Physicians’ Self-Conceptions of Their Expertise in Statutory Health Insurance and Social Security Systems
نویسندگان
چکیده
Medical experts who practice social medicine have a strong ethical approach for their professional positions. Their reports must reflect an objective, independent, high-quality assessment of interactions between health status and the disability of individuals. However, they must simultaneously consider the societal involvement of these individuals when determining the framework of the Statutory Health Insurance and Social Security Systems. Their task is to recommend sociomedical benefits that are tailored to suit personal needs and that respect the individual life situations of the persons involved, thus complementing the efforts of healthcare professionals in clinical settings. The editorial describes the self-conception of this medical specialty on behalf of the German Society of Social Medicine and Prevention (DGSMP). Policy makers in social insurances and social security systems generally must respect independent sociomedical recommendations as a crucial point for further realistic development activities.
منابع مشابه
Usability evaluation of the user interface in electronic prescribing systems of Iran Health Insurance Organization and Social Security Organization
Introduction: The e-prescribing system is one of the basic technologies in the health system structure which was developed with the aim of properly managing healthcare resources and services, preventing common manual prescribing errors, and increasing patient safety. Given that the user interface of e-prescribing system is considered as the main factor of user acceptance, the purpose of the pre...
متن کاملEvaluation of Outpatient Electronic Prescription System Capabilities from the Perspective of Physicians in Specialized Polyclinics of Urmia Social Security Organization
Background and Aim: Electronic prescription systems can improve patient safety and the quality of health care services. These systems must provide the capabilities required to reduce medical errors and enhance the performance of health care providers. The purpose of this study is to evaluate the capabilities of the e-prescription system from the perspective of physicians in the polyclinics of t...
متن کاملDirect Costs of Type 2 Diabetes for Insurance Companies and Patients Covered by Health Insurance and Social Security Insurance Plans after the Delivery of First-Level Services in Ilam, Iran in 2019
Introduction: The financial consequences of the increasing prevalence of diabetes show that diabetes is one of the main challenges of healthcare systems. This study aimed to investigate the direct costs imposed on insurance companies and patients by the delivery of first-level services to patients with type 2 diabetes, who were covered by health insurance and social security insurance plans in ...
متن کاملDetermining the Amount of Deductions for Inpatient Bills Covered by Social Security Insurances in Amir al Momenin Hospital in Zabol at the First Quarter of 2018
Introduction: Most of the hospital’s special revenues are created by contracting with insurance companies and providing services to insured persons. Large amounts of revenues from hospitals and medical education centers are deducted annually. Reducing hospital deductions is not only important due to manage of hospitals, but also it is necessary. Therefore, the current study aimed to determine t...
متن کاملImproving Fraud and Abuse Detection in General Physician Claims: A Data Mining Study
Background We aimed to identify the indicators of healthcare fraud and abuse in general physicians’ drug prescription claims, and to identify a subset of general physicians that were more likely to have committed fraud and abuse. Methods We applied data mining approach to a major health insurance organization dataset of private sector general physicians’ prescription claims. It involved 5 ste...
متن کامل