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INTERNATIONAL PRIVATE PRACTITIONERS ASSOCIATION
Harrogate, England, Sunday 15th September 2013
Direct access in Germany
Eckhardt Boehle, PT – General Secretary
Deutscher Verband fuer Physiotherapie (ZVK)
Direct access in Germany
National health insurance in Germany
Available for all citizens regardless
income
social status
place of residence
Direct access in Germany
National health insurance in Germany
Pillars of the health service
solidarity
subsidiary
Direct access in Germany
National health insurance in Germany
Subsidiary principle
Self - administration
This is not a state-operated health service
It is an independent co-operation between health insurance providers and professional
organisations
National health insurance in Germany
Direct access in Germany
Self - administration
Health insurance providers
Professional organisations
Direct access in Germany
National health insurance in Germany
Out-patient healthcare for patients is primarily carried out by private practioners
43.000 registered physiotherapists as private practioners in Germany
Direct access in Germany
National health insurance in Germany
Furnishing curative services requires a medical prescription
Social health insurance legislation only grants the right to direct access to physiotherapists
in the context of prevention services
Direct access in Germany
National health insurance in Germany
Physiotherapists have filed lawsuits at various Administrative Courts to
achieve approval of direct access
The Federal Administrative Court has confirmed the patient`s right to see PT first
Direct access in Germany
National health insurance in Germany
The Federal Administrative Court has also ruled conditions who must be fulfilled for approval
of direct access
The physiotherapist must undergo a limited examination of his/her knowledge, in order to commence activities
without a medical prescription
Direct access in Germany
National health insurance in Germany
The examination should enable the physiotherapist to recognise and consider the possibilities and limits
of his/her own diagnostic abilities