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The controlling of outpatient drug costs in Germany is implemented almost entirely on the federal state level. Each year the regional representatives of the Statutory Health Insurances (SHI) and the Association of SHI Physicians in all federal states have to define an upper limit for pharmaceutical expenditures. In the most northern federal state (Schleswig-Holstein) the regional parties agreed on...
Background Primary care physicians account for the majority of antibiotic prescribing in ambulatory care in Germany. Respiratory diseases are, regardless of effectiveness, often treated with antibiotics. Research has found this use without indication to be caused largely by communication problems (e.g. expectations on the patient’s part or false assumptions about them by the physician). The present...
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