Nursing financing: Nursing industry calls for far-reaching reforms

Experts outdo each other at the beginning of the German Nursing Day with reform proposals. One of them: relatives should clean the nursing home and feed patients.

Employees and needy people demand far-reaching improvements in their care. The Federal Government recognized the seriousness of the situation, praised the president of the German Nursing Council, Franz Wagner, at the start of the German Nursing Day in Berlin and praised the convened by three federal ministries "concerted action care" as a "first important step". However, "a target for the further development of the medical profession" is missing beyond the coming years. Especially the nursing profession in crisis. It already takes five months to fill a vacancy in nursing.

One third of the nurses consider leaving the profession. Within the next 15 years, one third will reach retirement age. Necessary would therefore be better pay, more employee-friendly rosters and a target for the further development of the profession beyond the next few years, demanded Wagner.

The chairman of the board of the AOK Federal Association, Martin Litsch, called for a new understanding of roles between the health professions. "Strong, equal care" would have a positive impact on the quality of health care. Litsch advocated an academization of care.

Wagner also wants more skills for nurses, also because they can improve health care, especially in underserved areas or in hard-to-reach target groups. Today, nurses are not allowed to do many medical activities at all. Therefore, the conditions should be created in the professional and performance right, demanded Wagner. From the point of view of the German Nursing Council nurses could also take over certain medical tasks and thereby relieve the doctors.

Gerwerkschaften demanded from the federal government binding personnel key for geriatric care and hospitals. "Many nurses are now out of work, even though they actually love him, it has to be different," a verdi spokeswoman told Handelsblatt .

The Federal Government Commissioner for Patients, Andreas Westerfellhaus, criticized employers in the care sector. Especially in the eastern federal states, young workers often do not get full-time contracts because the home business owners prefer to design their rosters with part-time workers. So employers won no competition for skilled workers, he told the newspapers of the Funke media group . However, there is a reason that part-time jobs, especially in geriatric care, are predominantly offered. Most employees now work part-time. And that in turn requires further part-time.


655 euros own contribution
On average, people in need of care pay in homes.

The Bremen health economist Heinz Rothgang proposes a fundamental reform of funding. In view of increased need for care and rising costs, the statutory long-term care insurance is not financially sustainable. The medical treatment in nursing homes must therefore be taken over again by the health insurance, he said on Deutschlandfunk . A second step could be a kind of civil insurance. He was skeptical about tax subsidies, which were often demanded.

Relatives should clean in the home

Rothgang also advocated limiting the self-increments of those in need of care in homes. This could also happen because "the medical treatment care in nursing homes goes back to the health insurance." That would almost halve the own shares at the moment. " With regard to the coexistence of private and statutory long-term care insurance, he proposed to integrate the privately insured into the legal system. Today they are only in solidarity with themselves. "If they come into the system, we can expect a contribution relief of up to half the contribution point."

The CDU politician Erwin Rüddel, chairman of the health committee in the Bundestag, suggested that the respective own contribution could be reduced if a housing in the nursing home, by members of the home could provide domestic services. As examples of such domestic services Rüddel called eating rich or cleaning the nursing room.

Rüddel also advocated covering the own contribution in the inpatient area and financing part of the long-term care insurance through tax subsidies. The SPD is also in favor of this proposal. A corresponding Federal Council initiative from Schleswig-Holstein, Berlin, Hamburg and Bremen will be discussed on Friday.

The German Nursing Day is the central industry event in Germany. He runs from Thursday to Saturday in Berlin, and several federal ministers will be guests at the event.

ref: zeit