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HEALTH

‘More than half’ of all doctors in Germany now offer online consultations

Video meetings with doctors were not very popular in the past in Germany. But the corona crisis has changed that.

'More than half' of all doctors in Germany now offer online consultations
A general doctor holding a video meeting in Hartha, Saxony. Photo: DPA

At the end of 2017, only 1.8 percent of licensed doctors in Germany offered a video consultation option with patients. And nearly 60 percent of the practitioners surveyed were generally opposed to this form of doctor-patient interaction, reported Spiegel Online. 

Yet according to a new online follow-up survey of 2,240 doctors and psychotherapists, more than 52 percent stated that they now offer video consultation hours in their practice, and another 10 percent plan to do so soon. 

The survey was carried out by the Mannheim Institute for Public Health at the University of Heidelberg, the Health Foundation (Stiftung Gesundheit) and the Health Innovation Hub of the Federal Health Ministry.

Around 94 percent of the recently surveyed doctors and therapists stated that they had only been holding online consultations since this year – a clear indication this has been occurring due to the impact of the coronavirus crisis.

Almost 90 percent of those surveyed said that the Covid-19 pandemic had had an impact on the use of video consultation hours in their practice. Patients were also inquiring about this form of consultation more often, said the surveyed doctors.

Since the start of the coronavirus, more medical appointment booking websites such as Doctolib have given patients the option to request either an in-person or online appointment – with some doctors exclusively offering remote services.

READ ALSO: Everything you need to know about making a doctor's appointment in Germany

Among the general practitioners, 35 percent of those surveyed now offer video consultation hours, but half of the practitioners in general medical care are also opposed to offering online consultation hours due to what they see as legal or logistical barriers.

Psychotherapists are the most common group to offer their services remotely – 86.1 percent offer online meetings or plan to do in the near future. 

Regional and demographic differences

However, 60 percent of specialists from other disciplines only offer in-person services. Barely 28 percent use video consulting hours, and another 12.6 percent said want to introduce them soon. 

The lowest rate of online users is among doctors who also carry out operations: almost two-thirds of them do not use video consultation hours and, according to the survey, do not intend to do so.

READ ALSO: Patients in Germany to be given speedier doctor's appointments

Younger doctors and therapists under 40 are particularly open to this form of consultation, with 80 percent of the age group stating they already speak with patients through online video.

If the practitioner is located in a city, there is a greater chance that he or she will offer a telephone or online consultation than if the practice is located in a rural area.

Although many practitioners expect the proportion of video consultations to decrease significantly after the pandemic, they also think it will remain at a significantly higher level than before the corona crisis. 

A full 43.5 percent of those surveyed do not consider video consultations to be a good form of doctor-patient interaction, while 24 percent fear the organisational and legal effort involved.

Online barriers lifted

Only since April 2017 have doctors in Germany been allowed to charge for video consultations with patients; exactly two years later, restrictions were lifted that had allowed only certain clinical pictures or follow-ups to be treated remotely.

Psychotherapists have also been allowed to charge for video consultations since April 2019.

In October 2019, an agreement was reached to allow doctors to treat patients in video consultation hours even if they had not visited the practice previously. Previously the doctor and patient had to have their first meeting in person.

Vocabulary

Video consultation hours – (die) Videosprechstunden

Specialists (doctors) – (die) Fachärzten

To bill/invoice – abrechnen 

in the near future/within a narrow time frame – zeitnah

We're aiming to help our readers improve their German by translating vocabulary from some of our news stories. Did you find this article useful? Let us know.

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HEALTH

Monkeypox in Germany: Two teens ‘among new infections’

Two teenage boys between the ages of 15-17 have reportedly been infected by monkeypox, as the number of cases in Germany continues to grow.

Monkeypox in Germany: Two teens 'among new infections'

German news site Spiegel Online first reported the new cases – which are an anomaly for a virus as it has mostly affected gay men – following an inquiry to the Robert Koch Institute (RKI). 

They are among a total of 2,677 people who are confirmed to have contracted the virus in Germany to date. There have not been any fatalities.

Out of these, only five cases were women, according to the RKI. The public health institute said that it does not release information on individual cases.

READ ALSO: EXPLAINED: How Germany wants to contain the monkeypox

The disease – which is not usually fatal – often manifests itself through fever, muscle aches, swollen lymph nodes, chills, exhaustion and a chickenpox-like rash on the hands and face.

The virus can be transmitted through contact with skin lesions and droplets of a contaminated person, as well as through shared items such as bedding and towels.

Many of the cases known so far concern homosexual and bisexual men. However, affected people and experts have repeatedly warned against stigmatising gay communities.

How fatal is the disease?

The first monkeypox cases were reported in Germany on May 20th, as the disease continued to spread in West Europe.

At the weekend, the first two deaths outside of West Africa were reported in Spain.

READ ALSO: WHO warns ‘high’ risk of monkeypox in Europe as it declares health emergency

The RKI has urged people returning from West Africa and in particular gay men, to see their doctors quickly if they notice any chances on their skin.

According to the latest estimates, there are 23,000 monkeypox cases worldwide, and Europe is particularly affected with 14,000 cases.

There have been 2,677 monkeypox cases in Germany as of August 2, 2022. Photo: CDC handout

About eight percent of patients in Europe have been hospitalised so far, reported the World Health Association on Monday, mostly due to severe pain or additional infections.

In general, the mortality of the variant currently circulating in Europe is estimated to be low.

READ ALSO: More cases of monkeypox ‘expected’ in Germany

Will a vaccine make a difference?

Since July, a vaccine has been authorised in 27 EU member states and in Iceland, Liechtenstein and Norway. 

The Standing Committee on Vaccination (STIKO) recommends vaccination against monkeypox in Germany for certain risk groups and people who have had close contact with infected people.

So far, the German government has ordered 240,000 vaccine doses, of which 40,000 had been delivered by Friday. 

Around 200,000 doses are set to follow by the end of September. 

The German Aids Federation (DAH) on Friday called for one million vaccine doses, stressing that the current supplies will fall short of meeting need.

“The goal must be to reduce the number of infections as quickly as possible and to get the epidemic permanently under control,” explained Ulf Kristal of the DAH board in Berlin on Friday.

But this is only possible, he said, if as many people at risk of infection as possible are vaccinated.

“We don’t assume the epidemic will be over when the doses available so far have been vaccinated,” Axel Jeremias Schmidt, Epidemiologist and DAH Consultant for Medicine and Health Policy, wrote in a press release.

As long as there are monkeypox infections, he said, people who are at risk must be offered vaccination. 

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