Organiz izatio ion of f Prim rimary ry Ca Care in in Germ - - PowerPoint PPT Presentation

Organiz izatio ion of f Prim rimary ry Ca Care in in Germ rmany

• Prof. Martin Scherer, Dr. Jan Oltrogge

EPCCS Council Meeting Birmingham December 2018

Prim imary Care in in Germany

450.000 physicians in Germany 343.000 active clinicians 57.000 GPs 170.000 in hospital 143.000 in ambulatory care 9.600 public bodies 19.800

• thers

2

Statistik BÄK/KBV 2011

3

Universities

• 50% have a full department of

Primary Care

Chair, researchers, secretary Budget, rooms, computers… Teaching practices, lecturers Subject to assessment: publications, third-party funds

Modified according to E. Hummers-Pradier

4

• 50% have a full department of

Primary Care

Chair, researchers, secretary Budget, rooms, computers… Teaching practices, lecturers Subject to assessment: publications, third-party funds

• 50% full time GPs act as lecturers

without sufficient infrastructure

Boosted by teaching requirements GP now core discipline Understaffed

Universities

Modified according to E. Hummers-Pradier

German College of General Practitioners and and and Family Physicians (DEGAM)

• 6000 members (> 10% of all German GPs)
• Guideline Committee: n=79
• Number of primary care guidelines: 40
• Number of interdisciplinary guidelines with

DEGAM-participation: 30

• DEGAM

≠ German Association

• f

GPs (n>30000) (representation of political interests)

Cardiovascular diseases in Primary Care in Germany

• Nr. 6
• General

l Practic ice guid ideli lines on HF, , cardio iovascula lar preventio ion, , chest pain in, , CH CHD

• DMPs:

s: Dia iabetes, , CHD/HF, Asthma/COPD

• ARRIBA – CV

CVD risk risk calcu lcula lator for GPs s (shared decis

ecision making)

• Marb

rburg Heart rt Sc Score

• DEXIMED
• Germ

rman cardio iolo logis ists: : adaptatio ion of ESC SC guid ideli lines