Traduction en anglais : Expertising unconventional treatment methods within the framework of statutory health insurance.
Court decisions of the Federal Court for Problems of Social Welfare (Bundessozialgericht) make health insurance pay for unconventional methods under certain circumstances.
Physicians of the Health Insurance Medical Service (MDK) have to examine whether these conditions are fulfilled in a special case.
The specific problems they encounter there are being described in this paper.
Hermeneutic differences can be noticed.
To guarantee the quality of medical care, which is the duty of the statutory health insurances, seems to be difficult in the case of « unconventional » medical methods.
Mots-clés Pascal : Médecine parallèle, Assurance qualité, Assurance maladie, Législation, Allemagne, Europe
Mots-clés Pascal anglais : Alternative medicine, Quality assurance, Health insurance, Legislation, Germany, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0543802
Code Inist : 002B30A09. Création : 01/03/1996.