English Translation

75 e/ The withdrawal attempt by the Chief Medical ambulatory and the resumption after short days. II. In the group: Duration of the illness: a/ Here it is in particular the system of the medical service which has an effect here to the disadvantage of the institution, which I further explain later, b/ the lack of the treatment of tuberculosis sufferers who, despite indication, cannot be accommodated because of lack of space and lack of facilities. Today, we count 287 cases of tuberculotics in the hospital that would be included in treatment.These patients are long-term insured persons who have an adverse effect on the average duration of the disease. c/ is explained by l b/ and 2 a/ for the long duration of this disease. Reason for 1 a and 2 a : The system of the medical service of the doctor's revision of each insured person who reports sick by the chief medical ambulatory removes the treating physician from his co-responsibility, because he sees the control eyeerk of the first sickness allowance instruction.He knows that the member ordered for this day would logically not prejudge the order of the chief physician's ambulatorium,even if he does not believe that another incapacity for work is no longer available Any further injunction of the treating doctor is also tied against his better knowledge by this commitment. As a result,ad 2a is also found that no treating physician makes the deregistration from the medical status,as shown by the observations.In the course of 6 weeks, on average, 80 % of the withdrawals were made by the chief physician's ambulatory.A closer examination of the remaining 20% showed that these are always only withdrawals, which were carried out by the Chief Medical Officers Dr.Kisling and Dr.Mlynek to Blank, or Dr.Jüttner in Eibenschütz, i.e. also by the head doctor's review. The result is that the treating physician will not be able to make decisions on incapacity for work except in very small cases and will not subsequently make decisions because he is unable to do so with all good will, because he cannot well prejudge the order of the chief physician,because he does not know the motives which have determined the control for the x./x.ten, he does NOT know whether the patient is in a specialist treatment or observation, because it is not oriented by such disposal and the insured person is oriented only then,