Prussian fee schedule
The Prussian fee schedule for licensed doctors and dentists ( Preugo for short ) from 1896 was a state fee schedule that was initially valid in the Kingdom of Prussia , then in the German Empire and until 1965 in the Federal Republic of Germany . It contained minimum and maximum rates for doctor's fees (“ taxe ”), which were not binding, but only applied if nothing else was agreed between the doctor and the patient.
history
For doctors and pharmacists, the " Trade Regulations for the North German Confederation" had been in effect since 1869 , which in 1883 became the "Trade Regulations for the German Empire". It said: “The payment of the licensed doctors ... is left to the agreement. However, the central authorities can set the standard for disputed cases in the absence of an agreement.
This happened in Prussia in 1897 by the Preugo. It was issued on May 15, 1896 in Berlin by the Minister of Spiritual, Educational and Medical Affairs . On May 19, 1896, it was published in the German Imperial and Royal Prussian State Gazette and came into force on January 1, 1897. By law of April 27, 1896, it replaced the medical tax regulations that had existed until then , in particular the medical tax of June 21, 1815.
On September 1, 1924, the Prussian Minister for People's Welfare issued a new Prussian fee schedule, still based on the Reichsgewerbeordnung of 1883. It was significantly longer and contained new fee items. The fees were not increased significantly, so that many doctors were dissatisfied. In competition with Preugo, the "Association of Doctors in Germany ( Hartmannbund )" published the General German Fee Regulations for Doctors (Adgo) in 1928 , the application of which doctors could agree to under private law with their patients.
In 1952, Preugo was incorporated into federal German law. In 1965 it was superseded by the Fee Regulations for Doctors (GOÄ), in which the general legal fee provisions of Preugo were combined with the specifications of the then replacement insurance Adgo .
construction
Part I contained general provisions, Part II the fees for doctors and Part III the fees for dentists.
In the first version of 1896, Part I consisted of five short paragraphs with general provisions. Part II contained the "Fees for Licensed Doctors" in two sections:
- Section A "general activities" such as visits, advice, travel expenses, certificates, post-mortem examinations, vaccinations and anesthesia,
- Section B "special tasks" with the subsections of surgeon, ophthalmological, obstetric and gynecological tasks.
There were a total of 163 medical and 22 dental fee items.
In the second version from 1924, Part I was more extensive, and Part II B was significantly expanded. The "special medical duties" were now structured as follows:
- a) General information such as examinations, anesthesia, injections and bloodletting, for the first time "psychotherapeutic measures" also appeared here,
- b) medical services,
- c) obstetric and gynecological services,
- d) ophthalmological services,
- e) ENT medical services.
The fees for dentists have now also been differentiated into “general services” and “special dental services”. Part IV for “Fees for health insurance companies and welfare associations” was also added. In total, the Preugo now contained 360-370 fee items, which remained valid until 1965. The currently valid fee schedule for doctors from 1982, however, contains around 1000 fee items.
Individual evidence
- ↑ a b c d Official justification of the Federal Government on GOÄ 1982, Bundesrats-Drucksache 295/82 of 19 July 1982.
- ↑ a b § 80 of the trade regulations for the German Reich, Reichsgesetzblatt 1883, p. 177 ff.
- ↑ A. Förster: The Prussian Fee Regulations for Licensed Doctors and Dentists from May 15, 1896. Fifth increased and improved edition, Berlin 1910, p. 16.
- ^ Friedrich Nienhaus: New GOÄ - end of private Adgo. In Deutsches Ärzteblatt, Issue B, Volume 79, Issue 48 of December 3, 1982, p. 51 ff.