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Upcoming changes in German healthcare: January challenges

Upcoming changes in German healthcare: January challenges

Upcoming changes in German healthcare: January challenges
Upcoming changes in German healthcare: January challenges

Navigating doctor visits post-2023 is set to undergo significant changes as electronic prescriptions replace traditional paper slips. The January 1, 2024 deadline marks the beginning of this electronic prescription mandate for medical practitioners.

Adapting to the Era of Electronic Prescriptions

A series of adjustments will be required for patients to redeem their electronic prescriptions. Three approaches exist:

  • App for e-Prescriptions: Utilize an app intended for electronic prescriptions.
  • Health Card: Employ a health card that supports electronic prescriptions.
  • Paper Printout: Receive a paper version with a QR code, which can be used at the pharmacy.

From July 1, 2023, those with mandatory health insurance can use their health insurance card at the pharmacy. Insert the card into the reader, and the prescription will be loaded from the server.

Complex Adaptations in German Healthcare - Challenges Awaiting

Upcoming Challenges in German Healthcare

Conditions for Participation

Medical practices, clinics, and pharmacy administration systems must have the necessary software updates for participation.

Additional Ways to Redeem e-Prescriptions

Two more options for redeeming electronic prescriptions are:

  • Paper Printout: Receive a paper printout with the prescription code as an alternative to the traditional pink slip.
  • e-Prescription App: The patient can receive the prescription directly on their smartphone and send it to their chosen pharmacy for pre-ordering of the required medication.

The electronic prescription is valid only for those with mandatory health insurance. Authentication using the health insurance company code is necessary to access the e-Prescription app. For individuals who don't have an NFC-enabled health card, it can be requested from their health insurance company.

Impact on Health Management

The switch to electronic prescriptions may affect patients' health management, requiring them to adapt to utilizing apps or health cards for prescription redemption. Maintaining good health during this period of transition is vital, enabling the body to handle the adjustment process effectively.

Enrichment Data:

German healthcare is undergoing change, primarily with the shift to electronic prescriptions (e-prescriptions) not just for medicines but also digital health applications (DiGAs) and narcotics by 2025. Here's a detailed breakdown of the evolving e-prescription process, extending to digital health applications and narcotics in 2025:

For Patients:

  • ePA: Starting from January 2025, all statutory health insurance companies will provide electronic health records (ePA) to patients who do not actively object. The ePA stores health information such as diagnoses, test results, and medication plans, which is accessible by patients, treating physicians, hospitals, and pharmacies.
  • e-Prescription Receipt: Patients receive digital prescriptions that are stored on their insurance card. This ensures easy access and management of prescriptions.
  • Redemption Process: Patients can redeem their e-prescriptions at any pharmacy. The pharmacist verifies the prescription electronically, ensuring correct and efficient medication dispensation.

For Healthcare Providers:

  • e-Prescription Issuance: Healthcare providers issue e-prescriptions using digital systems, reducing errors and improving patient care.
  • Electronic Verification: Pharmacists verify e-prescriptions electronically, ensuring correct dispensation of medication.
  • Data Integration: The e-prescriptions are integrated into the electronic health record (ePA), providing comprehensive insight into a patient's medical history and current treatments.

Additional Requirements:

  • Data Protection: The e-prescription system is governed by data protection laws, such as the Health Data Use Act (GDNG), which ensures healthcare data privacy and security.
  • Technical Infrastructure: The telematics infrastructure and IT security measures are essential for the smooth operation of the e-prescription system, preventing misuse and ensuring health data integrity.

The mandatory use of e-prescriptions for prescription medicines began on July 1, 2023. The extension to digital health applications, narcotics, and remedies and medical aids is planned for 2025 and 2027, respectively. This progressive rollout aims to enhance healthcare system efficiency and security in Germany.

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