Medication plan
The medication plan represents the complete medication (long-term medication, accompanying medication and medication on demand) of a patient . Ideally, this plan includes, in addition to patient information, all of the drugs prescribed by all treating doctors and dentists as well as non-prescribed drugs that were also purchased in pharmacies for self-medication . The aim of the medication plan is to support patients in the correct intake of their medication and to inform further treatment specialists (for example the ambulance service in an emergency ) about the patient's medication settings.
As a rule, the patient has his or her medication plan in print-out so that it can be quickly and easily made available to further treatment specialists. In some cases, barcodes or 2D codes (e.g. DataMatrix code or QR code ) are also printed to enable the plan to be scanned and digitized. This makes it easier for doctors and dentists who are editing the medication plan (for example, through new prescriptions) to update the plan without having to completely rewrite it. Especially for non-inpatient treatment facilities (such as the rescue service ), it is practical to read in digital medication plans, as corresponding scanners (usually) are not available on the rescue equipment.
Elements of the medication plan
The most important element of the medication plan is the patient's name so that the plan can be correctly assigned to the patient. Of course, it is essential to list the medications the patient is taking. In addition, the time at which the medication should be taken is usually stated. The point in time is not only to be understood as the actual point in time (e.g. 30 minutes before food intake), but also whether it is an emergency medication , which is therefore only taken when necessary. The date on which the medication plan was issued and the name of the issuer are also relevant. This gives the treating staff information as to whether the plan is still up-to-date or whether it has to be overhauled.
Content
- Personal data on the patient, which allow an assignment, and further information, which may facilitate further medication or further treatment by the specialist staff
- Medication information
- All drugs that have been prescribed by a doctor (exact trade name of the drug and (if applicable) the drug group)
- Medicines that are taken without a prescription as well as information on medical devices , provided that these are relevant for the therapy from the doctor's point of view *
- At the request of the patient, medication can be omitted.
- The dosage of the drug
- What is the schedule for taking the medication? So z. B. 30 minutes before the meal or is it a need medication that is only used when needed in addition to the long-term medication ?
- (If applicable) With which drugs may the medications not be combined? (Particularly relevant for further treatment personnel)
- Further information
- Name, address and telephone number of the exhibitor (usually the family doctor or pharmacist )
- Name, address and possibly telephone number of an emergency contact *
- Information about a possibly existing living will or an existing health care proxy *
* = Not always included
From a legal point of view, there are no restrictions on who issues the medication plan, but the first time the medication plan is created i. d. Usually by the family doctor or the treating specialist. However, the medication plan is also updated by other doctors and, if necessary, pharmacists or other persons involved in health care. For this purpose , bar or 2D codes should be available for identification and re-digitization of the printed medication plan; transfer to the electronic health card should be aimed for.
Relevance of the medication plan
The medication plan gives those who continue treatment a good overview of the patient's medical care. This is particularly helpful in medical emergencies or for patients who cannot express themselves about their medication treatment (because they are suffering from dementia, for example ). In this way, healthcare professionals who do not know the patient directly can get a quick overview of the patient's medication.
In situations in which the administration of medication can cause an excessive effect of the prescribed medication (e.g. the administration of acetylsalicylic acid [ASA] by an emergency doctor in the event of a heart attack with existing ASA medication), this can be unintentional Prevent causing health damage. Therefore, every patient who regularly takes medication ( long-term medication ), regardless of age, is advised to have an appropriate plan drawn up by an experienced person (preferably your own family doctor ). According to § 31a SGB V, every patient who takes at least 3 preparations at the same time has a legal right to have a medication plan drawn up (see "Situation in Germany").
Patients who are on long-term medication are therefore advised to ask their general practitioner for a new medication plan each time they visit. With the up-to-dateness (which can be seen from the printing date), the further processing personnel can be given security.
Situation in Germany
According to Section 31a SGB V , those with statutory health insurance who use at least three prescribed drugs at the same time have been entitled to the creation and delivery of a nationwide medication plan (BMP) in paper form by a doctor participating in statutory health care since October 1, 2016. It is also possible to have an electronic medication plan (eMP) saved on the electronic health card . Doctors must inform their patients about this claim.
Just like pharmacies, specialists are obliged to update the eMP as soon as the medication changes or there is sufficient knowledge of a change. The prerequisite is the consent of the insured person. From 2023 onwards, the drug therapy safety (AMTS) will also be tested on the basis of the eMP.
For the preparation and updating of the medication plan, medical compensation of 163 million euros was planned for 2017.
Individual evidence
- ↑ Agreement in accordance with Section 31a, Paragraph 4, Clause 1 of Book V of the Social Code on the content, structure and specifications for creating and updating a medication plan as well as a procedure for updating this agreement, Section 3 of the content. In: https://www.bundesaerztekammer.de . April 30, 2016, accessed April 8, 2019 .
- ↑ Agreement in accordance with Section 31a, Paragraph 4, Clause 1 of Book V of the Social Code on the content, structure and specifications for creating and updating a medication plan as well as a procedure for updating this agreement, Section 5 Creation / Annex 1. In: https: //www.bundesaerztekammer. de . April 30, 2016, accessed April 8, 2019 .
- ↑ Agreement in accordance with Section 31a, Paragraph 4, Clause 1 of Book V of the Social Code on the content, structure and specifications for creating and updating a medication plan and a procedure for updating this agreement, Section 6 (8). In: https://www.bundesaerztekammer.de . April 30, 2016, accessed April 8, 2019 .
- ↑ Medication plan. National Association of Statutory Health Insurance Physicians , accessed on August 18, 2020 .
- ↑ Electronic medication plan. National Association of Statutory Health Insurance Physicians , accessed on August 18, 2020 .
- ↑ André rabbit back: Electronic health professional card: admission ticket to the information superhighway. In: Deutsches Ärzteblatt . July 6, 2020, accessed August 18, 2020 .
- ^ Joint press release by the National Association of Statutory Health Insurance Funds and KBV. September 21, 2016. Retrieved September 26, 2016 .