title: [The delegation of medical services: is it a Trojan horse?].
abstract: Delegation of medical treatment and responsibility from doctors to nonphysicians are being advocated more and more by public health politicians. The opinion of the German Union of Orthopaedic and Trauma Surgery is outlined. Definitions for treatment areas that cannot or may be delegated are presented. Physicians must be spared from overloading of administrative work. Delegating must not result in deterioration of patient care or destruction of the medical profession. Options and risks of delegation are discussed.
authors.affiliation: Berufsständischer Ausschuss der Deutschen Gesellschaft für Unfallchirurgie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt/Main, Germany. aerztlicher.direktor@bgu-frankfurt.de
authors.forename: R
authors.initials: R
authors.lastname: Hoffmann
authors.forename: F
authors.initials: F
authors.lastname: Thielemann
authors.forename: D C
authors.initials: DC
authors.lastname: Wirtz
authors.forename: F U
authors.initials: FU
authors.lastname: Niethard
authors.forename: H
authors.initials: H
authors.lastname: Siebert
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000331:legislation & jurisprudence*; D003299:Cooperative Behavior; D017046:Cost Savings / Q000331:legislation & jurisprudence; D005858:Germany; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D006801:Humans; D007400:Interprofessional Relations; D008318:Malpractice / Q000331:legislation & jurisprudence; D008507:Medically Underserved Area; D009313:National Health Programs / Q000331:legislation & jurisprudence; D009722:Nurse Practitioners / Q000331:legislation & jurisprudence*; D010823:Physician Assistants / Q000331:legislation & jurisprudence*; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence