Problems Around the Team in German Extramural Care
DOI: 10.3238/zfa.2012.0226-0231german translation / full article
Introduction: The team, (persons, usually from different professions), working in cooperation with equal rights and having a common goal, increasingly is seen as the future orientation for extramural care in Germany. The idea of the superiority of the team is plausible, but it is surprising that it has not been established so far.
Methods: We performed a conceptual analysis of the strengths and weaknesses of the team in the German extramural health care system. Central question is, whether the team will support or hinder the core values of family medicine. Additional a historic-political analysis of the reasons for failure of the team-work in the 70s and 80s (group practices) and the 90s (networks of practices) is presented.
Results: Teams in Germany always have failed because of structural and financial problems as well as of the mental difficulties doctors had with their self-image in relation to other health-care professionals. Additional there are several conceptual reasons which question whether teams would strengthen family medicine in its generalistic approach of working.
Conclusion: Considering the future of family medicine in teams structural and financial foundations have yet to be accomplished. This seems only possible in a socialized system.