Schölch U
Medizinischer Dienst der Krankenversicherung Mecklenburg-Vorpommern.
Gesundheitswesen. 1992 Sep;54(9):465-9.
In accordance with social legislation (statute-book of social law, SGB V, section 275, 4) compulsory sickness insurance is obliged to consult the Medical Advisory Service especially in case of general problems of medical supply and advice for patients, quality monitoring, negotiation strategies with all partners of the medical supply system, and for creating joint panels of physicians and sick insurance bodies, particularly examination committees. Exemplarily possibilities of management of these problems are described for the Medical Advisory Service of Mecklenburg-Vorpommern. This example may demonstrate in what way the Medical Advisory Service can bring its own sociomedical competence into play appropriate to regional needs as a service enterprise of the compulsory sickness insurance.
根据社会立法(《社会法典》第五卷,第275条第4款),法定医疗保险有义务咨询医疗咨询服务机构,特别是在医疗服务的一般问题、为患者提供建议、质量监测、与医疗服务系统所有合作伙伴的谈判策略以及设立医生和医疗保险机构联合小组(特别是审查委员会)等方面。文中以梅克伦堡-前波美拉尼亚州的医疗咨询服务机构为例,描述了处理这些问题的管理方法。这个例子可以说明医疗咨询服务机构作为法定医疗保险的服务企业,如何根据地区需求发挥自身的社会医学能力。