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HEALTH

Hamburg clinics ‘denied surgery to migrant’

A 55-year-old man from Ghana died from multiple organ failure in Hamburg earlier this month after five different hospitals refused him surgery.

Hamburg clinics 'denied surgery to migrant'
The Asklepios Clinic St Georg in Hamburg. Photo: DPA

Research by the Hamburger Morgenpost (MOPO) suggests that Steve O., a 55-year-old from Ghana, was denied emergency treatment because he did not have health insurance.

The Ghanaian had needed heart surgery, but was refused treatment at Asklepios Clinics in St. Georg and Harburg, as well as the UKE hospital, the Albertinen hospital and a clinic in nearby Lübeck.

Steve O. died before a hospital could be found to treat him.

The 55-year-old had entered the country without documentation and as such did not have health insurance in Germany.

But the hospitals have denied the accusation that the refusal was based on his lack of insurance.

Spokespeople for the UKE hospital and the Albertinen hospital said that their operating rooms were being used at the point of the emergency and that they simply didn't have doctors available to operate on Steve O.

“Medical emergencies are always treated – regardless of the patient's insurance status,” the Albertinen hospital spokesperson said.

“It wasn't possible for us to know that the time period for a transfer of the patient was so short,” a spokesperson for the Asklepios hospital said. “On the next day a transfer would have been possible. But by this time the patient was in no position to be moved.”

Steve O. had been taken in to the Asklepios Clinic in Wandsbeck for treatment on September 3rd, the day of his 55th birthday.

He was thought to have meningitis and was put in intensive care. At first his situation stabilized, but six days later doctors detected an inflammation in his heart valve. Because the Wandsbeck hospital did not have heart specialists, they tried to have him transferred.

The seriousness of his condition meant “he needed to be handled by a heart specialist and his transfer into a specialist clinic became necessary,“ a spokesperson for the Wandsbeck Clinic told MOPO.

While refugees receive health insurance at the point of their registration in Germany, people who come to the country but do not register with authorities are not insured.

For members

HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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