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Germany Proposes Mandatory Primary Care System to Streamline Specialist Access

Union and SPD's healthcare reform plan aims to enhance efficiency and cut costs, but faces criticism over potential inequities and general practitioner workload.

Overview

  • The proposed system requires patients to consult general practitioners for referrals before accessing specialists, with exceptions for ophthalmology, gynecology, and chronic illnesses.
  • Patients bypassing the referral system may face additional costs, a measure intended to reduce unnecessary specialist visits.
  • Supporters, including the Bundesärztekammer, highlight potential savings of up to 500 million euros annually and improved appointment availability.
  • Critics, including patient advocacy groups and opposition parties, warn of overburdening general practitioners and creating barriers for patients in underserved areas.
  • The plan, set for potential implementation by 2028, draws comparisons to the abolished 'Praxisgebühr,' which faced similar concerns over bureaucracy and accessibility.

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