The BMC’s concept for a new organisational form of primary care envisages the greater involvement of non-medical health professions and the provision of primary care that can be used across social spaces.»This includes offers to maintain health as well as the combination of social and medical-nursing services,» says Prof. Lutz Hager, Chairman of the Board of the BMC. The aim is to bring the different components of health care, which are also addressed in the coalition agreement, under one roof and to create a logistically feasible framework. The focus is on patient orientation and comprehensive, multi-professional offers also for rural and socially disadvantaged regions. This takes up the idea of health kiosks and expands it to include crucial aspects – namely medical care.
According to Lauterbach’s ideas, a health kiosk should offer general counselling and support services for medical and social needs assessment, but also provide concrete health and nursing help. This included routine medical tasks such as measuring blood pressure and blood sugar or wound care and subcutaneous injections.
Anchoring primary care centres at municipal level
Other core aspects of the centres proposed by the BMC are based on municipal anchoring and a wide range of development and room for manoeuvre.Health services from the fields of prevention, rehabilitation and social work are to be integrated. «We imagine the primary care centres to hang like a spider in the web and link the various actors with each other,» says Franz Knieps, chairman of the BKK umbrella organisation, which contributed to the BMC’s impulse paper on primary care centres. IPVZ would act as the first point of contact for non-medical services of primary, primary and routine care. In regions with a shortage of supply, they could also be operated without a doctor’s office. However, the centers should be docking points for medical care and cooperate with cooperative practices via telemedicine in the context of diagnosis and diagnosis. Depending on regional needs, there would therefore be the option of expanding the centres through adapted offers and cooperation with third parties. In the event of a recognisable shortage of supply, municipalities should be given the right to set up and tender primary care centres themselves. In addition, improved communication and networking are proposed nationwide, as well as access to the use of digital opportunities.
Population-based care contracts
The idea of primary care centres comes very close to the path outlined in the coalition agreement.The Federal Government has set itself the goal of developing specific remuneration structures and making population-based care contracts attractive in health regions. To this end, the legal scope for contracts between health insurance funds and service providers is to be extended. The government wants priority for innovative supply structures. «Our concept of integrated primary care centres should be understood as a discussion proposal for a sustainable and regionally configurable further development of health care,» explains Prof. Hager.
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Source — https://www.univadis.de/viewarticle/neue-idee-zentren-fur-primarversorgung