Consultation

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The case conference or Consilium ( Latin Consilium "advice", "advice", " advice ") refers to a consultation or a group of Advisory.

In medicine , it is patient- related advice from doctors or psychotherapists by an appropriate specialist .

Medical consultations, based on the model of legal opinions, appeared in Italy around 1220 and served in the Middle Ages (as "eins arzâtes rât") primarily for the exchange of information between academic doctors and lay people.

Fields of practice

The concept of the consultation, which was already cultivated in the Middle Ages, is often used in hospitals when a consultation is requested from a doctor from another specialization. The appointed doctor ( consultant or independent doctor ) usually puts down his recommendations for diagnostics or therapy in writing; this document is referred to as a consultant report . A consultation service is usually an institutionalized offer for the assessment and co-care of patients, which can be requested by other doctors for their patients. This offer can be limited to a hospital or extend to a larger radius of action.

Another field of activity for advisory help, support, advice and, if necessary, intervention is the collaboration of employed psychologists in facilities without doctors. Remedial educational homes , school replacement projects , psychological outpatient clinics, educational and family counseling centers and similar institutions often agree to consult with child and adolescent psychiatrists on a fee basis to secure their own work and make decisions .

Legal situation in Germany

According to § 2 Paragraph 1 of the Federal Care Rate Ordinance (BPflV), hospital services are "... in particular medical treatment, hospital care, supply of medicines, therapeutic aids and aids that are necessary for hospital care ..." According to § 2 Paragraph 2 Sentence 2 of the Federal Care Rate Ordinance also belong to the general hospital services “the services of third parties arranged by the hospital”. As a rule, the services provided by third parties are medical examinations and treatments as part of a hospital stay. Naturally, consultations occur more frequently in specialist hospitals , since usually only one or two medical specialties are offered here. A classic example is the emergency dental treatment as part of an inpatient stay. Consultations are therefore not covered by the health insurance companies, as they are included in the corresponding DRG or in the hospital's care rate. For the sake of simplicity, most resident doctors in Germany bill according to the fee schedule for doctors (GOÄ) or according to the uniform assessment standard (EBM) . For the sake of simplicity, other hospitals also use the normal tariff of the German Hospital Association (DKG-NT) .

See also

Individual evidence

  1. ↑ Duden: Konsilium .
  2. ↑ Gundolf Keil : consilia, medical. In: Werner E. Gerabek , Bernhard D. Haage, Gundolf Keil, Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. Walter de Gruyter, Berlin and New York 2005, ISBN 3-11-015714-4 , p. 776.
  3. ^ Heinz Bergmann: Engelin, Jakob (Master Jakob von Ulm). In: Burghart Wachinger et al. (Hrsg.): The German literature of the Middle Ages. Author Lexicon . 2nd, completely revised edition, Volume 2 ( Comitis, Gerhard - Gerstenberg, Wigand ). De Gruyter, Berlin / New York 1980, ISBN 3-11-007264-5 , Sp. 561-563; here: col. 562 f. (on Jakob Engelins, Consilium contra arenam addressed to doctors and medical laypeople ).
  4. ↑ Gundolf Keil : Konsilium ('eins arzâtes rât'). In: Lexicon of the Middle Ages . Volume 5 (1991), Col. 1370 f.
  5. ↑ Federal Care Rate Ordinance