Contracts for Primary Physicians - Good Feedback, but Far from Perfect

CompuGroup Medical AGThe primary physician's position remains a popular topic in German healthcare policy. The contracts for primary physicians, which are expected to improve healthcare and reduce the bureaucratic barriers, are a particularly hot topic. That's apparently what many primary physicians are hoping, because over half of all surveyed physicians (58%) have already enrolled in an HZV contract (primary physician-centered contract). Fifty-five % of the participating primary physicians are happy about positive changes - that's a success. However, 59 % of the primary physicians surveyed are of the opinion that the primary physician - centered healthcare needs to be strengthened and they are opposed to the Federal Government's planned fee limitations in the new contracts. More than one third of the surveyed physicians (36.6%) are even actively participating in protests against these austerity measures. That was the result of the monthly CGM health monitor, a representative survey of 440 randomly selected primary physicians, conducted by CompuGroup Medical, the Rhein-Zeitung and the Medical Tribune.

Dream job with disadvantages - primary physicians demand support
Most private practice primary physicians have a special work ethic - they are there for their patients past "normal" working hours and are even available at night and on weekends. This personal effort is surely appreciated at the human level, but the monetary reward offered by the state is insufficient. The Hausärzteverband (Association of Primary Physicians) criticizes that general practitioners in particular are still languishing at the lower third of medical pay and are at a disadvantage in light of the high workload. This situation is supposed to be mitigated through contracts that the physicians will execute directly with the health insurance companies. As the surveys demonstrated, the majority of primary physicians consider the contracts to be promising. Almost 6 out of every 10 physicians (58%) have enrolled and 42 % of physicians are adopting a restrained reaction so far.

The improvements can still be upgraded
The question whether physicians enrolled in an HZV contract are satisfied is probably best answered with yes and no. After all, improved healthcare was reported by 15.4% of those surveyed, 14.8% would like more contracts with more health insurance companies, and 17.7% even report that they are satisfied with the fees. However, 45% of participants did state that overall, not enough positive changes were made. There are probably many different reasons for this dissatisfaction and it is most likely also influenced by the various types of contracts that are currently offered. For example, physicians enrolled in rectification contracts pursuant to section 73b SGB V (German Social Code Book 5) are currently unhappy with the efforts required for the conversion. And with regard to the add-on contracts, the German Association of Primary Physicians has doubts that they will actually improve healthcare. It is also possible that tedious bureaucracy plays a role in this: only 7.1% report that the HZV contracts have reduced this burden.

Skeptics want to be convinced
The relatively high percentage of dissatisfied colleagues bolsters critics of the contracts in their opinion that they made the right decision by not enrolling. Two thirds of the 185 people surveyed (67.5%) that are not enrolled in any primary physician contract decline it with the justification that they just aren't convinced by the contract offered. The physicians that are not enrolled (13.5%) feel that they are better off in the health insurance system and they don't want to give up that security. And 5.4% state that the HZV contracts available so far don't apply to enough of their patients and they were not participating for that reason. An additional 8.1% might participate but they stress that no contracts are offered in their region.

Primary physicians are criticizing the Federal Government's austerity measures
Despite partial skepticism, the surveyed primary physicians want to see the HZV contracts strengthened. Well over half (58.6%) feel that it is inappropriate for the Federal Government to limit pay rates in the new contracts. Of the 440 physicians surveyed, 28.8% "don't care", but that may be due to the fact that the planned limits at the basic care level do not affect the current contracts. Only 8% of the primary physicians surveyed show some insight into the austerity measures and feel that they are unavoidable in the current situation.

Many physicians are even taking to the streets
Many primary physicians are so outraged about the austerity policy planned by the Federal Health Minister, Dr. Philipp Rösler, that they are actively supporting protests against it. More than one third of the surveyed physicians (36.6%) personally participates and may even take to the streets with a placard. At least as many colleagues (36.8%) find the protests justified, even if their own medical practice is not directly affected. Only 20.5% do not want to be involved in the discussion and do not endorse the protests. If you add up all those numbers, it is obvious that with their protest against the Federal Government's HZV plans, the German Association of Primary Physicians is acting in agreement with the mindset of right around three quarters of all primary physicians. The association perceives the entire German healthcare provided by primary physicians to be so endangered by the austerity measures that they have cancelled the opening ceremony for the Association's 50th anniversary. The reason: there is no cause for celebration with the current HZV situation.

Related news articles:

About CompuGroup Medical AG
CompuGroup Medical is one of the leading e‐health companies worldwide. Its software products, designed to support all medical and organizational activities in doctors' offices and hospitals, its information services for all parties involved in the healthcare system and its web‐based personal health records contribute towards safer and more efficient healthcare. The services of CompuGroup Medical are based on its unique customer base of around 370,000 doctors, dentists, hospitals and networks as well as other service providers. CompuGroup Medical is the e-Health company with one of the biggest coverage among e-health service providers worldwide. The company operates in 14 European countries as well as in Malaysia, Saudi Arabia, South Africa and in the USA and currently employs around 3,000 people.

About CGM GesundheitsMONITOR
The CGM GesundheitsMONITOR is a joint initiative of CompuGroup Medical, the Medical Tribune and the Rhein-Zeitung. They perform representative monthly surveys of 440 general practitioners with regard to current issues in the healthcare system. You can download free printable graphs and find publications as well as information about the representative survey at www.cgmgesundheitsmonitor.de.

About Medical Tribune
For over 40 years, the Medical Tribune has been one of the most widely read publications for private practice physicians. The popular weekly newspaper offers an attractive mix of medicine, health and professional policies relevant to private practice, and economic issues that apply to the medical profession. In a unique style, the Medical Tribune provides multi - faceted continued education, personal advice, and interesting reading material within a newspaper. The Medical Tribune's success story has been documented by the independent readership review (LA-MED) for decades.

About Rhein-Zeitung
The Rhein-Zeitung area of circulation connects the metropolitan areas Köln-Bonn and the Rhein-Main region. The economically strong region around Koblenz is located in the center. With a circulation of right of 224,000 copies and 17 local issues, the Rhein-Zeitung has approximately 640,000 readers.

Most Popular Now

Collective Intelligence can Help Reduce …

An estimated 250,000 people die from preventable medical errors in the U.S. each year. Many of these errors originate during the diagnostic process. A powerful way to increase diagnostic accuracy...

Software Created from 'Building Blo…

New 'building-block' approaches to the creation of digital tools which include data and artificial intelligence (AI) could play a key role in improving the running of hospital wards and disease...

How could Technology Better Support Pati…

The NHS exists to serve patients. But more could be done to make their experience a key focus when it comes to technology adoption, senior NHS delegates told a recent...

"Showtime" for Digital Health …

13 - 16 November 2023, Düsseldorf, Germany. A hundred start-ups and more than 120 high-calibre professional speakers: These are just the "naked" facts which this year's MEDICA CONNECTED HEALTHCARE FORUM will...

Artificial Intelligence: Unexpected Resu…

Artificial intelligence (AI) is on the rise. Until now, AI applications generally have "black box" character: How AI arrives at its results remains hidden. Prof. Dr. Jürgen Bajorath, a cheminformatics...

Philips Program Developing AI-Powered Ul…

Royal Philips (NYSE: PHG, AEX: PHIA), a global leader in health technology, today announced it has received a second round of funding from the Bill & Melinda Gates Foundation to...

CGM Continues to Drive Digitization in H…

CompuGroup Medical SE & Co. KGaA (CGM), one of the world's leading e-health providers, successfully progressed the digitization in healthcare during the first three quarters in 2023. CGM supports physicians...

Wolverhampton's New 10-Year EPR Dea…

The Royal Wolverhampton NHS Trust (RWT) has just signed a 10-year contract with System C for an integrated electronic patient record (EPR) system, which will replace the trust's in-house built...

Printed Robots with Bones, Ligaments, an…

3D printing is advancing rapidly, and the range of materials that can be used has expanded considerably. While the technology was previously limited to fast-curing plastics, it has now been...

Orchestrating the New World of AI in Hea…

Orion Health's UK and Ireland Customer Conference 2023 focused on the future potential and immediate, practical application of AI to healthcare - and gave delegates a first look at the...

Researchers Take New AI Approach to Anal…

Researchers at Karolinska Institutet and SciLifeLab in Sweden have combined artificial intelligence (AI) techniques used in satellite imaging and community ecology to interpret large amounts of data from tumour tissue...

AI identifies Non-Smokers at High Risk f…

Using a routine chest X-ray image, an artificial intelligence (AI) tool can identify non-smokers who are at high risk for lung cancer, according to a study being presented next week...