To sign the Manifesto "Round Table Referendum Managed Care", please contact us at manifesto@psica.ch
Pour signer le manifeste contactez nous par e-mail sur manifesto@psica.ch
Um das Manifest zu unterschreiben, kontaktieren Sie uns bitte per mail an manifesto@psica.ch
Manifest des runden Tisches Referendum Managed Care vom 25. Januar 2011
Obwohl es keine wissenschaftlichen Beweise für den gesundheitsökonomischen Nutzen von Managed Care (Deutsch: Integrierte Versorgung, frz.: Soins Intégrés) gibt, plant das Parlament derzeit für 2012 diejenigen PatientInnen, die sich nicht in einem integrierten Versorgungsmodell versichern wollen, finanziell empfindlich zu bestrafen, insbesondere durch unannehmbare, sogenannte "differenzierte" Selbstbehalte. Viele Patienten werden so praktisch gezwungen einem Managed Care Modell beizutreten.
Die Gesetzesvorlage 04.062 Managed Care bedeutet für unsere PatientInnen den Verlust der freien Arztwahl und Knebelverträge. Ebenfalls patientenfeindlich sind die zwingende Budget-mitverantwortung, welche letzten Endes in eine verdeckte Rationierung und einen unvermeidbaren Qualitätsverlust mündet. Gleichermassen problematisch ist das Vorrecht der Versicherer/Netzwerke zu bestimmen, welchen kostengünstigen ÄrztInnen sie Verträge gewähren.
Und nicht zuletzt bleibt bei Managed Care das Arztgeheimnis, also die vertrauensvolle Arzt-Patientbeziehung, weitgehend auf der Strecke. Integrierte Versorgung verträgt sich gewiss nicht gut mit dem Datenschutz.
Aus all diesen Gründen sind wir entschlossen gegen den Zwang zu Managed Care das Referendum zu ergreifen.
Manifeste de la Table Ronde Référendum Managed Care du 25 janvier 2011
Malgré l'absence de toute preuve scientifique en faveur d'un avantage économique du système de soins de type « Managed Care », le Parlement envisage actuellement pour 2012 de sanctionner lourdement les patients qui ne s'assureraient pas selon ce modèle (appelé aussi « Soins Intégrés»), notamment par des quotes-parts différenciées inacceptables. Ainsi, beaucoup de patients vont être amenés de manière pratiquement contraignante à adhérer à un tel modèle de Managed Care.
Le projet de révision partielle de la LAMal 04. 062 signifie pour nos patients la perte du libre choix du médecin et leur adhésion forcée à des contrats verrouillés.
De plus, la clause dite de « co-responsabilité budgétaire » imposée à tout réseau de Soins Intégrés, aboutit à un rationnement des soins et à une perte inévitable de leur qualité. Cela va également à l'encontre des intérêts de la santé des patients, tout comme la prérogative donnée auxassureurs/réseaux de sélectionner avec quels médecins bon marché ils entendent se lier.
Enfin, tel que prévu actuellement, le Managed Care risque fort d'entamer le secret médical et la relation de confiance entre le patient et son médecin. Les Soins Intégrés posent certainement un problème de protection des données.
Pour toutes ces raisons, nous sommes déterminés à lancer un référendum contre cette contrainte à adhérer à ce système-là de Managed Care.
Signataires et - si disponible -
nombre de membres des associations présentes
Unterzeichner und - soweit vorliegend - Mitgliederanzahl der
vertretenen Verbände:
5000 Mitglieder PULSUS, Notter Hans Langensandstr. 76 6005 Luzern
4500 UnterzeichnerInnen PSICA & SPA, Kägi Ellen Zürich
Jutzi Jürg 4416 Bubendorf
Aerztegesellschaft Baselland Eichenberger Tobias 4410 Liestal
PULSUS Marugg Silvio 6003 Luzern
500 Mitglieder Verein für freie Arztwahl Bracher Daniel Waldstr. 13 3073 Gümlingen
1850 membres Association des Médecins de Genève, Châtelain Didier 1205
500 membres Médecins de famille Genève (as a part of AMG) Montant Emery 1206 Genève
Hurni Maurice B1003 Lausanne
4000 Mitglieder VSAO-ZH, Chaudhry Homayon Reinhardt
PULSUS Maassen Marcus 6006 Luzern
Schweizerische Ophtalmologische Gesellschaft SOG SSO Bianchetti Marco 6210 Sursee
1700 Mitglieder Schweizerische Belegärzte-Vereinigung SBV ASMI Wanner Ulrich 3073 Gümlingen
4000 Mitglieder Schweizerische Zahnärzte-Gesellschaft SSO 3000 Bern 7
Société Suisse de Dermatologie et Vénérologie SSDV SGDV, JP. Grillet (Président)
Gynécologues Genevois Lancelot Voute (Président)
Pädiater Basel Land und Baselstadt, Marianne Steinemann Präsidentin
Groupe Genevois de Endocrinologie, Joachim Karsegard
Medizinische Gesellschaft Basel, Jennifer Langloh-Wetterwald
Groupement Genevois de Psychiatrie (Association des Médecins de Genève) Dr Sylvia Quayzin Hooton (Présidente)
260 membres réseau ReMed Genève
400 Mitglieder Zürcher Gesellschaft für Psychiatrie und Psychotherapie (ZGPP)
NCPA President John C. Goodman:
Solving the Problems of Managed Care
Not long ago,
American health care was easily the best in the world. Today, we
face a quality crisis.
http://www.ncpa.org/pub/ba254
Psychiatrists Outside of Managed
Care Value Autonomy in Treatment Decisions. Psychiatrists who have
"opted out" say their choice is in part a protest against
managed care. But it is also a matter of exercising the physician’s
autonomy to practice as he or she believes is best. "I’ve never
known a colleague who opted out who failed. But I have known some
who practiced in managed care and left medicine altogether because
they were demoralized."
http://pn.psychiatryonline.org/cgi/content/full/39/6/13
A Psychiatrist speaks out: http://pw2.netcom.com/~mvp1/soloproviders1.htm
Tip of the iceberg or just the pitfalls of Waiting List Psychiatry? The psychiatric services seem to be working under such pressures that they are being forced to take unacceptable risks". Read a random collection of recent BBC-Reports about mental health related crimes and how Great Britains struggling psychiatric services try to cope with it. |
|
Eleven Unethical Managed Care Practices. With emphasis on mental health care (Anti-Managed Care Site from the United States of America) Disregarding personal and medical privacy, Using false advertising, Using deceptive language, Violating traditional scientific ethics, Practicing outside of a professional's area of competence, Creating and intensifying conflicts of interest, Keeping secrets about financial conflicts of interest... http://www.thenationalcoalition.org/eleven.html
Resisting From Within. Paper presented by Dr. Pinheiro at the Private Practice Committee Meeting in Toronto on 6/1/98. http://pw2.netcom.com/~mvp1/mcoproviders.htm
National Health System in GB: Waiting lists - why we are waiting: http://www.nhsexposed.com/patients/waiting/index.shtml
Psychiatry Online: Managed Care Has Not Solved Health Insurance Cost Problems. Costs of health care continue to rise, along with employee complaints. Health benefit managers fear that the financial gains from the managed care revolution have been exhausted. http://pn.psychiatryonline.org/cgi/content/full/36/18/14-a
Of Two Minds - The Growing Disorder
in American Psychiatry
This book suggests a diagnosis for the ailing condition of
American psychiatry. With the recent emergence of ‘managed care’,
insurance companies have been able to dictate the nature of the
treatment given to patients. They have favoured pharmacology over
psychotherapy, because it seems cheaper. http://bjp.rcpsych.org/cgi/content/full/180/1/89
Howard B. Roback, Ph.D., Mary Shelton,
M.S.
EFFECTS OF CONFIDENTIALITY
LIMITATIONS ON THE PSYCHOTHERAPEUTIC PROCESS: This review article examines the
impact of confidentiality limitations on the psychotherapeutic
process. Findings from analogue studies with nonpatients indicate
that perceived confidentiality limitations will deter people from
seeking therapy and will inhibit self-disclosures once they are
in treatment.
http://jppr.psychiatryonline.org/cgi/content/abstract/4/3/185
"Young failed on Mental Health. " Mental health problems in children and adolescents are on the rise, the British Medical Association has warned, and services are ill-equipped to cope. http://news.bbc.co.uk/2/hi/health/5095708.stm
Entrez
Medline: Problems with managed psychiatric care without a
psychiatrist-manager
Seven critical cases in which patients at
major psychiatric risk received less than adequate managed care are
presented. In all seven cases, the patient's care was managed by a
non-psychiatrist...
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1810858&dopt=Abstract
John Grohol, Psy.D. WHY MANAGED CARE HURTS YOU What's the big deal about this? Try getting psychotherapy services from your HMO or insurance company and you'll soon realize what the "big deal" is. http://psychcentral.com/managed.htm
Cost savings
achieved by the state through capitation offer a powerful
incentive for the contractor to enhance profits by restricting
mental health services to a population that already is
underserved. As managed care becomes the norm, families, consumers
and professionals must work together so that mental health care of
tomorrow is better and more humane.
http://www.psychservices.psychiatryonline.org/cgi/content/full/49/7/961
What If You Didn't Have to Worry About Health Care? The National Psychologist. A socially responsible, democratic health care system must be inherently anti-Darwinian http://www.healthpsych.com/articles/shearer1.htm
Mental Health Ressources: The Problem(s) with Managed Care Managed care is taking over as the predominant method of financing mental health care in the United States. Is this the solution to spiraling healthcare costs? http://mentalhealth.about.com/library/weekly/aa112497.htm
Elderly people are being neglected and poorly treated by England's health system , inspectors say. One of the worst areas, the report found, was mental health care, where older people found services deteriorating as they passed the age of 65. http://news.bbc.co.uk/2/hi/health/4848646.stm
The Cost of Care Versus the Value of Life As a therapist, what do you do if a managed care company denies care for a suicidal patient? US-Report: http://mentalhealth.about.com/library/weekly/aa071999.htm
"HOW
MANAGED CARE WRECKS OUR LIVES
" A personal odyssey from the United
States of America
http://www.transitions-counseling.com/how_managed_care_wrecks_our_lives.htm
Nein
zur Zweiklassenmedizin - Non à la médecine à deux vitesses
Promote Your Page Too