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Biomedical subjects

R Hakimi

Publications and source records attributed to R Hakimi.

At least 19 recordsLinked to original sources
PubMed2006

[Medical insurance consultation through the medical society in the PKV--a quantitative analysis].

Insurance medical consultation by a medical consultant or medical director is well established at many companies in the German private health insurance sector. Nevertheless, the field of activity of the medical consultant is hardly known to the public and even less scientifically investigated. The present study deals with a quantitative analysis of insurance medical enquiries to medical consultants. For this, the total of all insurance medical enquiries in a whole year have been checked and classified. The total of 5116 enquiries shows that a large demand for consultation refers to the medical necessity of medicaments, followed by consultation on complementary and alternative medicine (CAM). Further important fields of consultation are the assessment of out-patient and in-patient psychotherapy, the verification of the extent of physical measures, the duration of hospital treatments, the extent of laboratory testing, the examination of new medical methods and the definition of cure measures in comparison with hospital treatment. Increasing demand exists for the definition of the necessity of out-patient and in-patient operations, the definition of cosmetic surgery and medically necessary plastic surgery and for questions of reproductive medicine. There is also increasing demand for consultation regarding lifestyle drugs and anti-aging medicine.

Complementary Therapies↗
PubMed2003

[On the tasks of the medical director in private German health insurance companies].

The tasks of the medical director in private German health insurance companies is largely unknown to the public and to physicians, and there is a lack of scientific literature about this subject, though medical directors have a long tradition in the German insurance system. The result of a representative sample of 826 enquiries to the medical director showed that most of the questions are about the medical necessity of medicines, duration of in-patient hospital treatment, alternative medicine, extensive laboratory diagnostics, physical therapy, the German fee system (GOA) and in recent time also about the demarcation of cosmetic surgery from medically necessary surgery, and about anti-aging therapy and artificial fertilisation. Risk management and consulting about case and disease management is also increasingly important.

Financial Management↗