Home call
A home visit is a visit from a doctor , dentist , physiotherapist , occupational therapist or speech therapist to the patient's home. Every resident doctor is legally obliged to make necessary home visits to his patients. This also applies outside of the office hours and not only for general practitioners, internists and paediatricians working as general practitioners, but also for specialists in other fields. If necessary, therapists in the health professions are instructed by the doctor by prescription to carry out the therapy in the patient's apartment.
In child and youth welfare, it is a visit by an educational specialist in the home environment. Social workers also make house calls to their addressees. These are partly regulated by law (e.g. in the context of child protection) or are based on conceptual or methodological considerations.
Medical home visits
No doctor is allowed to treat patients purely by telephone without their own inspection and examination (Section 7, Paragraph 4, Model Professional Code, legal situation in Germany ). Telephone advice or instructions are only permitted if the severity of the disease and the therapy used allow this. This results in z. B. the obligation to visit if the patient's condition worsens and he cannot be expected to visit the doctor's office. Emergency patients who are not known to the doctor must always be examined personally.
In accordance with the fee schedule for doctors for private patients, medical home visits are usually remunerated with 320 points at 2.3 times the rate, corresponding to 42.90 €; according to the uniform evaluation standard valid for members of the statutory health insurance with 440 points (with the current point value approx. € 15.40). Surcharges apply for visits outside normal working hours (7 p.m. to 7 a.m.) and on weekends. There are also mileage allowances.
Visits by dentists, especially as part of the outreach care of people in need of care and people with disabilities and / or limited everyday skills , are rewarded for those with statutory health insurance according to the assessment standard of dental services (BEMA).
Historical literature
- Georg Ernst Stahl : Considerations for a doctor's home visit. Hall 1703; in: Bernward Josef Gottlieb (Hrsg.): Georg Ernst Stahl: About the manifold influence of emotions on the human body (Halle 1695) / About the importance of the synergic principle for medicine (Halle 1695) / About the difference between organism and mechanism (Hall 1714) / Considerations for a doctor's home visit (Hall 1703). Leipzig 1961 (= Sudhoff's classics of medicine. Volume 36).
Web links
Individual evidence
- ↑ Susanne Gerull: Home visits in social work. A cross-disciplinary empirical study . Barbara Budrich Publishing House, Opladen / Berlin / Toronto 2014
- ↑ Ulrike Urban-Stahl, Maria Albrecht, Svenja Gross-Lattwein: House visits in child protection. Empirical analyzes of framework conditions and practices in youth welfare offices . Barbara Budrich Verlag, Leverkusen / Opladen 2018, ISBN 978-3-8474-2100-9 .
- ↑ Sample professional regulations at the German Medical Association (as of 2006) ( Memento of the original dated September 2, 2011 in the Internet Archive ) Info: The archive link was automatically inserted and not yet checked. Please check the original and archive link according to the instructions and then remove this notice.
