Wienke Albrecht
Deutschen Gesellschaft für Medizinrechte e.V., Wienke & Becker , Köln.
Z Evid Fortbild Qual Gesundhwes. 2008;102(9):550-4; discussion 557, 606-8. doi: 10.1016/j.zefq.2008.09.015.
Recently, the medical profession has increasingly engaged in the development of non-medical assistant jobs who try to take on more and more duties that have previously been the physicians' responsibility. Here, medical professionals from the fields of anaesthesiology and surgery should be mentioned in particular. Against this background of medical supply deficits (especially in the newly formed German states) the Federal Government already stated during the negotiations over coalition formation that nursing care professionals need to be involved into medical care much more strongly. In the context of the healthcare reform the Federal Government has thus arranged to alter the rules regarding statutory health insurance physicians by transferring original medical duties and responsibilities to nursing care professionals within the scope of pilot projects. Against this background the German Medical Association has asked all Scientific Medical Societies and medical professional associations to comment on the delegation of medical responsibilities.
最近,医疗行业越来越多地参与到非医疗辅助工作的发展中,这些工作试图承担越来越多以前属于医生职责范围的任务。在此,特别应该提及麻醉学和外科领域的医疗专业人员。在医疗供应短缺的背景下(尤其是在新成立的德国各州),联邦政府在 coalition formation谈判期间就已经表示,护理专业人员需要更深入地参与医疗护理工作。在医疗改革的背景下,联邦政府因此安排通过在试点项目范围内将原本的医疗职责和责任转移给护理专业人员,来改变关于法定医疗保险医生的规定。在此背景下,德国医学协会已要求所有科学医学协会和医疗专业协会就医疗责任的委托发表意见。
原文中“coalition formation”直译为“联盟形成”,结合语境推测可能是指德国政党联盟组建等相关谈判,但由于信息有限,可能翻译不够精准。