.8 (2023): 784-789.
BibTeX: Download