Chronic disease management programmes are criticised by doctorsBMJ 2002; 325 doi: https://doi.org/10.1136/bmj.325.7360.356/d (Published 17 August 2002) Cite this as: BMJ 2002;325:356
- Annette Tuffs
The German government's efforts to introduce so called “disease management programmes” for patients with chronic diseases is being opposed and partly boycotted by doctors. They fear that the quality of patient care will suffer substantially and that data on individual patients will have to be disclosed to the health insurance companies.
Health care in Germany is provided through numerous insurance schemes, which all but the highest paid workers have to join to receive treatment. These schemes are obliged to cover the cost of treating chronic disease. However, providing such care can be costly. The programmes offer a standard structure for diagnosing and treating chronic disease. The health …