Monday, November 7, 2005

Cheese Fondue Without A Fondue

errors in the future in Germany, the doctors

I-Newswire,
2005-11-07 - Bonn/Hamburg

errors in the future in Germany, doctors

In Mecklenburg-Western Pomerania and in the Saxon Switzerland, it is already down almost a doctor, because he reckons there with little earning potential.
Another reason that might be missing in German hospitals from January 2005, the white coat, the new labor law requiring such duty must be regarded in future as working time. This is at least the German Hospital Federation (DKG) http://www.dkgev.de, which warns of a "massive manpower crisis." The new rules should not come into force. Otherwise, you need to 27,000 new doctors. The doctors' union Marburger Bund (MB) http://www.marburger-bund.de called that number, according to the newspaper Die Welt http://www.welt.de as a "lie." With suitable working hours up to an additional 7,000 doctors are needed.
But it could have been worse for the doctors. In the current mirror http://www.spiegel.de says the physician and health researcher Matthias Schrappe a "farewell to the demigod in white" forward. The demands of the clinic doctors to get 30 percent more pay, Schrappe has not only completely unrealistic, but also for the expression of a deep identity crisis. "The self-understanding of the medical profession is called into question," the doctor who http://www.uni-wh.de since September 2005 as a full-time dean at the University of Witten-Herdecke operates.
Today the young doctors were missing the future prospects. Because of licensing restrictions set up a lucrative big city practice is hardly possible. And as a specialist in the hospital there were fewer opportunities for advancement, since only 10,000 positions are awarded to chief physician.
"The entire health care system faces enormous changes," said Michael Sander, CEO of the consulting firm Lindauer TCP Terra Consulting Partners GmbH http://www.terraconsult.de and Board of CareHelix Institute of Management and dialogue in health care (CIM) http://www.carehelix-institut.de.
The medical profession in hospital is becoming a normal service. This is not a world à la Black Forest clinic where there are demigods in white and a lot of love affairs and romances. Hospital doctors of today to provide services under the aspects of transparency and quality assurance. "
addition, the need comes with the love of money. German hospital doctors obtain an annual salary of 56 455, one of 116 077 French, Dutch and American even earn 175 155 267 993 U.S. dollars. In addition to the comparatively low annual salaries German hospital doctors and the rampant loss of image raises the strict hierarchical order in German hospitals problems. "This is a classic management problem. Certainly, today the small hospital doctors do not wash over the weekend the car of a prominent physician.
Not only Frank Ulrich Montgomery, head of the doctors' union Marburger Bund, speaks of conditions such as in the Prussian field hospital. A better and more modern personnel management would it easier for specialists in the clinics significantly, perhaps 30 years to stay in a house without ever chief doctor. When high work stress, relatively low earnings and promotion prospects and a poor social climate come together, this will hardly motivating, "is the view of Marc Emde, a member of the church staff in consultation http://www.kirchconsult.de Cologne. The future prospects are not very rosy, however: Schrappe forecasts that still expect a long simmering conflict sei.Sollten you have questions about our releases, please contact the author. I-Newswire.com No information on press releases we publish notices only and do not give yourself write.

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Sunday, November 6, 2005

Whipple Procedure Chemotherapy

burns the hut ablaze

Because of a letter to the CDU in Saxony came Nünchritz Social Security Orosz Roda in the village inn.

The hut is burning brightly. In the latest two years, we have an acute shortage of doctors in the county. "So the assessment of the country doctor, Dr. Wolfgang Klemm Glaubitz the visit from Social Security last week in Helma Orosz Roda. "Of the 68 doctors in Riesa-30 Großenhain their license until 2007, returning to old age. ..

Weird Snot Came Out Of Y Nose

general practices - unfortunately not for sale

Growing shortage of doctors makes the goodwill of more and more cases, an end
general practices - unfortunately not for sale
Jost Küpper
for general practitioners and family physicians was for years a sure thing. they handed over to the successor to its practice of paying in cash for the so-called ideal practical value. The financial contract physician look-up is due to the shortage of doctors but more often not take place.
Dr. Joachim Calles, family doctor Roth churches in Kronach out, since a few months, a rather strange list. On the list you will find places such as court, Kronach, Waidhaus or Neustadt bei Coburg. But spots like Gundelsdorf / Kronach, Steinbach / Wald, Pressig, Hausen or White City will be called. They are all located in the Bavarian Upper Franconia.

that call, she presented at this year's Bavarian Medical Assembly in Coburg, has a deplorable reason: In all of these communities sought in the past three months by a family doctor for a successor - and was not so successful. Calles, medical chief district of Upper Franconia, defends tooth and nail behind the fates of individuals a single model assumed. But the message is clear: the shortage of doctors has arrived in Bavaria.

shortage of doctors - that is for many viewers is still a purely east German phenomenon: Yes, there has to be paid in Saxony a bush allowance of up to 60,000 € to attract family doctors in medical orphaned villages. Yes, as the KV Thüringen tinkering in Ohrdruf (Landkreis Gotha) on a GP practice in-house. But something does not exist in the West.

are
As Dr. Calles and the affected family doctors of Upper Franconia certainly quite different opinion. And if Doctores in the Rhineland, Lower Saxony and Baden-Württemberg think this they would surely nothing, they should listen to two aspects of the family doctor shortage in the economic miracle of Bavaria.

goodwill: up to 50 percent of annual sales

  • Aspect 1: If no successor ready to experience the donor family doctor a financial fiasco. 20 to 50 percent expect an annual turnover, so savvy practice broker, a successor shall pay to the transferor for the ideal value practices, also known as "Good Will" titled.

    If we add, for example, at a general practice (second group: Family doctor internists) in the country with a bill of over 1,000, can be a Corridor for the SHI annual sales 160000-220000 € emanate. Of these, then 20 to 50 percent are missing for retirement. A disturbing scenario not only in Bavaria.

  • Aspect 2: The idea that "it can not hit me", destroyed in the Bavarian Medical Assembly of the local chamber vice president, Dr. Max Kaplan, general practitioner from Pfaffhausen / Unterallgäu. Many props to his description also apply to other regions.

    Kaplan's provocative brand stitch in Coburg was the statement that "young doctors do not practice in villages. Particularly affected was the occupation of Hausarztes. Insbesondere ländliche Regionen litten immer stärker unter einem entsprechenden Nachwuchsmangel. Die Gründe dazu stehen im Kasten ÄP-Hintergrund.

    Die Überalterung der Hausärzte

    Parallel dazu muss im Freistaat nach Kaplan eine Überalterung bei den Hausärzten konstatiert werden. Die Altersstruktur-Statistik zeige deutlich, dass der Altersgipfel bei Hausärzten um die 55 Jahre liege, so dass in den nächsten zehn bis 15 Jahren die Hälfte aller rund 10.000 Hausärzte ausscheiden werde.

    Der Kammervize hat noch einen fachspezifischen Trend ausgemacht: „Besorgniserregend ist dies mainly because the number of newly issued awards in general medicine from year to year decline. 1996, 331 physicians have received recognition for general practitioners, their numbers amounted in 2004 to 252nd "

    From the newly created" a specialist in internal medicine and general hoped, "Kaplan appeared to be no turnaround. It is clear from the fact that in the coming 15 years some 5,200 family doctors to retire while to come "at the basis of the latest figures from 2004 only 3,800 new doctors into the system.

    This deficit of about 1,400 family doctors and the loss the junior practitioners by the state result in getting more and more willing to levy Established to hear this, "family practice - unfortunately not for sale. This bad news is not limited to Bavaria.


    AEP BACKGROUND

    working week of 65 hours

    They are to hold, according to Bavaria Kammerzive Kaplan, the reasons why young family doctors from practicing in the country:
  • Longer working hours by the primary -medical care with a 24-hour presence as well as night and weekend services (hours worked per week: 55-65 hours, emergency services 75 per year).
  • Lower income opportunity than other contracted physicians. In particular, the differences in the reimbursement of speaking and device-name drugs.
  • Constantly deteriorating work conditions and Bürokratismuswahn list medicine (consultation fee, DMP, cash requests, ICD-encryption). In addition there are different models of care and budget pressures in the pharmaceutical and medicine sector.
  • Declining quality of life and thus ever-smaller reconciling family and working life through extra work at lower and lower medical care density.


    AEP-INTERVIEW

    ... by Dr. Axel Munte, head of the FAs of Bavaria (KVB), on physician shortage of family doctors in rural areas in Bavaria. Munte itself is registered doctor, internist (Gastroenterology) in a medical center in Munich-Harlaching.

    "We try draufzusatteln, the EBM"

    AEP: Critics say that was for the Free State reported lack of family doctors merely a phantom, the medical officials to mislead the public invented had .

  • Munte: The easy not to hear properly. Of course there is still no comprehensive family doctor shortage in non-metropolitan areas in Bavaria. But there are very worrying developments in the country. And please take a look once the age structure of our family doctors to! In five to six years, which is pitch-dark when we do nothing.

    Ok - the problem is detected. How about now with recipes from the KVB it?
    There's a whole package. We call in Bavaria last chairs of general practice, and - so it is faster - the realization of endowed chairs. We call more training places and facilities for more pictures, a liberalization of the professional law for contract doctors, so that even in second practice in a medically underserved, but can open locked area, we ...

    ... tackle the issue of money but rather because it is not on.
    Not likely. It must also improve her earning potential. And so we will try of statewide draufzusatteln EBM in primary care shortage areas. But there's still the possibility of structural contracts. This is sound countermeasures.

    Others hope to settle the much more profane. The AOK will, for example, a doctor's mandatory year in the country prior to the establishment!
    And what's the point? Each year a new doctor or a new doctor! Patients will thank you. Equally impossible is it to send buses with mobile practitioner team through problem areas. And who really gives me a guarantee that a start-up funding as in Saxony, the long-term care physicians actually holds the spot? They are pure Notnägel, but no real alternatives.

  • 2005-10-20
    Source: www.aerztlichepraxis.de