Insurance medicine

from Wikipedia, the free encyclopedia

Insurance medicine is a branch of social medicine that does not deal with the treatment of illnesses or the consequences of accidents, but with the relationships between policyholders , medical service providers and insurance companies . The questions examined are not only medical, but also legal and sociological. There are substantive connections to forensic and occupational medicine .

Insurance medics have been in the insurance industry since the 1840s when insurers began to consult doctors for risk assessment of increased disease risks. The field of activity of the insurance doctor extends into various branches such as health insurance , life insurance , property insurance and occupational disability .

In the so-called social security create confidence doctors medical advice for authorities or social security institutions. They examine insured persons who are unable to work with regard to the duration and type of their incapacity for work , decide on treatment methods and act as pension experts. Private insurance companies hire so-called company doctors, among other things, to assess personal injury or life insurance . The work of the society doctor differs in part from the work of the social doctor. Overlaps exist, for example, through the assessments of incapacity for work. At present, private insurers' opinions are drawn up by doctors from various disciplines without any special additional training. Specialists within the social insurance ( MDK , DRV ) in Germany are normally expected to specialize in social medicine .

International and research

There is no prescribed curriculum or specialist training for medical insurance work. Instead, many years of professional experience and, above all, insurance-medical expertise are required. In addition, you need good knowledge of insurance medicine and the willingness to work in an interdisciplinary manner with specialists from the field of benefits and contracts, as well as lawyers and mathematicians. Insurance medicine is currently not particularly evidence-based . However, the evidence base is increasing. There are now efforts to establish insurance medicine as an interdisciplinary research discipline at universities.

In October 2018, the University of Lübeck founded the first chair for insurance medicine at a German university. Under the direction of Joachim Breuer, the chair focuses its research on the effects of payment systems as well as the definition of services and objectives in the insurance sector. The economic and social consequences of overall systems as well as model designs (e.g. return to work programs, incentive systems) are part of the work focus.

The Academy of Swiss Insurance Medicine is located in Basel as another university institution in German-speaking countries. There is a research cooperation in the field of insurance medicine in the Netherlands. The Free University of Amsterdam , the University of Amsterdam , the University of Groningen and the TNO take part. In Belgium, the Katholieke Universiteit Leuven is a research center for insurance medicine. There is also the seat of the scientific association for insurance medicine in Flanders.

The University of Basel has been offering a two-year master’s course since 2008 as the first institution in the German-speaking region. There is also a 2-year master’s course in Belgium.

In the Netherlands, there is a four-year insurance medical specialist training course; strongly oriented towards social medicine. Training to become a specialist in insurance medicine in the Czech Republic is also possible. In 2007, Belgium introduced its own specialist training for insurance medicine and medical expertise. In Italy, insurance medicine is again counted as forensic medicine . This specialty does not appear in the EU Directive 2005/36 / EC; a migration of specialists within Europe should be therefore difficult. The only exception is likely to be the Netherlands. There the title "arbeid en gezondheid - verzekeringsgeneeskunde" appears under the heading of occupational medicine . A Dutch insurance doctor can therefore call himself a specialist in occupational medicine in the other EU countries.

Web links

Associations:

Scientific institutions:

Masters courses:

Trade journals

Individual evidence

  1. ↑ Definition ( memento of the original from January 6, 2008 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. on the website of the Swiss SUVA @1@ 2Template: Webachiv / IABot / www.suva.ch
  2. ↑ Brigitta Danuser : Occupational medicine - insurance medicine, similarities and differences . (PDF) ASIM Basel 2006
  3. ↑ Pschyrembel (Medical Dictionary)
  4. ↑ S. Becher: Alternative ärzteliche professional fields - in the service of private insurance . In: Dtsch Arztebl , 2008, 105 (23), p. 1305.
  5. ↑ Medical articles on the subject of life insurance ( Memento of the original dated November 7, 2007 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. @1@ 2Template: Webachiv / IABot / www.svv.ch
  6. ↑ Insurance medicine script  ( page no longer available , search in web archives )  Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. (PDF) Univ. Basel@1@ 2Template: Dead Link / www.ispm-unibasel.ch  
  7. ↑ Training regulations ( Memento of the original from September 18, 2010 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. the German Medical Association @1@ 2Template: Webachiv / IABot / www.bundesaerztekammer.de
  8. ↑ R. Hakimi: Society doctor in private health insurance: The medical authority . In: Dtsch Arztebl , 2012; 109 (6), pp. A-251
  9. ↑ R. Hakimi: Evidence-based orientation also in insurance medicine . In: Dtsch. Doctor bl. , 2002; 99 (19), p. 1290
  10. ^ N Gyr, Y Bollag: Insurance medicine - a university subject? (PDF) In: Schweizerische Ärztezeitung , 2005, 86 (23): pp. 1400–1401
  11. ^ FB VI - Insurance Medicine. Retrieved January 18, 2019 .
  12. ^ Advies Onderzoek Verzekeringsgeneeskunde . (PDF; 1.5 MB) Raad voor Gezondheidsonderzoek, The Hague 2004; English summary on page 5
  13. ↑ Homepage of the Kenniscentrum Verzekeringsgeneeskunde
  14. ↑ Webpage of the KU Löwen ( Memento of the original from December 14, 2005 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. @1@ 2Template: Webachiv / IABot / med.kuleuven.be
  15. ↑ Peter Donceel, Rienks Prins: EUMASS. Information under "Tasks and Training".
  16. ↑ Legal text of the Belgian training regulations for insurance physicians (PDF; French, Dutch)
  17. ↑ AM Rijkenberg, F Vervoort: The specialist for insurance medicine - further training in Flanders . In: Versicherungsmedizin , 2011 Dec.1, 63 (4), pp. 191–193, PMID 22486051 .
  18. ↑ CEA study  ( page no longer available , search in web archives )  Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice.@1@ 2Template: Dead Link / www.svv.ch  
  19. ↑ Directive 2005/36 / EC of the European Parliament and the Council of 7 September 2005 on the recognition of professional qualifications. Official Journal of the European Union 30 September 2005 L 255/22 PDF (PDF)
  20. ↑ Directive 2005/36 / EC of the European Parliament and the Council of 7 September 2005 on the recognition of professional qualifications. Official Journal of the European Union 30 September 2005 L 255/22 PDF (PDF)