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By Nina Weber
August 30, 2026
 
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Machine Translation:

There Is a Lack of Money and Trust​

A specialist outpatient clinic is intended to improve medical care for those affected in Hamburg. But funding is not the only problem.

31 August 2026

A specialised outpatient clinic is to be established at the University Medical Center Hamburg-Eppendorf (UKE) for this purpose. However, it is unclear when this is supposed to happen, and funding has yet to be secured. Patient advocacy groups and the opposition are voicing criticism.

The proposed specialist outpatient clinic is part of a three-tier care model.
At the first level, general practitioners are to recognise the illness and oversee treatment, while at the second level, various specialists are to be involved in the treatment.
The third level is intended for particularly severe cases.
The specialised outpatient clinic at the UKE is to be responsible for levels two and three and is also intended to contribute to research.

… “Kidsmobil”, a Hamburg initiative. Through Kidsmobil, seriously ill children receive care in their own homes. So far, the project has been financed through donations and funding grants. Hamburg does not want to spend any money on it. According to the state government, health and long-term care insurers should cover the costs. But the insurers do not consider themselves responsible. The state government is now supposed to advocate for funding at the federal level.

Karen Ullmann of “Nicht Genesen Kids”, an association in which parents of affected children organise themselves, told the taz that psychosomatic diagnoses are frequently made at the UKE’s children’s hospital. “Almost every child we know has left with a psychiatric diagnosis.” Diagnoses made by other institutions are not recognised. This also leads to inappropriate treatment recommendations. For example, parents are advised to have their affected children engage in physical activity as a form of therapy, even though this can actually cause their condition to worsen. “The tiered model is wonderful, but it is of no use if the illness is not recognised,” Ullmann said.

The head of the medical center rejected the criticism of treatment at the UKE during the Health Committee meeting. He said that the hospital follows the applicable clinical guidelines. To avoid inappropriate treatment, he emphasised the importance of individualised diagnosis and treatment for severely ill patients. Implementing the tiered care model could achieve this, he said.

The Hamburg Parliament will decide on 2 September on the motion, which asks the state government to support the process constructively. The state government is to report on progress by the end of the year.
 
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