Wolter Udo
Z Arztl Fortbild Qualitatssich. 2005 Apr;99(2):131-4; discussion 139-40.
Particularly in the last two years, the legislation of Part V of the German Social Code has challenged the time-honoured system of the physician's own medical practice as the panel doctor's registered office. New forms of outpatient care, for example the health centres, "Heilkunde-GmbHs", and the recently-developed medical care centres, are intended to impact on patients' ambulatory healthcare. Due to the partial employee status of practice owners, and thus the relinquishing of the independent entrepreneurial structuring of their own practices, the construct of the traditional professional code of conduct for physicians is beginning to totter. It remains to be seen whether liberalisation of the model code of conduct will provide a remedy. The principle should, however, be adhered to that advertising in the physician sector must not be unethical, if we understand this to mean not strident, not confusing, and not comparative.
尤其是在过去两年中,德国社会法典第五部分的立法对由来已久的以医生个人医疗诊所作为特约医生注册办事处的体系提出了挑战。新型门诊护理形式,比如健康中心、“医疗有限公司”以及最近发展起来的医疗护理中心,旨在影响患者的门诊医疗保健。由于诊所所有者的部分雇员身份,因而放弃了其诊所自主创业的架构模式,传统医生职业行为准则的架构开始动摇。行为示范准则的自由化是否能提供补救措施仍有待观察。然而,应该坚持这样一个原则:如果我们将其理解为不过于刺耳、不造成混淆且不具有比较性,那么医生行业的广告就不能是不道德的。