[Evaluation of special GP-centered health care contracts in Germany by the participating GPs. present situation and future perspectives]

Med Klin (Munich). 2010 Feb;105(2):89-95. doi: 10.1007/s00063-010-1012-8. Epub 2010 Feb 20.
[Article in German]


Background and purpose: In 2004, German statutory health care funds were given the possibility to offer their insured a special general practitioner-( GP-)centered health care contract (HZV), since 2007 they are obliged to do so. The aim of these contracts is to strengthen the role of the GP as a coordinator in the health care system. Until now, the evidence regarding the GPs' view on these contracts is poor. A written survey was conducted in Hesse in order to learn how the participating GPs evaluate the regional HZV.

Methods: In Apri 2008, a questionnaire was developed, tested and mailed to 2,815 GPs who were participating in the GP-centered health care contract at that time. All analyses where conducted with SPSS (version 15.0).

Results: A total of 686 questionnaires were returned (response rate 24.4%). Altogether, the GPs' feedback ranged from great approval to clear disapproval of the contract. However, 70.0% of the survey's participants evaluated the HZV in general to be positive, 60.1% felt it strengthens their role as a GP. Quality circles on good prescribing and GP-specific education, obligatory parts of the HZV, were evaluated to be especially positive (70.3% and 69.4%, respectively). Positive effects were also seen concerning coordination of care (53.3%) and cooperation with patients (36.3%). Improvements concerning cooperation with specialists and hospitals were reported less often (24.9% and 13.0%, respectively). Workload because of additional administration for the HZV was criticized.

Conclusion: In future, special GP-centered health care contracts should focus on improvement of cooperation between GPs and other caregivers. Workload for additional administration should be reduced.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel*
  • Contract Services / legislation & jurisprudence*
  • Cooperative Behavior
  • Delivery of Health Care / legislation & jurisprudence*
  • Family Practice / legislation & jurisprudence*
  • Feedback
  • Female
  • Germany
  • Health Care Reform / legislation & jurisprudence*
  • Humans
  • Interdisciplinary Communication
  • Male
  • Middle Aged
  • National Health Programs / legislation & jurisprudence*
  • Patient-Centered Care / legislation & jurisprudence
  • Referral and Consultation / legislation & jurisprudence*
  • Surveys and Questionnaires