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Updated: May 10, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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[Cooperation between physicians and non-medically trained practitioners: advantages and obstacles].

Mirjam Thanner1, Eckhard Nagel, Julika Loss

  • 1Institut für Medizinmanagement und Gesundheitswissenschaften, Universität Bayreuth, Deutschland. mirjam.thanner@uni-bayreuth.de

Forschende Komplementarmedizin (2006)
|June 4, 2013
PubMed
Summary

Physicians in Germany show some willingness to cooperate with non-medically trained practitioners (Heilpraktiker) for minor ailments, but strict conditions and obstacles exist. Improved communication and transparent contracts are needed for effective collaboration.

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Area of Science:

  • Medical practice regulation
  • Healthcare professional collaboration
  • Complementary and alternative medicine

Context:

  • Germany permits both physicians and non-medically trained practitioners (Heilpraktiker) to practice medicine.
  • Cooperation between physicians and Heilpraktiker presents challenges in task division and responsibility.
  • Understanding physician willingness to collaborate with Heilpraktiker is crucial for integrated patient care.

Purpose:

  • To assess the extent of physicians' willingness to cooperate with Heilpraktiker.
  • To identify the conditions, opportunities, and obstacles associated with such cooperation.
  • To explore physicians' perspectives on integrating Heilpraktiker into patient treatment plans.

Summary:

  • Physicians are partly willing to collaborate with Heilpraktiker, particularly for minor ailments, but with strict conditions.
  • Obstacles include low confidence in Heilpraktiker training and concerns about interference with conventional treatment and the physician-patient relationship.
  • Key requirements for cooperation involve Heilpraktiker respecting limitations and transparent health insurance contracts for remuneration.

Impact:

  • Highlights the need for further quantitative research to generalize findings on physician collaboration.
  • Suggests evaluating the willingness of Heilpraktiker to collaborate with physicians.
  • Emphasizes reducing communication barriers to facilitate open patient disclosure about consultations with Heilpraktiker.