30 years of unity: health professionals tell

How about in health care, thirty years after unification? Are there still differences? What are the challenges? The problems today are common to all of Germany, say the health experts

One of the health professionals interviewed: Birgit Schade, pharmacy owner in Leipzig

© W & B / Thomas Härtrich

We asked our questions about health care in pharmacies, medical practices and universities, and received very different answers. The common message of the health experts is: The problems and challenges related to health have long been united.

Here are the statements of the interview partners:

1. Birgit Schade, pharmacy owner in Leipzig

Birgit Schade has lived in Leipzig for 23 years and opened her pharmacy there 16 years ago:

"I studied in Mainz, my employees come from all parts of Germany and the world. We are a great, all-German team. Sometimes it still happens that customers ask me about preparations that haven't been around for a long time, but that is Rather rare. Unfortunately, the problems that I see for pharmacies are also common to all of Germany. The fact that the bankruptcy of a billing company threatens the existence of 3500 pharmacist colleagues is a real scandal in our eyes. That the public only has so little of it is more than regrettable. The local pharmacies will have to network even better in the future in order to draw attention to their issues. "

Dr. Christiane Trapp

© private

2. Dr. Christiane Trapp, retired pediatrician

Christiane Trapp has been working in the Güstrow children's clinic in Mecklenburg-Western Pomerania since 1975. From 1981 to 1984 she practiced in Libya, after which she returned to Güstrow and in 1987 took over the management of the children's clinic, which she also kept after the fall of the Wall:

"When I think about what I missed as a doctor from GDR times, then it is the counseling for mothers, especially the care of families in the villages. There was mostly only one community nurse, but no pediatrician Organized compulsory. So at regular intervals we drove to fixed appointments in the country to care for mothers and children. The mother's counseling mostly took place in the community center - so there was a central point of contact. All paediatricians from a district were involved in this care service The effort was spread over many shoulders. It was easier in the cities, where there were central mothers' advice centers to which the women and their babies had to come at regular intervals. The children were examined, vaccinated, weighed and the mothers had a point of contact if there was any There were problems or they had worries. Looking back, I feel that family is taking care of n was more closely meshed at the time.

We also went to day care centers, kindergartens and schools for health care and vaccination. Parents found it convenient so they didn't have to worry about it after work. Today I sometimes have to smile when certain things are longed for again or even come back. For example the reporting system if parents miss the U-examinations, which was reintroduced in some federal states in 2007 or 2008, today it is again nationwide. "

Christina Taccetta

© W & B / Julia Unkel

3. Christina Taccetta, Relief Care Assistant (EVA)

Christina Taccetta works for a family doctor's practice in the small town of Breckerfeld in North Rhine-Westphalia:

"I've been working as an EVA for four years now, so I make house calls every day, during which I, for example, take blood, measure blood pressure or check the sugar level. I wasn't aware for a long time that there was a similar model in the GDR. Some of them But my older patients have told me about such community nurses. The fact that this idea has been brought up out of focus is a good thing for many reasons. Today, many old people simply live in the country It is well known that there are fewer and fewer family doctors in rural areas. Regardless of the state. In the city, it is no better: find a doctor who still makes house calls today! For the non-medical staff EVA, AGnES, VerAH and whatever the names of the different models are good, because this means that our work and our qualifications are also valued more it's something in the future too. "

4. Daniela Teichert, CEO of AOK Nordost:

"For 30 years there has been a uniform health system in Germany, the design of which has been pursued with great commitment in the new federal states. The AOKs in particular have made an important contribution, including the AOK in the northeast.

Today we are facing a turning point again: It was not just the Corona crisis that showed that there is no way around digital transformation. With the introduction of the electronic patient record (ePA), real digital networking will begin in 2021. Patients can upload findings or prescribed medication to the EPR. Doctors and emergency physicians have access to vital information such as drug intolerance. The digitally transmitted data is available quickly and securely with one click, and costly double examinations are avoided. The more people use the EPR and get to know its advantages, the faster digital networking will establish itself in the healthcare sector. "

Professor Petra Wagner

© W & B / Michael Bader

5. Professor Petra Wagner, health and rehabilitation sport at the University of Leipzig

Petra Wagner is director of the Institute for Health Sports and Public Health in Leipzig:

"From my professional perspective, sports science, the subject of physical activity and sport in society in its current form is difficult to compare with the past. Before the fall of the Wall, there were no concepts for" health sport "as there are today with high quality requirements There was competitive sport and "popular and recreational sport", which was possibly also pursued with the motive of health.
Competitive sport also played a completely different role in the GDR. The so-called "sighting system", with which one specifically tried to identify talents and aptitudes for certain types of sport among the little ones, also with a view to competitive sport, only existed in the GDR. Today's identification of talent has different approaches.

In schools today, the topic of exercise and sport is implemented much more strongly from a health perspective and is taken into account. Schools try to respond more individually to children with health problems. Exercise offers today are tailored to different target groups. This ranges from offers for prevention to rehabilitation sports and therapy. But that is really also an all-German development that was very important. "

Erna Miericke

© W & B / Kathrin Harms

6. Erna Miericke from Rathenow in Brandenburg was a nurse in the GDR

Today Erna Miericke is fighting against diabetes with campaign days:

"I trained to be a nurse in the GDR, worked in the hospital, in the company and in the outpatient clinic. After a serious illness, I became a disability pensioner. But I have found a new calling: helping people with diabetes. This is often the case in our health system short.

My husband, who died early, had type 2 diabetes. That's how I got involved in this area: I founded various self-help groups for people with type 2 diabetes in Havelland. Without such groups, people are on their own, even though we have a good health system. In the groups, specialist lectures are given by doctors, where people can exchange ideas, advise one another, do sports together, and learn from one another how to live well with the disease.

And for a good 15 years I have been organizing days of action for diabetes prevention in the district. Queues are programmed for these events. 5931 people have already had their risk of diabetes tested free of charge. The diabetes prevention action team, which includes pharmacists, a health insurance company and a podiatrist, measures height, weight, waist circumference, blood pressure and blood sugar. Together we have already sent hundreds of people to the doctor after conspicuous results. You can see how important this work is.

Many people with type 2 diabetes have long gone unnoticed. This is dangerous. Due to age, however, I had to give up the self-help groups. And when the action team has tested 6,000 patients, this one will also dissolve. Unfortunately, no successors have been found. "