Contract psychotherapist
The contract psychotherapist (conventionally also health insurance psychotherapist) is a licensed , resident psychotherapist with a contract psychotherapist seat . The approval as a contract doctor is regulated in the authorization regulation and sets the entry in a medical register ahead. The medical register is kept by the statutory health insurance associations, which organize outpatient medical and psychotherapeutic care. Admission is granted by resolution of an admissions committee and is only valid for the district of the contract psychotherapist's seat. Regardless of the contractual relationship, the contract psychotherapist is one of the liberal professions in Germany and Austria .
Organization and legal
Until the Psychotherapists Act (PsychThG) was passed in 1999, psychotherapists were still dependent on the assignment of doctors in the so-called delegation procedure. This distinction was abandoned by the legislature in the course of a reform of the health system . Since January 1, 1999, the licensing requirements have been in effect analogous to the Physicians Licensing Ordinance.
The contract psychotherapist can alone, in a group practice , in a professional association (formerly group practice ), in part or group practice in a medical care center operate. Psychotherapists employed in medical care centers do not have contract psychotherapist status, but, as they have to be entered in the doctor's register, they are members of the respective statutory health insurance associations.
For the psychological psychotherapists, a requirement plan from the Association of Statutory Health Insurance Physicians determines how many therapists are allowed to settle in a district. Therefore, in many areas, a free branch is no longer possible. Cash register approvals are also being sold by retiring colleagues.
care
Number of individual psychological psychotherapeutic practices, 2015: 20,021
Number of psychological psychotherapeutic group practices, 2015: 592
Number of mixed medical-psychological psychotherapeutic group practices, 2015: 25
Termination of the registration
Until 2008, health insurance psychotherapists automatically lost their license as a contract psychotherapist when they reached the age of 68. This was repealed by the Bundestag on October 17, 2008 with effect from January 1, 2009. The Association of Statutory Health Insurance Physicians will decide whether to continue an existing psychotherapy practice after the return of the registered office. This replacement procedure is regulated in Section 103 (4) SGB V. The drawing of a pension from the occupational pension scheme depends on the respective psychotherapist care .
Income situation
Practice balances of contract doctors and psychological contract psychotherapists
| Specialist title | Annual surplus 2014 in euros, source Zi-Praxis-Panel 2015 |
|---|---|
| Radiologist | 348,800 |
| Specialist internist, gastroenterology | 235,600 |
| Specialist internist, other specialties | 294,500 |
| Specialist internist, without / several specializations | 229,800 |
| Ophthalmologist | 226.100 |
| Pediatrician | 158,000 |
| urologist | 189,500 |
| Orthopedist | 199,100 |
| gynecologist | 167,900 |
| General practitioner | 158,200 |
| ENT doctor | 159,500 |
| surgeon | 166,400 |
| Dermatologist | 202,100 |
| psychiatrist | 123,200 |
| psychotherapist | 70,700 |
| Average of all specialist groups | 156.200 |
The income mentioned is not to be confused with the disposable income of contract doctors and psychotherapists. The comparison of incomes is z. B. with gross salaries of employees not easily possible, since the employer pays half of the social security contributions, i.e. half of the contributions to health, care, unemployment and pension insurance for employees . The self-employed person has to provide this coverage in full from his income, as well as contributions for a daily allowance insurance, because he does not receive any continued wages from the employer in the event of illness or pregnancy. Incidentally, the figures given are average values that naturally vary widely. The figures include the income from privately insured persons and self-pay benefits. These values are collected every four years by the Federal Statistical Office.
Web links
- Psychotherapist search at the National Association of Statutory Health Insurance Physicians
- German Federal Chamber of Psychotherapists
Individual evidence
- ↑ Admission Ordinance Doctors-ZV. Federal Ministry of Justice and Consumer Protection, accessed on June 29, 2017 .
- ↑ Transitional and final provisions: Doctors' Admission Ordinance, Section XIII, Section 47 (2): "Sections 25 and 31 Paragraph 9 only apply to applications by psychotherapists that are submitted after December 31, 1998."
- ↑ Outpatient supply structures. In: health data. KBV, 2017, accessed on July 2, 2017 .
- ↑ Regulation until the end of 2008
- ^ Article by the Bureau against Age Discrimination from Jan. 1, 2009
- ↑ Social Code (SGB) fifth book (V) - Statutory health insurance - (Article 1 of the law of December 20, 1988, Federal Law Gazette I p. 2477) § 103 admission restrictions. Federal Ministry of Justice and Consumer Protection, accessed on June 29, 2017 .
- ↑ Federal Statistical Office Special Series 2, Series 1.6.1 (as of October 2009) for 2007
