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© Nobel Biocare 2009 NobelActive TM Taking a new direction in implants. Dual-function prosthetic connection Bone-condensing property Adjustable implant orientation for optimal final placement NobelActive equally satisfies surgical and restorative clinical goals. NobelActive thread design progressively condenses bone with each turn during insertion, which is designed to enhance initial stability. The sharp apex and cutting blades allow surgical clinicians to adjust implant orientation for optimal positioning of the prosthetic connection. Restorative clinicians benefit by a versatile and secure internal conical prosthetic connection with built-in Platform Shifting upon which they can produce excellent esthetic results. Based on customer feedback and market demands for NobelActive, the product assortment has been expanded – dental professionals will Built-in Platform Shifting High initial stability, even in compromised bone situations 10 YEARS WITH TIUNITE® SURFACE New data confi rm long-term stability. now enjoy even greater flexi bility in prosthetic and implant selection. Nobel Biocare is the world leader in innovative evidence-based dental solutions. For more information, visit our website. www.nobelbiocare.com/nobelactive
This March, the International Dental Show (IDS) 2009 will open its gates in Cologne – an important international marketplace designed to offer guidance to promising new technologies and a “festival of innovations, trends and ideas”, but also a meeting place for the top players in the dental field and for dental care providers within the various national healthcare systems. Quality and innovation should be the determining factors for medical services in a competitive European market. In July 2008, the European Commission finally presented its promised proposal for a “Directive on the application of patient’s rights in cross-border healthcare”. The proposal is intended to respond to rapid changes in the social and economic fields. The proposed directive covers cross-border health services that patients may obtain outside their home country. Since 1998, the rulings by the European Court of Justice have consistently upheld the view that healthcare services are covered by the freedom to provide services, which is one of the four European fundamental freedoms (the other three being the freedom of movement of goods, the freedom of establishment and the freedom of capital movement). Unfortunately, only 30 percent of all EU citizens are aware that they have a right to obtain healthcare services in other EU member states. The healthcare system of the home state, whether organized directly by the state or on the insurance principle, must ensure that the patient is reimbursed – and that even if these services are provided within the home state. Reality, unfortunately, looks quite different. In Germany, the major players in statutory health care have turned the state into an instrument for erecting hurdles to discourage patients from opting for reimbursement. For example, patients are forced to pay a ten percent administrative surcharge, and any option for reimbursement will apply to all services for the entire year. For many patients, this acts as a clear deterrent. And now, on 31 March, the umbrella organizations of the healthcare insurers are planning to submit a “Practical Report” to the German parliament via the German Ministry of Health, Brave New World of Cross-border Medical Services? reporting on the small number of patients availing themselves of the options of Section 13 of the German Social Code, Book V, with the intention of having the entire section deleted. This section governs the procedure for cost reimbursement within the statutory health insurance system; it had been modified in 2004, at the instigation of the EU, such that all patients now once again have the right to opt for cost reimbursement for their medical or dental treatment. As already stated, patients are often unaware of the reimbursement option; unfortunately, many German physicians and dentists shy away from informing their patients about this payment modality for outpatient medical treatment. Due to misguided ethical inhibitions, they want to avoid any impression of dishonesty that might arise from their pointing out the limits of the services and prescriptions available. It has been estimated that only one percent of all Europeans make use of cross-border healthcare services. The “EU Directive on the application of patient’s rights in cross-border healthcare” threatens to go under in the usual regulation mania. Brussels wants to establish European reference networks within the member states “to help realize the potential of European cooperation regarding highly specialized healthcare for patients and for healthcare systems from innovations in medical science and health technologies”. A similar approach is planned for the future development and operation of a network for health technology assessment. Member states are to be required to collect statistical data for monitoring the provision of cross-border healthcare, the modalities of the treatments provided, the providers, the patients, the cost and the outcomes and to provide them to the European Commission on an annual basis. Against the backdrop of this bureaucratic outrage, it is difficult to recognize the original good intentions of providing mobility to patients. Sincerely, Christian Berger, Kempten/Germany President of BDIZ EDI EDI Editorial 3
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