In several regions of the so-called new federal states of Germany there exists a gap in the ambulatory GP care. Implementation of AGnES specialists is a one possible solution to cushion the tapering supply gap and to support the GP physicians by securing of medical care. From 2005 – 2008 several model projects to AGnES concept were performed in the states of Mecklenburg-Vorpommern, Brandenburg, Saxony and Saxony-Anhalt. AGnES stands for physician-relieving, community-based, e-health-assisted, systemic intervention.
The relieving of the doctor was achieved by the delegation of medical achievements to qualified non-medical professionals from the practice team. The delegation of medical services is governed by the existing professional and social security regulations and is already in practice.
New to the AGnES project is, that the delegated medical services are performed during visits to the home of the patients in the absence of the GP doctor. The home visits happen only for non-mobile patients or by patients have restricted mobility. The AGnES professionals advise and support patients, monitor the course of therapy and contribute to the prevention of diseases. In Mecklenburg-Western Pomerania and Brandenburg telemedical equipment - notebook and system for video communication were used. Since 01.01.2009 the concept can be implemented nationwide.
This project is a research project at the University of Greifswald and is technically supported by MEYTEC.