My wife is a family doctor. Administration in family medicine is destructive to the patient-doctor relationship.
The following problems are perceived in family medicine on a daily basis:
1) eHealth very often does not work
Personal doctors are duplicating their work, as they have to re-enter the things they note in eHealth after the check-ups. This can take a couple of hours, sometimes as late as the next day. E-health needs to be made more fluid, the infrastructure needs to be strengthened and the service team that manages the project needs to be greatly strengthened, because, according to information from the NIJZ, it is currently understaffed.
2) Family doctors need to be relieved of unnecessary administration.
For example, the following should be given more responsibility for the care of family doctors:
a) short sick leave - to be negotiated with the employer
b) attempts to introduce checks on volunteer firefighters - this is the domain of the MDPHS
c) prescribing of medical technical devices - this could be taken over by nurses
d) reimbursement of travel expenses - a matter of communication between the insurer and the insured person
3) The HSE has expanded its Rules so much that they are inconsistent and can be interpreted in different ways. Even if a family doctor approaches the ZZZS administrator with a question about the Rules, he cannot count on the administrator's answer to stand up to scrutiny in a subsequent review by ZZZS controllers. This leaves family doctors caught between the requirements of ZZZS on the one hand and the expectations of patients on the other.
The proposal is that the ZZZS should set up new departments staffed by competent people who will be at the disposal of doctors in the event of administrative and other issues relating to medical care. The rules of the Health Insurance Fund should be revised and abuse in the emergency department should be sanctioned by the Health Insurance Fund.