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