Nüchtern E
Gesundheitswesen. 1995 Aug-Sep;57(8-9):437-42.
Court decisions of the Federal Court for Problems of Social Welfare (Bundessozialgericht) make health insurance pay for unconventional methods under certain circumstances. Physicians of the Health Insurance Medical Service (MDK) have to examine whether these conditions are fulfilled in a special case. The specific problems they encounter there are being described in this paper. Hermeneutic differences can be noticed. To guarantee the quality of medical care, which is the duty of the statutory health insurances, seems to be difficult in the case of "unconventional" medical methods.
联邦社会福利问题法院(联邦社会法院)的判决规定,在某些情况下,医疗保险需为非常规治疗方法付费。医疗保险医疗服务机构(MDK)的医生必须检查特定案例是否满足这些条件。本文将描述他们在这方面遇到的具体问题。可以注意到解释上的差异。对于法定医疗保险而言,要保障医疗服务质量——这是其职责所在——在“非常规”医疗方法的情况下似乎很困难。