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

EPCCS Council Meeting Birmingham December 2018 Organiz izatio ion of f Prim rimary ry Ca Care in in Germ rmany Prof. Martin Scherer, Dr. Jan Oltrogge

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 others 2 Statistik BÄK/KBV 2011

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 3 Modified according to E. Hummers-Pradier

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 • 50% full time GPs act as lecturers without sufficient infrastructure  Boosted by teaching requirements  GP now core discipline  Understaffed 4 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 of GPs (n>30000) (representation of political interests)

Cardiovascular diseases in Primary Care in Germany - 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 Nr. 6