However, the CDU politician has also emphasized that he does not want any “isolated solutions” that cannot be transferred to other funds.
In addition, the health fund, which collects the contribution money and distributes it to the health insurers, recently had a liquidity reserve of around 10 billion euros. Source: ntv.de, mbo / dpa “Care risk: The absence of nurses and nurses is worrying. (Photo : picture alliance / dpa) Those who care for themselves often get sick themselves: This has been shown by an examination by a health insurance company. Nurses take more sick days than other professional groups, they take more medication and are more often mentally ill – experts see a need for political action. Low wages, high physical and psychological stress, poor personnel key, shift work: many nurses are overworked, exhausted and therefore on sick leave more often and longer than people from other industries. They are more often mentally ill, receive more medication and the physical stress also damages their musculoskeletal system.
This is the result of the health report published by the Techniker Krankenkasse (TK) entitled “Long-term care in the care sector? This is how it’s for Germany’s caregivers.” According to the study, sick and elderly care workers are absent around 23 working days per year for health reasons. This means that the nursing staff report sick eight days longer than the national average for all employees. What stands out in particular: Employees have to struggle with psychological diagnoses.
Male nursing staff are absent due to mental illness, with an average of 4.6 days, 2.4 times as often as male workers overall. For women, in addition to psychological complaints, there are also noticeably high levels of absenteeism due to musculoskeletal disorders caused by physical stress. In view of the numbers, the need for action is acute, says Jens Baas, head of TK. Because if nurses are not physically or mentally healthy, the quality of care naturally suffers. This in turn means that the remaining colleagues “often have to compensate for this and are all the more stressed,” says Baas. The nursing staff is also far ahead of other professional groups when it comes to prescribing medication. “In addition to drugs for high blood pressure and gastric acid blockers, people in care professions are prescribed considerably larger amounts of drugs to treat the nervous system compared to working people – especially men,” the study noted.
For the health report, the health insurance company evaluated the sick leave and drug prescriptions of around 5.2 million insured persons. In the past year, around 181,000 employees were insured in a health or geriatric care profession with TK. More than 25,000 specialist positions across Germany are not filled. On average, around 15,000 vacancies for specialists in the care of the elderly were registered in 2017, in nursing there were 11,000.biology essays writing service There is no very precise overview, the German nursing council even assumes at least 100,000 missing nurses. A third of nurses are considering quitting their jobs.
In addition, a third of carers will reach retirement age within the next 15 years. What is needed are better pay, more employee-friendly duty rosters and a target for the further development of the health care profession over the next few years. “In an international comparison, Germany has a below-average number of nursing staff,” says Irene Maier, Vice President of the German Nursing Council. In the coalition agreement, the Union and the SPD have promised, among other things, an “immediate care program” with 8,000 new specialist positions and better pay. In June, Minister of Labor Hubertus Heil, Minister of Family Affairs Franziska Giffey and Minister of Health Jens Spahn presented a package of measures to improve working conditions in the industry on a broad front. However, the concrete implementation and the financing of further increasing costs are still partly open. “The small-scale measures of the grand coalition in recent years remain ineffective, the job market for nursing staff is as empty”, criticized the Green parliamentary group leader Katrin Göring-Eckardt the crisis of skilled workers. “We demand a comprehensive immediate care program of 25 each.
000 additional nursing staff positions for the elderly and the sick, in order to fill the vacant nursing positions as quickly as possible and to relieve the staff situation as a whole, “said Göring-Eckardt. For Baas from TK, the” Concentrated Care Campaign “launched by the federal government a year ago but at least a “first premium” that has opened up topics: from training to health care to remuneration in nursing. “Success can only be really assessed in the next step, if for example concrete legal measures are taken.” The Nursing Council reacts cautiously: Politicians recognized the explosive nature of the situation, but “with the all-important question:” Where do we want to go as a society with the nursing professions “, more would have been necessary than the result shows.” Source: ntv.de “Surgeons accounted for almost 1,500 suspected cases recorded by Techniker Krankenkasse in 2017. (Photo: picture alliance / Maur izio Gamb) Once they were gods in white, today they are service providers: Doctors are increasingly exposed to the critical judgment of patients. They report suspected malpractice more often.
Surgeons and dentists are particularly hard hit, and Techniker Krankenkasse (TK) posted a record of suspected medical malpractice reports last year. 5500 insured persons turned to the statutory health insurance in 2017 because they suspected a medical malpractice, said a TK spokeswoman. This is an increase of 16 percent compared to 2016. Most of the complaints were about treatments by the surgeon (1477 suspected cases). This was followed by dentists (920 suspected cases), general practitioners (546 cases) and orthopedists (351 cases).
Internal medicine accounted for 221 complaints, gynecologists for 219 and ophthalmologists for 216 cases. Last year, TK reportedly reclaimed more than 15 million euros from doctors and clinics for the follow-up costs of incorrect treatment. Medical law expert Christian Soltau said: “The insured are much more critical and self-confident today than they used to be.” The “gods in white” are now normal service providers. “That’s why the phone rings more often on our complaints hotline.” However, not every suspected case is confirmed in the course of the review, underlined Soltau. But in about every third case, the evidence of a malpractice was confirmed. In addition, there is likely to be a high number of undiscovered treatment errors.
Expert opinions are usually free of charge for those with statutory health insurance and can also be used to negotiate damages with the doctor, the hospital, the responsible liability insurance company or in court. In Soltau’s opinion, German laws should protect patients even more. So far, the patient has had to clearly prove the error. That is usually difficult. Source: ntv.de, asc / dpa “News and information at a glance.
Collection of articles from n-tv.de on the subject of Techniker Krankenkasse The increase in health insurance contributions from 2016 is an open secret. Germany’s largest fund, the TKK, has now confirmed that its members will also have to dig deeper into their pockets for contributions in the coming year. A health insurance company warns in a study: Tens of thousands of insured persons in Germany are unnecessarily x-rayed if they have back pain. The consequences are superfluous operations.
The pain remains. The health insurance surpluses are plentiful. Those insured by Techniker Krankenkasse will now benefit personally from this cushion. She wants to transfer some of it to them.
A report about negotiations between the Techniker Krankenkasse and the KKH Alliance about a merger caused a stir. Such a merger would create the largest statutory health insurance company in the country with almost 9.5 million insured persons. But both TK and the KKH Alliance vehemently reject the report. Applause for Telefónica O2 Germany, the Techniker Krankenkasse from Hamburg and the Cologne-based AXA Group.
According to an employee survey, they show greatness in the form of workplace culture in these difficult times with job and existential fear. Techniker Krankenkasse and IKK-Direkt want to merge to form the largest health insurance company in Germany for the start of the health fund. The latest development is “scary,” said a spokeswoman for Techniker Krankenkasse. The number of cases of excessive drinking would have practically doubled in the past five years.
According to the Techniker Krankenkasse, the members of the statutory health insurance companies are threatened with a new premium increase. The head of the Techniker Krankenkasse wants to sue against the obligation to publish the salaries of fund managers. Not only treasurers should disclose their remuneration, but also savings bank boards or directors of public broadcasters. Several health insurance companies apparently want to abolish the controversial practice fee of 10 euros.
According to a report in the “Bild” newspaper, the DAK, technician and some company health insurance funds are planning to exempt their members. In addition, the insured must participate in the so-called “family doctor model”. “” Jens Baas, head of the Techniker Krankenkasse, presented the app at the start of the first “electronic health record”. (Photo: picture alliance / Wolfgang Kumm) Those insured with the Techniker Krankenkasse will be able to have vaccinations in future , Save medication and x-rays in an electronic patient record. Industry and politics see great progress in this. Experts are calling for uniform standards. Those insured by Techniker Krankenkassen (TK) will in future be able to save health data such as vaccinations, prescribed medication, diagnoses or X-rays in an electronic patient file. At the presentation of the planned electronic health record in Berlin, TK boss Jens Baas explained that it was solely up to the insured what was stored there and who had access to the information. TK claims that it is the first cash register nationwide to have such an electronic one Introduces acts.
The application developed together with the technology company IBM Germany previously ran successfully in test operation. Up to now, medical data has been stored decentrally with doctors, hospitals, therapists or health insurance companies. Patients do not have direct access to their own data and have to request X-rays and laboratory values from various doctors. In future, insured persons should be able to access the digital data safe with their smartphone via the TK app at any time.
You can load all relevant data available to TK into your file. These include, for example, vaccinations, prescription drugs or all doctor’s visits including diagnoses. The electronic file can also be added manually. Over-the-counter drugs can also be added using a barcode scanner or doctor’s letters and x-rays can be uploaded. It should also be possible to save data from hospital stays in the future.
To this end, the cash register concludes cooperation agreements with clinics, which means that the data is secured three times and can only be viewed on a registered smartphone with the personal password within the TK app. At the same time, the data is encrypted from end to end so that only the user can see the decrypted information. Outside of the smartphone, the data is converted into cryptic columns of numbers and stored on servers in Germany. If you change health insurance or doctor, you will remain with the insured person. “After all, this is not about a model project for a few thousand, but rather a future digital supply tool for more than ten million people,” explained Matthias Hartmann, head of IBM Germany. Baas stated that the consolidation and analysis of health data is “the next big revolution in medicine”. “The mere provision of data does not offer any added value; we have to turn it into information so that it can be used by our insured.” Patient protection groups and consumer centers insist on high uniform standards for new digital applications with health data.
The use of an electronic patient file must be free and voluntary, said the health expert of the Federal Association of Consumer Organizations (vzbv), Kai Vogel, the German press agency. “Every patient must retain sovereignty over their data.” As part of the further development of the electronic health card, the Union and SPD are planning to set up an “electronic patient file” by 2021. Federal Minister of Health Jens Spahn described this as a “key function”. The CDU politician wants to massively promote the electronic health card, which should actually be available with its applications over ten years ago, in the next three and a half years. Spahn has created a department in the Ministry of Health specifically for digitization in the healthcare system.
However, the CDU politician has also emphasized that he does not want any “isolated solutions” that cannot be transferred to other funds. The German Foundation for Patient Protection emphasized that only the state can guarantee the highest safety standards. Spahn should therefore create a federal office for digitization in health care, said board member Eugen Brysch. A proliferation of different providers would not meet this requirement. Source: ntv.de, fzö / AFP / rts / dpa “” In the emergency rooms, the hospitals are making huge losses and are therefore demanding a new remuneration system. (Photo: dpa) More than 20 million people visit the emergency department of a hospital annually.
A third of them would be better off with a resident doctor. Not only does it cost a lot of money, it also endangers other people’s lives. According to a new study, the emergency rooms in Germany’s hospitals are clogged by millions of patients with milder diseases.
Therefore, life-threateningly ill patients often threaten to be treated too late. “Many patients today do not know who to turn to in an emergency,” said the chairwoman of the vdek Ersatzkassenverband, Ulrike Elsner, when presenting a new study. Hospitals also tended to admit lighter cases as inpatients, even though it wasn’t actually necessary, with more than 20 million people ending up in the emergency room every year, Ulrike Elsner said.
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