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Germany Mandates GP Referral System to Equalize Specialist Scheduling

Consumer groups warn that the plan could overwhelm overstretched GPs, risking no improvement in specialist wait times.

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Nina Warken (CDU), Bundesministerin für Gesundheit, will Benachteiligungen von Kassenpatienten bei Arztterminen beseitigen.
In der Tür einer Hausarztpraxis ist der Schriftzug "Sprechzimmer" zu sehen.

Overview

  • Health Minister Nina Warken announced on July 26 that general practitioners will become the mandatory first point of contact, coordinating specialist referrals under a new primary care system.
  • The coalition agreement features a “Termingarantie” obliging GPs to secure specialist appointments within a set timeframe or direct patients to hospital-based specialists.
  • Verbraucherzentrale Bundesverband leaders caution that already overburdened GP practices could turn into a new bottleneck, hindering access to care.
  • Consumer advocates urge an expansion of the 116 117 appointment hotline and digital scheduling platforms to streamline direct specialist bookings.
  • Publicly insured patients currently wait on average twice as long as privately insured ones for specialist visits, a disparity exacerbated by rural doctor shortages.