Encouraging enhanced doctor visits via incentives
The German government is planning a significant overhaul of its healthcare system, with a focus on introducing a mandatory first General Practitioner (GP) system and further digitization. The proposal, supported by both the Union and the SPD, aims to ensure a "guaranteed appointment" within a certain time frame for patients.
Nicola Buhlinger-Goepfarth, co-chair of the Association of General Practitioners, believes that the existing GP programs with health insurance companies can be utilised in this new system. She also notes that the older and chronically ill population could benefit from this model. Markus Beier, another co-chair of the Association, highlights the impact of demographic change on practices, particularly in relation to older patients and chronic illnesses. He also mentions the increased need for coordination of medications and doctor's appointments for this demographic.
The Association of General Practitioners supports the coalition plans for a mandatory first GP system. However, they do not express any concerns about becoming a bottleneck in the new system, with Warken, the Federal Health Minister, emphasising the importance of ensuring that GPs do not become a bottleneck.
The new access system cannot be introduced overnight, according to Warken. She is considering financial incentives to facilitate more targeted access to specialist appointments. If the appointment within this time frame is not possible in a practice, patients can be treated by a specialist or in a hospital.
Pharmacies are expected to play a larger role in the new healthcare system, although the Association of General Practitioners does not explicitly mention them as playing a larger role in the information provided. The focus on digitization in healthcare is also supported by the Association of General Practitioners.
However, the German Foundation for Patient Protection has raised concerns about the proposed system. Eugen Brysch, a board member of the Foundation, states that deficiencies must be addressed before a mandatory first GP can be introduced. These deficiencies include insufficient GPs, pharmacies with medical services, and functional digitization. The Foundation warns that the health system's digital transformation still faces challenges such as cyberattacks, lack of full infrastructure, and personnel shortages. Secure, interoperable digital systems and adequate healthcare provider availability remain prerequisites for expanding mandated digital health measures.
People should not be deterred from seeking medical help due to the new system, Warken states. She encourages everyone to continue seeking medical attention when necessary. The coalition agreement specifies that this system should ensure a "guaranteed appointment" within a certain time frame, providing reassurance to those concerned about access to healthcare services.
