gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

The next step in Public Health reform

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno05

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2008/08hno05.shtml

Veröffentlicht: 8. Juli 2008

© 2008 Osterwald.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Public Health costs are expected to rise exponentially as patients live longer and advances in medical science become increasingly expensive. To limit costs it is necessary to change our views.

However, a renunciation of progress or a reduction in 'suitable' patient care do not seem acceptable, especially to the old. Attitudes like: "I'm entitled to it – Please don't save money in my case – I wasn't ill for a long time: now I'm going to get my money back" should be replaced by "What is necessary – What can I do without?" This change of approach is not only reasonable but essential to avoid financial disaster.

There are several ways to avoid unnecessary costs:

  • Better choice of diagnostics would reduce the incidence of sick-reports.
  • Better choice of treatments would reduce the prescription of medicines.
  • Focus on spontaneous healing would reduce the resort to therapy.
  • Streamline administration would reduce the immense bureaucratic load.
  • Economy drive would reduce the use of expensive procedures applied to avoid professional condemnation.
  • Firm action against anti-social egocentrics, who will never give up their perceived rights voluntarily, would reduce pressure on the system.

Effective reform will be achieved when all concerned recognise that their egoism leads directly to State-controlled medical care which is followed by a new kind of injustice and, above all, worse quality.