The Future of Family Medicine in Germany – Potentials For a Reasonable Care
Teil 1: Die Frage nach dem Bedarf an Ärztinnen und Ärztengerman translation / full article
Part 1: How Many Doctors Are Required
Summary: Public debate about doctors´ shortage is regulatively displayed in the guideline for medical demand planning. This guideline falsely assumes that the historically grown distribution of physicians according to specialist choice and geographical area is still able to maintain the medical care of the population. Public perception of a mainly regional shortage of doctors seems to justify this view. These regulatory rules and standards would discount, however, the connection between doctors´ distribution and organisation and results of medical care (measured as morbidity, mortality and quality of life). Especially relevant for the future of family medicine is – evidenced by international research and health policy – the focus on the relation of specialists to primary care doctors.