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New emergency legislation planned

From Grafschafter news from 20.02.2008

hours only in Nordhorn? - GBF is called patient-centered care

currently in the medical profession of the county of Bentheim discussed a change in the panel medical emergency service controversy. Reason for this is the very high service burden for doctors especially in rural areas.

is Nordhorn. Nine to twelve medical Emergency services per year for up to 62 hours at a stretch on weekends, particularly in small, rural emergency service rings are not uncommon. In these emergency services struggle to share six to nine doctors on-call for their patients on weekends, holidays and during the week of 18 clock in the evening to 8 clock the next morning.
"is this service burden by many doctors, rightly perceived as unreasonable, particularly since the payment by the insurance barely cover costs," says a press release of the County Civil Forum (GBF). The county chairman of the Medical Society County of Bentheim, Dr. Reinhard Rieger, confirmed on request of the GN, that this state for the most stressful Arzkollegen was. In addition, there is, with this reason, hardly any young colleagues who are willing to take on country practices.
the part of the National Association of Statutory Health Insurance Physicians (KBV) was therefore in 2007 proposed to increase the emergency practice rings and a central emergency service - preferably in a hospital - to establish. Such a model has existed for years in Nordhorn and work in urban areas without major problems.
A team of doctors from the county of Bentheim has developed in collaboration with KV Osnabrück an emergency service system corresponding to the specifications for the whole county and it is on 6 March of the present Assembly district offices.
is proposed - according to the provisions of the KBV - a central emergency service practice at the Euregio Hospital Albert Schweitzer Street set, which is open weekdays from 19 bis 23 clock and on the weekends from 9 bis 23 clock with a doctor, and a so-called Dispatcher ( for home visits) from 18 to 8 on weekdays and 24 hours on weekends for emergency patients who visit the central emergency service is not practically possible.
"This would be only two doctors for the entire county of responsibility," criticizes the GBF in its opinion. Although it is the legitimate demand of physicians to fair payment for the support provided emergency services and a significant reduction in the service burden, the GBF appeal to the doctors, most in their decision on the new emergency service system 6 March, the interests of patients in rural areas not to be forgotten that it would not be possible in many cases to go to the central emergency practice in North Horn. As examples, the Citizens elderly residents of nursing homes, and families with children or disabled people without a car. The dispatcher of a single doctor for the whole county would not address the care of these patients due to the large distances in a reasonable time for the patients can. These circumstances could
be considered by the GBF lead to increased use of the emergency services, resulting not only in increased costs for health insurance but also a threat to the rescue services result of the district.
The GBF is therefore calling on the Assembly district offices to find a workable compromise between the legitimate demands for reduction of the service burden for the physicians and the patients' interests in rural areas. It could mean the creation of separate rings for the Upper County Emergency Services, the city of Nordhorn and the lower county.
Similar concerns are also from the town of Bad to hear Bentheim. In the social committee of the Council of the City of Bad Bentheim argued in the past week, Mayor Volker margins for its own transport service for the Upper County. A single "traveling doctor" outside normal practice opening times can not simultaneously provide in Emlichheim and Bad Bentheim patients.
"We are aware of our responsibility very well," Reinhard Rieger told the GN. The debate on medical care in the county will on 6 March must be conducted intensively. "There will be no quick shot that leads to disaster," promised Rieger. Besides the question of how many travel services should be established, but must also be clarified how this can be arranged. Finally, it is not just for weekend emergency services, but every single week.

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Emlichheim engages in the Reserves

From Grafschafter news of 02.14.2008

budget unanimously approved - This year, no big jumps

No big jumps does the community Emlichheim this year. The investment budget of the community, the politicians of the Council adopted unanimously, are rather moderate.

Emlichheim mm. The financial situation of the municipality Emlichheim subject to presentation of the Deputy Director Ansgar community Duling volatile. Gushed the source of the business tax last year by some back payments with a total of 3.5 million euros rather strong, so this year is "only" expected to 2 million €.
The control strength of last year fast but the cost of the county levy of over 1.5 million euros to over 2.4 million € and the expenses for the municipality levy of almost 1.6 millions euros to over 1.9 million €. At the same time decrease the key assignments that further extends the municipality from the state funding. Taking all important positions in the bill to be missing after Duling representation of the operating budget through the various contributions the bottom line is 2.75 million euros.
balance, the figures of the community especially since the financing of the capital budget, almost 1.5 million euros will be taken from reserves. Of these, 963 000 € to finance current operations are pumped into the operating budget. In return, it is not planned to take in new loans. The debt is expected to decline from currently about 2.48 million to € 72 000 € end of the year to just over € 2.41 million. But as early as next year, the debt because of the equity share and the Vorfinenzierung the state funding for the road project Holt to just above € 4.24 million increase.
to be invested this year, especially in residential and commercial areas and in the extension of periods of care in kindergartens and play group Weuster. The operating budget, from which the investments are made has a volume of over 6.2 million euros (previous year:. € 6.66 million, the capital budget from which the Investitonen be made add up to 2.24 million euros (2.48 million €).
Given this series of numbers, it was not surprising that Dr. Uwe Both waves during the meeting of the Council for the GBF again called for a reduction of the levy district. Both waves have also been expressed the view that given the by the administration described the financial situation of community Emlichheim, the discussion on the formation of a unified community at the level of the municipality "to continue with all citizens" is the GBF-politician stressed that one should incur no new debt. "The only exception: the future of our Children. " For
Sigrun Mittelstaedt-Ernsting of the CDU, it is "too short thought," to name only the financial aspects "of the discussion on the possible formation of a municipality. Finally, the community already wear Emlichheim to compensate with the other municipalities in which they pay a higher amount in the pot of the levy. Surprisingly
during the meeting Was that Horst Draeger joined the SPD in the same direction as the GBF and called for a reduction in the district levy. The Emsland have already shown that the walk. Mayor Heinrich severity (SPD), who also has a seat on the county council, said: "The demand has placed Horst Draeger now. I'll see how I deal with it. "Draeger was referring to the discussion of a possible united community not clear position, but pointed out that with a united community the problems of financial compensation to each other do not exist.
FDP councilors Jan-Harm threw which, like all other members of the Council agreed the budget complained in particular that in the figures for the first time, no amount mentioned for the development of service roads is. Resented also threw on the amount of interest payments. The money is actually needed for investment.




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