Das Land der unbegrenzten Möglichkeiten

Report of the Royal Commission on National Health Insurance

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Monograph

Identifikator:: 890892032

URN:: urn:nbn:de:zbw-retromon-34137

Document type:: Monograph

Author:: Waha, Raymund de http://d-nb.info/gnd/117560855

Title:: Die Nationalökonomie in Frankreich

Place of publication:: Stuttgart

Publisher:: Verlag von Ferdinand Enke

Year of publication:: 1910

Scope:: 1 Online-Ressource (XIX, 540 Seiten)

Collection:: Economics Books

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Document type:: Monograph

Structure type:: Chapter

Title:: Buch IV Die Nationalökonomie bei den Philosophen und Soziologen

Collection:: Economics Books

MAJORITY REPORT. 133 PROVISION OF CONSULTANT SERVICES AT PATIENT'S HOME. 989. As a result of recent inquiries by the Regional Medical Officers, the Ministry have found that a large number of prac- titioners thought it very desirable that the services of a specialist should be available for consultation at the patient’s home in the case of persons who are unfit to travel. Some of these men- tioned cases of acute illnesses, such as pneumonia or °° acute abdomen,’ as cases in which such help was specially needed. 290. Of the value of second opinions in such cases, there can be no doubt, not only on account of the assistance given to the doctor in cases in which he needs expert advice as to diagnosis, or as to the best course of treatment to adopt, but also on account of the relief thus given to the mind of the patient, or of his relatives, in cases of dangerous illness, even although the general practitioner in attendance may have no doubt as to the diagnosis or the proper course of treatment. In the cases of the latter group, however, what is wanted is not necessarily the opinion of an expert. The second opinion of any general practitioner of wide experience and good standing will usually serve the purpose equally well. Moreover, in acute illnesses of patients residing at some distance from the nearest centre at which experts are available, considerations of time may make it more advisable to get the opinion of a general practitioner, who is more quickly available. These latter considerations obviously must affect materially the estimate of cost. 991. The appropriate method of administering such a provision would be to draw up lists of approved experts and approved general practitioners in different parts of the country who might be called in when required, and to supply such lists to the prac- titioners concerned. In the large cities and towns, it might be possible to allow an expert to be called in wherever a second opinion was desired by the practitioner in attend- ance. In other places, the practitioner might be allowed to call in an expert in a case in which he thought expert advice really necessary and otherwise to call in an approved general practitioner from the neighbourhood. It would, however, probably be desirable that the proposal to call in an expert should first be submitted for approval by a medical officer appointed for the purpose (who might be one of the Regional Medical Officers of the Ministry) except where the practitioner certified that the case was one of urgency. That, however, is a matter of detail which we think should be left over for negotiation between the Ministry and the profession when the general outlines of this part of the scheme have been settled. EsTiMATE oF CosT oF HOME SERVICE. 292. On the basis of such information as is at present avail able the Ministry have estimated that the cost of domiciliary consultant services would probably not exceed £250,000; but

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