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[Structural and normative problems in recording medical facts in a structured social security system]
Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|June 9, 1998
Summary
Medical expert evaluations in Germany lack uniform standards, impacting accuracy and sociomedical integration. Improving standards, training, and incorporating expertizing into medical curricula can enhance evaluations.
Area of Science:
- Social Medicine
- Medical Law
- Public Health Policy
Context:
- The German social security system relies on medical expert evaluations.
- Current standards and conditions for these evaluations are inadequate.
- Experts often lack awareness of specific targets within different security systems.
Purpose:
- To identify deficiencies in current medical expertising practices within the German social security system.
- To propose improvements for enhancing the accuracy and sociomedical relevance of medical expertises.
- To address the lack of standardized criteria and the overreliance on individual expert judgment.
Summary:
- Medical expertising in Germany suffers from inadequate standardization and insufficient awareness of specific system targets.
- Sociomedical knowledge is poorly integrated, leading to subjective evaluations influenced by personal fate.
- Proposed solutions include refining legal concepts (Section 96, German Social Code Book 10), standardizing medical services, and integrating 'expertising' into medical education.
Impact:
- Enhancing the accuracy and objectivity of medical expert evaluations.
- Improving the integration of sociomedical aspects into expert assessments.
- Establishing a more robust and equitable system for medical expertising within social security.