Wagener Wolfgang
DRV Rheinland, Düsseldorf.
Gesundheitswesen. 2018 Jan;80(1):70-72. doi: 10.1055/s-0043-121542. Epub 2017 Dec 27.
The new law, called "Bundesteilhabegesetz" was rapidly approved by the German legislative institutions in December 2016. It was supposed to be a milestone demonstrating the change from paternalistic care to the right of autonomous participation in all parts of social life. This new law sought to offer new ways, but actually there remains a big space for interpretations in the implementation. The law proposal wanted to claim 5 from the nine areas of life from the ICF. That was not accepted. Until December 2019 there must be found a definition of "substantial disability". It must be clear, that this is no mathematical aspect. Each medical officer/doctor gives his expert decision to his best knowledge and belief. No other instrument would really respect the human dignity and could better guarantee justified social personal support. It must closely be observed until the year 2023 what will be realized in the implementation of this law. Each wrong headed development, which possibly prioritize financial aspects, should be acutely opposed. In this part all medical directors/doctors are required not only in the social medical but in the social political discussion, too.
这部名为《联邦参与法》的新法律于2016年12月迅速获得德国立法机构的批准。它本应是一个里程碑，表明从家长式照顾向自主参与社会生活各个方面的权利的转变。这部新法律试图提供新的途径，但实际上在实施过程中仍有很大的解释空间。法律提案想从国际功能、残疾和健康分类（ICF）的九个生活领域中选取五个。但这一想法未被接受。到2019年12月，必须找到“严重残疾”的定义。必须明确的是，这不是一个数学问题。每位医务人员/医生都要根据自己的最佳知识和信念做出专业决定。没有其他工具能真正尊重人的尊严，也没有能更好地保证合理的社会个人支持。必须密切关注到2023年这部法律实施的情况。任何可能将财务方面置于优先地位的错误发展方向都应受到坚决反对。在这方面，所有医疗主任/医生不仅要参与社会医疗讨论，也要参与社会政治讨论。
