Telemedicine: Helps office hours the Video?

In Germany, the liberalisation of tele-medicine. So far, phone or Video consultations were taboo. Für patients köthe &Ouml could;opening be of Use

A vision of the future: Via telemedicine by the physician are treated without unnöterm routes and waiting times

Hartnäckig had the German Ärzteschaft in the past against the lifting of the remote treatment ban gesträubt, consequently, Ädoctors their patients only after a persöpersonal Gespräch treat dümay. In practice, this means that so far This müshot in a doctor für treatment to be a first-time approached, before a long-distance treatment via telephone or video consultations take köcan. In Short: Fern­­diagnoses are thus, in Germany, eingeschränkt.

Now, at the beginning of may of 2018, was on the German Ärztetag in Erfurt, a loosening of the ban decided. Ädoctors are expected to their patients in näherer future also by E-Mail, SMS, Online Chat, video consultation, or by telephone treat dümay, without the doctor, the patient persöpersonally seen &ndash has; at least in Einzelfäcases, if it äcertificate appears reasonable. As nämost step the Ächange of the Landesärztekammern in the professional code üaccepted and regional implementation, which can take some time.

In other Western Läto change already established

In Scandinavian Lächange, as well as in Switzerland, the USA, or in England gehört this for years to everyday life. But where does the pivot come from? "Was launched in the Vorstoß in Baden-Württemberg", Dr. Franz Bartmann, Chairman of the Committee for telemedicine of the Bundes&auml says;medical Board. Because there läuft since März, a model of this project.

In the case of "Doc Direkt" – initiated by the Kassenämedical Association of Baden-Württemberg (KVBW) – köcan law patients from Stuttgart and the district of Tuttlingen in &shy insured;Complaints a call centre not to call, if you reach your doctor. It is an emergency, the caller is sent to the rescue coordination centre. Otherwise, erhähe lt within 30 minutes of the Rücallback from a doctor. Köthe complaints can not be successful by phone geklärt, get the Patient on the same day an appointment in a so-called portal practice in WohnortnäHey.

Only eingeschräunlimited office hours in the model project

The emergency departments at the weekend, can the model project "Doc Direkt" however, not relieve. The the office hours (weekdays between 9 and 19 o’clock). According to the KVBW the practices are to be relieved against it, and the remote setpoint to be treatment tested.

Für Dr. Ulrich Clever, PräPresident of the Landesämedical Board of Baden-Württemberg, however, far more to it than that: "We don’t know that even today, people are clicking medical deals on the Internet, but also appropriate portals call." The Problem: "In some call centers, you don’t know who dahintersteckt", reminds Clever. Nevertheless, there was a sharp rise in the number of people who remotely on äthe medical Council hopes. "This is a task we don’t want to have any unclear call centre in Somewhere verlieren", Clever stresses.

Faster and präa more precise hoped for further management of the patient

"People use such Dienste", Franz Bartmann says. A großhe advantage, if telemedicine should be liberalized in Germany, wäre in addition to a legal certainty für doctors especially: "A lot of doctor contacts würde omitted or differently, by patients to the right place bringt", Bartmann says.

"Telephone first" – so hieß a similar approach in England. The assertion that telephone save initial consultations, time and money, could, according to a in October in the journal British Medical Journal ver­öpublished study of the Universität from Cambridge (GroßBritain) but not bestäbe taken. On the contrary, Although the number of pers&ouml goes;personal contacts zurück – the bottom line is that more time and effort f&uuml is, however,;r the Pa­tientengespräche on the phone benöneeded. The data from England but it is hard on the German health care system ütransferred.

Good experiences from Switzerland

But how well lässt üin General, a diagnosis on the phone? Very well, says, for example, Dr. Christiane Brockes. She directs the clinical telemedicine on Universitätsspital Zürich. In the case of the confederates gehört the remote treatment since the age of 18 years to basic services. "Natüof course it is something else, when the Patient sits in front of you. By E-Mail or phone of all the non-verbal area, of the very revealing missing rich für Ädoctors be kann", Brockes says. But tele-medicine sees you anyway, not as a replacement, but "as Ergäcomplement to traditional Behandlungsmethoden".

In addition, könne telemedicine easier for people even in embarrassing or uncomfortable questions much. "The threshold is much niedriger", erklärt Brockes. "Just the consultation distance is natüof course, very für topics, which you would not wish to be responsive – for example, from psychology, urology, or the Gynäkologie", the tele-doctor.

But the real reason, according to Brockes für refers to the use of telemedicine, is another. It fits in our time: "The Patient is now informed and mökilled involved in decision. This development is unstoppable. It just happens with the Digitalisierung", Brockes says.

The ban was from the time of the letters

Eingeschränkt was the remote treatment so far, by section 7 paragraph 4 of the professional code für Ädoctors. But its roots are ancient, according to Franz beard man. The first evidence was found in 1893. "This was a time in the remote communication ausschließlich üabout letters went. At the time, hieß that a letter of advice is not zuläcasual."

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