Zwischen Wunsch und Wirklichkeit - Hausartztmodelle ind Deutschland: Nutzerorientierung, Grundlagen und Umsetzung

Abstract

Since the implementation of § 73b SGB V in 2004 health insurances are legally obligated to provide a gatekeeping-model. To participate, the insured have to enrol in a model for at least one year. The model obliges that they always consult a general practitioner first. If health insurances formulate appropriate contracts, this new way of medical care will improve patient-orientation in primary care. To find out if any improvements are evident, a survey was conducted. The results of the survey show that the respondents hardly notice any big differences between. Furthermore, gatekeeping-models are a possibility to reduce the segmentation of the health care system and promote the competition between health insurances and between health care providers and health insurances. Due to many regulations in § 73b SGB V the implementation of gatekeeping-models neither a reduces the segmentation nor promotes the competition between health insurances and health care providers.