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Affiliation(s)
- Thomas Hommel
- Hauptstadtbüro Ärzte Zeitung, Schumannstr. 17, 10117, Berlin, Deutschland
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2
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Fisher B, Puntis J. We need a government that supports general practice. BMJ 2021; 375:n2577. [PMID: 34697038 DOI: 10.1136/bmj.n2577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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3
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Affiliation(s)
- Felicity A E Knights
- Migrant Health Research Group, Institute for Infection and Immunity, St George's University of London, London, UK
| | - Jessica Carter
- Migrant Health Research Group, Institute for Infection and Immunity, St George's University of London, London, UK
| | - Anna Deal
- Migrant Health Research Group, Institute for Infection and Immunity, St George's University of London, London, UK
| | - Sally Hargreaves
- Migrant Health Research Group, Institute for Infection and Immunity, St George's University of London, London, UK
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Gauld R, Atmore C, Baxter J, Crampton P, Stokes T. The 'elephants in the room' for New Zealand's health system in its 80th anniversary year: general practice charges and ownership models. N Z Med J 2019; 132:8-14. [PMID: 30703775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The 2018 year signalled the 80th anniversary of the Social Security Act 1938. In order to implement this legislation, a historic compromise between the government and the medical profession created institutional arrangements for the New Zealand health system that endure to this day. The 2018 year also marked the commencement of a Ministerial review of the New Zealand health system. This article considers two intertwined arrangements which stem from the post-1938 compromise that the Ministerial review will need to address if goals of equity and, indeed, the original intent of the 1938 legislation are to be delivered upon: general practice patient charges; and ownership models. It describes the problems patient charges create, and options for ownership that the Ministerial review might contemplate.
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Affiliation(s)
- Robin Gauld
- Pro-Vice-Chancellor and Dean, Otago Business School, University of Otago, Dunedin
| | - Carol Atmore
- Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, Dunedin
| | - Jo Baxter
- Kohatu - Centre for Hauora Maori, University of Otago, Dunedin
| | - Peter Crampton
- Kohatu - Centre for Hauora Maori, University of Otago, Dunedin
| | - Tim Stokes
- Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, Dunedin
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Havill J, Williams M, Kuten J, Kueppers F, Macdonald A, Payinda G, Koshy S, Glover A, Baskett J, Davidson J, Sparrow M, Stephens R, Smales L, Johnson L, Shand C, Musgrove J. Enough doctors support the End of Life Choice Bill to make it operable. N Z Med J 2018; 131:88-90. [PMID: 30048438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Jack Havill
- Retired Intensive Care Medicine Specialist, Waikato
| | | | | | | | | | | | | | | | | | | | | | | | - Libby Smales
- Palliative Care Physician and Grief Counsellor, Hawkes Bay
| | | | - Carol Shand
- Retired General Practitioner/Sexual Health Physician, Wellington
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Moylan S. Occupational violence and staff safety in general practice. Aust Fam Physician 2017; 46:952-956. [PMID: 29464235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND The recent death of a Victorian surgeon who was assaulted by a member of the public when leaving work has re-highlighted the risk and potential cost of violence experienced by healthcare workers. OBJECTIVE The aim of this article is to outline the risk of occupational violence experienced by doctors, and general practitioners in particular, and to discuss practical measures that can be taken to manage this risk. DISCUSSION The majority of doctors have experienced aggression or violence in their workplaces in the past 12 months. Risks for violence include elements of workplace design, policy and procedures, and client factors. A series of practical tools designed to assist the assessment and management of risk of occupational violence are discussed.
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Iacobucci G. Ministers must act "without delay" to solve GP indemnity crisis, defence bodies warn. BMJ 2017; 358:j4111. [PMID: 28871040 DOI: 10.1136/bmj.j4111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Iacobucci G. GP leaders ballot profession on mass list closure. BMJ 2017; 358:j3374. [PMID: 28698295 DOI: 10.1136/bmj.j3374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Dyer C. GP is suspended for 12 months for treatment failures in four patients. BMJ 2017; 357:j2555. [PMID: 28539316 DOI: 10.1136/bmj.j2555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Griffin A, McKeown A, Viney R, Rich A, Welland T, Gafson I, Woolf K. Revalidation and quality assurance: the application of the MUSIQ framework in independent verification visits to healthcare organisations. BMJ Open 2017; 7:e014121. [PMID: 28196952 PMCID: PMC5318568 DOI: 10.1136/bmjopen-2016-014121] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVES We present a national evaluation of the impact of independent verification visits (IVVs) performed by National Health Service (NHS) England as part of quality assuring medical revalidation. Organisational visits are central to NHS quality assurance. They are costly, yet little empirical research evidence exists concerning their impact, and what does exist is conflicting. SETTING The focus was on healthcare providers in the NHS (in secondary care) and private sector across England, who were designated bodies (DBs). DBs are healthcare organisations that have a statutory responsibility, via the lead clinician, the responsible officer (RO), to implement medical revalidation. PARTICIPANTS All ROs who had undergone an IVV in England in 2014 and 2015 were invited to participate. 46 ROs were interviewed. Ethnographic data were gathered at 18 observations of the IVVs and 20 IVV post visit reports underwent documentary analysis. PRIMARY AND SECONDARY OUTCOME MEASURES Primary outcomes were the findings pertaining to the effectiveness of the IVV system in supporting the revalidation processes at the DBs. Secondary outcomes were methodological, relating to the Model for Understanding Success in Quality (MUSIQ) and how its application to the IVV reveals the relevance of contextual factors described in the model. RESULTS The impact of the IVVs varied by DB according to three major themes: the personal context of the RO; the organisational context of the DB; and the visit and its impact. ROs were largely satisfied with visits which raised the status of appraisal within their organisations. Inadequate or untimely feedback was associated with dissatisfaction. CONCLUSIONS Influencing teams whose prime responsibility is establishing processes and evaluating progress was crucial for internal quality improvement. Visits acted as a nudge, generating internal quality review, which was reinforced by visit teams with relevant expertise. Diverse team membership, knowledge transfer and timely feedback made visits more impactful.
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Affiliation(s)
- Ann Griffin
- Research Department for Medical Education, UCL Medical School, London, UK
| | - Alex McKeown
- Research Department of Medical Education, UCL Medical School, Royal Free Hospital, London, UK
| | - Rowena Viney
- Research Department of Medical Education, UCL Medical School, Royal Free Hospital, London, UK
| | - Antonia Rich
- Research Department of Medical Education, UCL Medical School, Royal Free Hospital, London, UK
| | - Trevor Welland
- Research Department of Medical Education, UCL Medical School, Royal Free Hospital, London, UK
| | - Irene Gafson
- Research Department of Medical Education, UCL Medical School, Royal Free Hospital, London, UK
| | - Katherine Woolf
- Research Department of Medical Education, UCL Medical School, Royal Free Hospital, London, UK
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McCartney M. Margaret McCartney: Theresa May and the blame game. BMJ 2017; 356:j246. [PMID: 28093390 DOI: 10.1136/bmj.j246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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17
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Sterzik V, Wild V, Tatschner T, Babel B, Bohnert M. Fatal visit to the general practitioner. Arch Kriminol 2016; 238:120-127. [PMID: 29870175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
A 31-year-old female asthmatic patient received an infusion of metamizole and tramadol for chronic pain at a GP surgery. After a few minutes, the patient developed breaing difficulties and died in spite of resuscitation measures. The general practitioner was suspected of medical malpractice. Medico-legal investigations confirmed the assumption that death was caused by anaphylacitic shock. In spite of temporary intubation into the oesophagus no evidence of medical malpractice was found, however.
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Austin JL, Burdick H, Chouinard S, Coben J, Colenda C, King DE. The State Innovation Model (SIM) Plan: A Practical Guide for Practitioners. W V Med J 2016; 112:12-15. [PMID: 29368472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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19
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Walbert H. [No insurance coverage for combination hemorrhoid drugs]. MMW Fortschr Med 2016; 158:35. [PMID: 27323995 DOI: 10.1007/s15006-016-8434-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Zimmermann GW. [Time profile controls are not a reason for panic]. MMW Fortschr Med 2016; 158:29. [PMID: 27462660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Zimmermann GW. [When dressings can be calculated according to GOÄ]. MMW Fortschr Med 2016; 158:29. [PMID: 27323986 DOI: 10.1007/s15006-016-8423-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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22
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Zimmermann GW. [Family physicians lose fees of specialist laboratory services]. MMW Fortschr Med 2016; 158:28. [PMID: 27323985 DOI: 10.1007/s15006-016-8421-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Zimmermann GW. [Continuing education: starting in July higher advancement subsidies]. MMW Fortschr Med 2016; 158:28. [PMID: 27323969 DOI: 10.1007/s15006-016-8402-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Walbert H. [Can general practitioners bill local anesthesia?]. MMW Fortschr Med 2016; 158:32. [PMID: 27271401 DOI: 10.1007/s15006-016-8368-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Zimmermann GW. [New remedies guideline decreases risk of regress starting 1 January 2017]. MMW Fortschr Med 2016; 158:26. [PMID: 27271395 DOI: 10.1007/s15006-016-8358-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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26
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Affiliation(s)
- Sabine Gleich
- Referat für Gesundheit und Umwelt der Landeshauptstadt München, Bayerstr. 28 a, D-80335, München, Deutschland.
| | - Stefan Schweitzer
- Referat für Gesundheit und Umwelt der Landeshauptstadt München, Bayerstr. 28 a, D-80335, München, Deutschland
| | - Sibylle Viehöver
- Referat für Gesundheit und Umwelt der Landeshauptstadt München, Bayerstr. 28 a, D-80335, München, Deutschland
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Graw M. [Knowing avoidable mistakes--well-prepared for postmortem examinations]. MMW Fortschr Med 2016; 158:44. [PMID: 27271413 DOI: 10.1007/s15006-016-8380-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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28
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Walbert H. [The 4-3-2-1 rule for the chronic disease code]. MMW Fortschr Med 2016; 158:32. [PMID: 27434909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Mascher U. [Is your practice open to everyone?]. MMW Fortschr Med 2016; 158:35. [PMID: 27271403 DOI: 10.1007/s15006-016-8370-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Zimmermann GW. [The patient wants his records - what now?]. MMW Fortschr Med 2016; 158:31. [PMID: 27221417 DOI: 10.1007/s15006-016-8260-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Walbert H. [Is there a liability limitation for MVZ partners?]. MMW Fortschr Med 2016; 158:38. [PMID: 27221424 DOI: 10.1007/s15006-016-8268-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Zimmermann GW. [Prevention in GOÄ: potential in men]. MMW Fortschr Med 2016; 158:30-31. [PMID: 27221416 DOI: 10.1007/s15006-016-8259-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Walbert H. [Records must be kept for 10 years]. MMW Fortschr Med 2016; 158:38. [PMID: 27221400 DOI: 10.1007/s15006-016-8241-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Zimmermann GW. [How the third party anamnesis is billed in accordance with Nr. 4 GOÄ]. MMW Fortschr Med 2016; 158:22. [PMID: 27155672 DOI: 10.1007/s15006-016-8167-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Zimmermann GW. [Legally billing autologous hemotherapy]. MMW Fortschr Med 2016; 158:22. [PMID: 27155685 DOI: 10.1007/s15006-016-8181-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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mwo. [Consultation by email - which numeral is applicable?]. MMW Fortschr Med 2016; 158:23. [PMID: 27155690 DOI: 10.1007/s15006-016-8190-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Zimmermann GW. [Compulsory continuing education in the rehabilitation regulation will be eliminated]. MMW Fortschr Med 2016; 158 Spec No 1:16. [PMID: 27244901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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[Geriatric care will get more support starting in July]. MMW Fortschr Med 2016; 158 Spec No 1:16. [PMID: 27090668 DOI: 10.1007/s15006-016-8091-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Zimmermann GW. [Quarterly accounting submissions have no time limits]. MMW Fortschr Med 2016; 158:24. [PMID: 27183657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Zimmermann GW. [Digital remedy prescribing!]. MMW Fortschr Med 2016; 158:25. [PMID: 27071569 DOI: 10.1007/s15006-016-8043-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Zimmermann GW. [Issuing the prescription refill - regardless of where the patient is]. MMW Fortschr Med 2016; 158:24. [PMID: 27071568 DOI: 10.1007/s15006-016-8041-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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[Mail to the statuary insurance can be billed according to EBM, patient letter at best according to GOÄ. ]. MMW Fortschr Med 2016; 158:25. [PMID: 27183658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Walbert H. [Liquid formula nutrition by prescription?]. MMW Fortschr Med 2016; 158:43. [PMID: 27180388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Zimmermann GW. [Not omitting the fee in prevention]. MMW Fortschr Med 2016; 158:37. [PMID: 27180387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Zimmermann GW. [General practitioners should not accept reduced fees for psychological codes]. MMW Fortschr Med 2016; 158:36. [PMID: 27180386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Zimmermann GW. [Accounting in after hours treatment ]. MMW Fortschr Med 2016; 158:36. [PMID: 27084147 DOI: 10.1007/s15006-016-7986-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Zimmermann GW. [Remedy regresses become significantly more difficult starting in 2017]. MMW Fortschr Med 2016; 158:30. [PMID: 26979201 DOI: 10.1007/s15006-016-7920-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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