A Concept for the Future of Family Practice in Germany –
2. Das Modell der PrimärversorgungspraxisEine Darstellung anhand der Vorschläge des Sachverständigenrats Gesundheit 2009german translation / full article
Part 2: A Future Model for Primary Care PracticesBased on Suggestions of the Advisory Council on the Assessment of Developments in the Health Care System
Abstract: Due to an imminent shortage of family practitioners (FPs) and the increasing and changing health care needs of an aging population with a mounting burden of chronic diseases, the Advisory Council on the Assessment of Developments in the Health Care System suggested a concept for the future of primary care in Germany (2009 report). The main elements are: adequate working conditions and remuneration for FPs, a greater focus on the conditions necessary for high-quality care for patients with chronic illnesses, and the integration of primary care into a cross-sectoral, population-oriented model of care. In a previous paper, we presented the theoretical background for these developments (and possible consequences and concepts currently under discussion in an international context) which may improve the situation. In this article, we present a future model for primary care practices in Germany and explain how these elements can be put into practice using the example of a project already launched in the German land of Hessia (SCHAAZ). We specifically address the issue of the necessary prerequisites for FPs, specialists, medical assistants, other non-medical staff, and the health care system as a whole to successfully implement new primary care models, and to overcome the barriers expected in the process.