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Germany Eyes Four-Week Specialist Guarantee With GP Referrals

As chair of the health ministers’ conference, Lower Saxony’s Andreas Philippi is moving the coalition’s term guarantee from pledge to a concrete plan.

Overview

  • Philippi backs a federal proposal for GPs and pediatricians to steer patients to specialists with a promised appointment within four weeks.
  • If no specialist slot is available in time, patients would be offered a hospital appointment, with gynecology and ophthalmology excluded from the fallback.
  • He proposes allowing annual repeat prescriptions for stable chronic conditions to cut routine quarterly visits and free up practice capacity.
  • The minister urges greater use of telemedicine, digital intake and AI-driven symptom questionnaires to triage cases and reduce unnecessary in‑person consultations.
  • Citing persistent delays, a new survey reported widespread waits over a month, and the GKV federation called for a nationwide online booking portal treating statutory and private patients equally.