Bodendieck Erik
Sächsische Landeärztekammer, Schützenhöhe 16, 01099, Dresden, Deutschland.
Urologie. 2023 Aug;62(8):790-795. doi: 10.1007/s00120-023-02132-2. Epub 2023 Jul 4.
The self-government of physicians in Germany is an enormous privilege for the profession. The core tasks of medical associations are the design of the professional framework, specialist and continuing education, and quality assurance. A look at history reveals important developments within the profession and its changing relationships with politics and also the different systems of government and constantly changing professional policy orientations, which are continuously changing and must be permanently shaped by the medical profession. In particular, the relationship to health insurance companies, to the economy, and to politics should be mentioned here. What is new, on the other hand, are the changing expectations in the medical profession, the shortage of skilled workers, management and care structures, and new types of ownership, for example, in centers providing medical care. The basic ethical code of physicians-scientific knowledge, experience, personal attitude, and human compassion-continue to be of utmost importance. Taking into account the rapid developments within modern medicine and the increasing expectations of society, additional qualifications that go beyond the historically traditional characteristics of the "good physician" are needed today and in the future. These new demands complement and deepen the relationship between patients, society, and the medical profession. In order to practice personalized medicine, the profession needs to be free from all sociopolitical directives.
德国医生的自我管理对该职业来说是一项巨大的特权。医学协会的核心任务是设计专业框架、专科和继续教育以及质量保证。回顾历史可以发现该职业内部的重要发展、其与政治不断变化的关系,以及不同的政府体系和不断变化的专业政策方向,这些都在持续变化,且必须由医学专业持续塑造。在此特别要提及与健康保险公司、经济以及政治的关系。另一方面,医学职业中不断变化的期望、技术工人短缺、管理和护理结构以及新型所有权形式(例如在医疗服务中心)则是新情况。医生的基本道德准则——科学知识、经验、个人态度和人文关怀——仍然至关重要。考虑到现代医学内部的快速发展以及社会日益增长的期望,如今及未来需要具备超越“好医生”历史传统特征的额外资质。这些新要求补充并深化了患者、社会与医学职业之间的关系。为了实施个性化医疗,该职业需要不受所有社会政治指令的约束。