What will change in 2020 …: … in nutrition and health?

              Sunday December 29, 2019

              The future remains uncertain. That much is certain. Apart from that, many new features and laws are also pending in the new year. These changes will become important around the topics of nutrition and health, as the Consumer Advice Center North Rhine-Westphalia informs. Repetitive prescription for medication Asthma, hypothyroidism, diabetes mellitus: From 2020, chronically ill people will have the opportunity to receive prescriptions for the required medication as part of a repeated prescription. Doctors can use the prescription to note whether and how often the prescribed medication can be given repeatedly on the same prescription. After the first edition, a maximum of three further "deliveries" by the pharmacist are possible per prescription. The doctor must also state how long the follow-up prescription is valid after the first edition. If this information is missing, the prescription remains valid for three months. The medicine should be given in the same pack size. Veterinary medicinal products are exempted from the new regulation. Chronically ill are those who can prove that they have had at least one visit to the doctor per quarter for at least one year due to the same illness and who additionally meet one of the following criteria: either needing care level 3, 4 or 5 or a degree of disability or a reduction in the ability to work of at least 60 percent if continuous medical care is required without which, according to medical opinion, a life-threatening worsening of the disease, a reduction in life expectancy or a permanent impairment of the quality of life due to the health disorder caused by the disease can be expected Health apps With health apps you have the option, for example, of keeping a symptom diary or receiving recommendations for behavior during pregnancy. From the second quarter of 2020, doctors are expected to be able to issue prescriptions for such apps. The health insurers will cover the costs for this; by March 31, the federal association of statutory health insurance physicians must develop a security concept and then certify manufacturers of such apps together with the Federal Office for Information Security (BSI). CE-certified, the tested apps then end up in the directory for digital health applications (DiGA directory), in which all health apps subject to health insurance are listed. In addition, the Federal Institute for Drugs and Medical Devices (BfArM) must have checked the app according to criteria such as security, functionality, quality, data security and data protection and as a medical device. If these requirements are met, the app is provisionally reimbursed by the statutory health insurance for one year. During this time, the manufacturer must prove to the BfArM that its app improves patient care. The manufacturer then negotiates how much money the manufacturer receives itself with the umbrella organization of statutory health insurance.More consultation hours for those insured by lawIn order to shorten the waiting times for a visit to the doctor, which sometimes takes months, resident doctors have to offer more consultation hours for insured patients from 1 January – instead of the previous 20 hours In future, there will be at least 25 higher weekly subsidies for dentures. From October, health insurers will assume 60 percent of the standard care as a fixed subsidy for bridges, crowns and prostheses. Those who can prove that they regularly visit the dentist and preventive care with the bonus booklet can then count on up to 75 percent as a fixed subsidy from the last quarter of 2020 (70 for a five-year bonus booklet and 75 percent for a ten-year booklet) The obligation to vaccinate is hotly debated, now it is compulsory from March 1st: Parents have to prove that their child has been vaccinated against measles before being admitted to a daycare center, school or other community facility. The two measles vaccinations recommended by the Standing Vaccination Commission (Stiko) (the first at the age of 11 to 14 months, the second at the age of 15 to 23 months) are compulsory here as well as all employees of these facilities – e.g. educators and teachers – and nannies born after 1970 must be vaccinated against measles from March. In the Measles Protection Act, the legislator also laid down the obligation to vaccinate for residents and employees in asylum seekers and refugee accommodation, as well as for caregivers. Children who are not vaccinated must not be admitted to day care centers, unvaccinated staff must not work in community or health facilities, and parents whose children are at school or attending a daycare center before March 1 must have the vaccination by July 31, 2021 at the latest prove. This deadline also applies to the staff in these facilities. According to the Federal Ministry of Health, the vaccinations can be verified with the vaccination card. If you can no longer find it or are unsure whether there is adequate protection, you can contact the former family doctor or pediatrician. Patient records must be kept for at least ten years. If you cannot find any documents at all, you can have the titer, i.e. the number of antibodies, determined. If the illness has already been suffered, proof can be provided by a medical certificate, and parents who do not have their children cared for in community facilities vaccinated, as well as non-vaccinated employees in health and community facilities, may be fined up to 2500 euros in the future Ban on menthol cigarettes From 20 May, the sale of remaining stocks of menthol cigarettes is prohibited. For all products with a market share of more than three percent, the EU had set a phase-out period until 2020 so that manufacturers and retailers could sell their stocks.Food traffic lights With a nutritional logo in traffic light colors, food manufacturers can voluntarily provide information from 2020 on how healthy the ready meal is , The Nutri-Score signals on a five-point scale – from green A to red E – how the nutritional value of a food can be classified. The "A" in green stands for the cheapest and "E" in red for the most unfavorable nutritional balance. At a glance, the packaging will show how the product is doing. The nutritional balance includes problematic components such as fat, saturated fatty acids, salt, sugar and the energy content as well as inexpensive components such as fiber, proteins, Fruits, vegetables and nuts. There are weighted plus and minus points for the various ingredients, which give a total number of points. The Nutri-Score then translates the calculated number of points into a color-coded letter.Higher emergency service surcharge at pharmacies, instead of 16 cents from 1 January, 21 cents per prescription-only medicinal product are then issued during emergency service hours (at night, on Sundays or on public holidays) numbers. For medicinal products requiring documentation, such as narcotics, the surcharge for the emergency service increases from EUR 2.91 to EUR 4.26 per delivery.

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