[Medical care in times of DMPs].

It is by DMPs that the legislator intervened in medical care processes in Germany for the first time. Targets of treatment, diagnostic definitions and treatments were determined by legal order. The best available evidence was defined by law. The medical profession has come into conflict with this situation, as with regard to diabetes the legally established evidence-based contents are not apt to consensus, as they deviate significantly not only from the German guideline for the care of diabetes but also from the relevant international guide lines. The patient's entitlement to an appropriate treatment according to the state of the art is not accommodated due to this inconsistency. The cooperation between ambulatory and stationary care units as well as the cooperation between family practitioner and medical specialist is determined by the DMPs in terms of interfaces. Regarding the graduation within the care system an improvement can be anticipated.