ABSTRACT
A topical survey is given by the documentation of the examination for the statutory nursing care insurance. The first part of the report contains the complete tabulated results of the Federal Republic of Germany. Furthermore a graphical comparison of selected groups of diagnoses like psychiatric disorders has been statistically evaluated and is commented upon.
Subject(s)
Disability Evaluation , Expert Testimony/legislation & jurisprudence , Insurance, Disability/legislation & jurisprudence , National Health Programs/legislation & jurisprudence , Adult , Aged , Chronic Disease/classification , Documentation/methods , Eligibility Determination/legislation & jurisprudence , Female , Germany , Humans , Male , Mental Disorders/classification , Mental Disorders/diagnosis , Middle Aged , Psychiatric Status Rating ScalesSubject(s)
Health Promotion/legislation & jurisprudence , Insurance, Health/legislation & jurisprudence , Patient Care Team/legislation & jurisprudence , Psychophysiologic Disorders/prevention & control , Social Work/legislation & jurisprudence , Somatoform Disorders/prevention & control , Germany , Humans , Psychophysiologic Disorders/psychology , Somatoform Disorders/psychologyABSTRACT
In accordance with social legislation (statute-book of social law, SGB V, section 275, 4) compulsory sickness insurance is obliged to consult the Medical Advisory Service especially in case of general problems of medical supply and advice for patients, quality monitoring, negotiation strategies with all partners of the medical supply system, and for creating joint panels of physicians and sick insurance bodies, particularly examination committees. Exemplarily possibilities of management of these problems are described for the Medical Advisory Service of Mecklenburg-Vorpommern. This example may demonstrate in what way the Medical Advisory Service can bring its own sociomedical competence into play appropriate to regional needs as a service enterprise of the compulsory sickness insurance.
