As was said in the 80's and 90's constantly threatened by a glut of doctors makes nowadays widely in many European countries, wide-scale disillusionment and is replaced by the fear of an impending shortage of physicians.
Those forecasts that horror scenarios of armies seeking work Doctors predicted at the time, and thus knowingly destabilized an entire generation of young, have proved how the numbers, not true. It was predicted an army of up to 60,000 unemployed white coats.
It is therefore to suspect in retrospect that this ultimately flawed predictions were guided by interest in a significant extent.
labor market: full employment for physicians
The medical labor market is currently at full employment. The unemployment rate is about 2%. Currently there are approximately 6140 registered job seeker doctors. Compared to the current social conditions one must know that it is this number at about 80% (ie 4,800 persons) for pure short-term unemployment of up to a maximum of 3 months. So the time period that one must take into account for a change. There remain about 1,200 doctors, which are most likely to act Fachärzt which, for various reasons (eg children's education) do not have a job.
- The current demand for hospital places alone is differently 3000-6000. He is so far not to fill the existing national medical supply.
indicators the shortage of doctors
Der Ärztemangel in Deutschland deutet sich aktuell durch folgende Indikatoren an:
stetig zunehmende Überalterung der Vertragsärzteschaft
stetige Abnahme der absoluten Zahl der Ärztinnen und Ärzte unter 35 Lebensjahren (Nachwuchsindikator!)
stetig sinkende Zahl praktizierender Hausärzte in überwiegend ländlichen Regionen
geringerer Zugang junger Ärzte bei den Ärztekammern nach Abschluss des Studiums
steigende Zahl von Ärzten, die nicht mehr in der Patientenversorgung tätig sein wollen
zunehmende Niederlassungsscheu junger Ärztinnen und Ärzte
steigende Zahl an Studienabbrechern und Studienfachwechslern
steigende Zahl ärztlicher Emigranten in das europäische und aussereuropäische Ausland
- Ursachen des Ärztemangels
All diesen Indizien liegt nicht nur die stetig sich verschlechternde wirtschaftliche Perspektive des Arztberufes zu Grunde. Die seit Jahren andauernde, bewusst herbeigeführte und ständig wiederholte mediale Hetze gegen "die Ärzte" als Inbegriff der Korruption und Ausbeutung von Patienten trägt nun fürchterliche Früchte.
Mit der Zielvorgabe der Erhaltung sozialstaatlicher Prinzipien werden Gelder, mit denen medizinische Leistungserbringer ( Ärzte , Krankenhäuser , Apotheker , Pharma Industry and others) have been paid, more budgeted, patronized regulated and bureaucratic. -
There is criticism that in turn funds into a bloated and increasingly-expanding health insurance and administrative machinery be directed and an honorary doctor's activities, as well as for patient care is no longer available. -
Expert also suspect for some time, is that the reduction in the number of doctors politically desirable and the consequences are quite calculated as "unacceptable". With the end of the East-West-conflict social benefit systems are not in mutual competition system. The ideology question seems decided for some time, a system question is not current.
For this reason, the social, state-oriented welfare schemes for the private sector be reduced to market conditions-based, profit-maximizing health-care providers. Thus, a possible calculus. The boundaries seem to date from this yet explored. At least audible protests are rarely available. At most, the Catholic Church has already expressed your position on this clear.
- forecasts of physician development
number In February 2004 said the German Federal Medical Council this situation, which affects mainly the eastern provinces . As a household word, the term "Uckermark syndrome is traded. It will also increasingly gaps in the outpatient sector in western Germany expected. Thus, lack of medical in northern Bavaria also been reported as such in South Württemberg or in North Baden. Also in Lower Saxony, the Eifel and the extreme northwest of the Republic of reaching out to reports of shortages of doctors. Particularly striking example of the deficiency appears currently in Torgau (Saxony) on.
The National Association of Ambulatory Health (KBV) apparently followed the action. About their motivations may be speculated. Currently it has already, with much anxious undertone, published its third study on the number of medical development in D, because your a political securing task is given and you apparently fears you meet your obligations imposed by law can not. In this case threatens state substitute performance possibly even termination of the corporation by federal decision.
took last year the number of doctors across Germany Although erenut by 1% to 304 000 to, but growth was slightly lower than in previous years. In East Germany
the number of doctors fell in toto to 1,3 Prozent.
Da 17% der niedergelassenen Ärzte über 60 Jahre alt sind, kommt es in Zukunft, so die Befürchtungen, möglicherweise zu Engpässen bei der fach- und hausärztlichen Versorgung. Die sinkende Zahl neu im Inland tätiger Ärztinnen und Ärzte ist u.a. auch dadurch bedingt, dass etwa ein Viertel der Absolventen eine Tätigkeit außerhalb der Patientenversorgung sucht und auch findet.
Die Bundesärztekammer (BAEK) sieht den wichtigsten Grund, verfolgt man Ihre Veröffentlichungen, für sinkende Attraktivität des Arztberufes in den Arbeitsbedingungen, welche offenbar zunehmend inakzeptabel geworden sind. Die Überreglementierung der Gesundheitssysteme führe zu vielen unbezahlten Überstunden und damit verbundener Demotivierung.
Vor dem Hintergrund des zunehmenden Morbiditätsrisikos einer alternden Gesellschaft ist die Entwicklung durchaus problematisch. Oft besteht, offenbar als Folge dieser Entwicklung in vielen Landkreisen de facto bereits keine Möglichkeit zur freien Arztwahl mehr. Dies könnte zu einem Gewöhnungseffekt in der Bevölkerung führen, um die Versorgung künftig in Medizinischen Versorgungszentren ( MVZ ) zu konzentrieren, eine Entwicklung welche die Niederlassung in freier Praxis ersticken müsste.
- Ärztemangel im Ausland
Zahlreiche europäische Neighboring countries have in recent years, possibly on purpose, too few doctors trained and advertise now for quite some time German junior doctors to significantly better economic conditions in their countries from.
Of particular importance here, the European neighbors of the United Kingdom, Norway, Sweden and Finland. Shortage of physicians is also reported from Belgium, even Australia, if we may believe the current media reports.
- Foreign doctors in Germany
The gaping holes in Germany are currently conducting a number of foreign doctors from Poland, Czech Republic, Russland, Moldavien, der Ukraine und beispielsweise aus Usbekistan befüllt. Diese ärztlichen Wanderarbeiter beginnen Ihre Karriere oft in den fünf neuen Ländern um dann, bereits nach kürzester Zeit Ihre berufliche Wanderung, der besseren Karrierechancen und des damit verbundenen besseren Verdienstes wegen, gen Westen fortzusetzen.
Man spricht bereits von einer OST-WEST Ärztewanderung, was nicht Ziel einer verantwortungsbewussten Sozialpolitik sein kann.
- Folgen des Ärztemangels
Die augenscheinlichsten Folgen des aktuellen Nachfragemarktes ist seitens der Ärztinnen und Ärzte die wöchentlich lauter vernehmbaren Forderungen nach Stärkung Their economic position. It is legitimate, here the laws of the market in a free society to have to get used. These requirements are, therefore, a long run, result in the intended success.
Regarding the willingness to medical school is currently made mostly the same reasons again an influx of applicants seen what the numerus clausus rates again intensified.
The number of the available places, however, it appears the attentive look at the ZVS Homepage, some citizens to a single but important set screw, not changed. It is currently unchanged for 6-7 years, every year approximately 8440 new registrations study. Thank
is apparently also missed the fact that each year the number of new registrations for years before that date was at 11,000. The shortage of physicians is thus entirely induced state to the major parts and thus wanted.
- previous actions against doctors lack
The recent actions of those responsible are exhausted in fact poor and mainly in rhetorical action. A real approach to problem solving, the rising crisis is for the knowledgeable observer is not yet apparent.
Links
http://www.arbeitsagentur.de
http://www.aerzteblatt.de
http://www.kbv.de
http://www.zvs.de
http://aerztemangel.blogspot.com/
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