The patient in line with the market

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Movie
Original title The patient in line with the market
Country of production Germany
original language German
Publishing year 2018
length 82 minutes
Rod
Director Leslie Franke, Herdolor Lorenz
script Leslie Franke, Herdolor Lorenz
production Kern film production

The market-driven patient is a documentary film by Leslie Franke and Herdolor Lorenz from 2018. The film criticizes the system of flat rates per case in the German hospital system (DRG-Diagnosis Related Groups) and provides information about the effects of the so-called health reform in Germany since 2003 . The DRG concept was largely adopted from Australia to Germany in 2003.

action

The authors and critics of the DRG system point out that the flat-rate case fees in German hospitals reduce the quality of the German health system and, according to the film, often necessary treatments are not carried out or only insufficiently. In addition, the wards are often not staffed enough, which in some cases would even lead to a reduction in the number of beds in hospitals.

Among other things, affected doctors and nurses as well as patients are interviewed. The medical ethicist Giovanni Maio is also asked about the current system. In addition, the current mayor of the city ​​of Munich , Dieter Reiter , has his say.

In addition, the privatization of the Landesbetrieb Krankenhäuser (LBK) Hamburg is discussed. In the referendum on February 29, 2004 , a majority of the voting population of Hamburg (76.8%), with a participation of 64.9%, spoke out against the sale of the state company. Despite the vote, which was only a recommendation for the Senate of the Free and Hanseatic City of Hamburg , the Senate sold the state operations to the company Asklepios Kliniken in 2007. The Hamburg Constitutional Court also decided on December 15, 2004 that the sale was legally compliant even if the referendum turned out to be the opposite.

Ethical background

In the film the ethical question is asked whether nowadays the patient is only seen as a means to optimize revenues. This statement is attempted to be supported by several different views from stakeholders and experts.

According to the film, it would no longer be about meeting the needs of the patient, as before, but rather seeing the patient as a means of obtaining higher revenues.

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