Practice management: Why German GPs and specialists would be more successful with positivity

What it’s all about

One aspect of the development opportunities for practice management in German medical practices remains almost unnoticed: positivity. Its absence as a practice value leads to a multitude of barriers that limit the performance potential that can be activated in every respect.

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Listen, learn and change: Three underutilised principles of patient-centricity in the German healthcare system

What it’s all about

If the statements on websites and in social media are to be believed, the various players in the German healthcare system are doing everything they can to provide their patients with the best possible care and support within the scope of the services they offer. However, patient surveys often paint a very different picture of the reality.

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Why German doctors don’t implement time tracking despite unnecessary activities and high stress levels

What it’s all about

The majority of German GPs and specialists complain about a significant lack of time. However, only very few carry out analyses of the causes. Yet work analyses, in which practice owners document and evaluate their daily activities over a longer period of time (time tracking), show that around a third of the time spent can be saved through reorganisation. This article sheds light on the psychological reasons for the phenomenon of “unwillingness to analyse” and examines the underlying mechanisms.

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‼️ Das Dilemma der HNO-Ärzte / The German ENT doctors’ dilemma

Worum es geht

Der HNO-Verband beklagt, dass seine Mitglieder aktuell vor großen Herausforderungen im Personalmanagement ihrer Praxen stehen. Das zentrale Problem ist ein akuter Mangel an Medizinischen Fachangestellten. Die Hälfte der HNO-Arztpraxen sucht derzeit, so der Verband, aktiv nach Mitarbeiterinnen und fast zwei Drittel haben in den vergangenen zwölf Monaten Angestellte verloren. Hauptargument ist, dass die Mitarbeiterinnen in besser bezahlte Positionen wechseln.

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Skills shortage: The myth of salary as the main motivator in outpatient medicine

What it’s all about

The discussion about the shortage of skilled labour in German medical practices mainly focuses on salary as the key factor in solving the problem. It is often argued that higher salaries are the main means of retaining staff in practices and attracting new specialists. However, recent studies and research findings refute this assumption and show that other factors play a far greater role in employee motivation and retention.

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Outpatient medicine in Germany: GPs and specialists show a pronounced resistance to counselling when it comes to improvements in practice management

What it’s all about

General practitioners and specialists in Germany face a variety of challenges in managing their practices. However, despite a noticeable increase in work pressure, practice owners do not implement around half of the regulations, tools and behaviours that are essential for a smoothly functioning practice, even under changing circumstances. They have had to inflict the resulting effects on themselves, their staff and their patients on a daily basis and are resistant to external advice. There are various reasons for this rejection, which are rooted in both personal and structural factors.

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Digitalization in German medical practices: Often built on sand

What it’s all about

Practice management comparisons show that German GPs and specialists who introduce digital solutions in their practices are dissatisfied with the effects. Some even complain that, contrary to expectations, this even leads to a permanent increase in workload. The reason for this is the under-appreciated phenomenon of the digital readiness gap.

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Outpatient medicine in Germany: The appearance of efficiency vs. the reality of practice management

The elegant ship as a symbol of perfection

On the cover picture we see two contrasting images: On the one hand, an elegant, snow-white passenger ship on a sales brochure and, on the other, a run-down, oily ship’s engine. The ship represents the appearance of perfection and efficiency. It stands for the image that many German doctors have or would like to have of their practice – clean, smoothly functioning and attractive to patients.

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How ecophobia is hindering the development of outpatient medicine in Germany

What it’s all about

The German healthcare system, particularly in the area of doctors in private practice, is undergoing rapid change, driven by digitalisation, regulatory changes and changing patient expectations. Against this backdrop, GPs and specialists are faced with the question of how they can align their practice management with change in the short, medium and long term in such a way that they retain active control over the organisation of their practice work and do not become “victims” of the changes. The strategy required for this is entrepreneurial practice management in the form of professionally implemented best practice practice management. However, the reality of implementing this approach in German medical practices has so far been very limited; one even has to speak of a kind of “ecophobia”, a fear or strong aversion to dealing with economic and management issues of one’s own practice management.

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Outpatient medicine in Germany: GPs and specialists forgo the inspiring and activating effects of practice management KPIs

What it’s all about

The knowledge and use of key performance indicators (KPIs) is of central importance for efficient and sustainably flexible practice management. However, many doctors in private practice in Germany fail to deal with these key performance indicators and, as a result, miss out on numerous inspiring and activating effects.

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