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Document 28
Ref. Ares(2019)5548235 - 03/09/2019
From: 
SANTE CONSULT-B1 
Sent: 
mardi 3 septembre 2019 17:02 
To: 
 (SANTE) 
Subject: 
BTOR:  Meeting with 
, consultant for the German 
Association of Liberal Dentists on 28 August 2019 
Subject: BTOR: Meeting with 
, consultant for the German Association of 
Liberal Dentists on 28 August 2019 
We met 
 on 28 August 2019 from 12:00h to 12:45h in the 
premises of DG SANTE. 
 is a consultant for the German Association of Liberal Dentists 
(Freier Verband Deutscher Zahnärzte e.V.) , an association of 
independent German Dentists in their own established practice. He 
association is independent from the German Chamber of Dentists. 
The visitor’s  main aim was to learn more about the state of affairs in 
the following files and issues:  
1) HTA,
2) Medical Devices,
3) Commission studies on health service provision, e.g. on
profession incentives in health and business services
professions’,
4) Admittance  of dental professions from non-EU countries,
5) Dental care centres in Germany, financed by capital from
commercial and on-medical investors.
On issue 1) 
 summarised the state of play regarding the 
Commission proposal for a Regulation on HTA. She advised 
 to 
look further into the product scope (Article 5 of the proposal) in terms 
of relevance of the proposal to dental products.  
On issues 2, 3 and 4,
 was encouraged to take up contact with 
the relevant units/colleagues in DG GROW, as GROW is leading 
on/dealing with these issues. 
On issue 5) 
 explained that the liberal dentists consider such 
private centres, where dentist work on regular employment contracts, 
as a challenge for service quality and the provision of comprehensive 
dental care services. The investment in such centres is driven by 
efficiency concerns and by commercial, not medical interests. The 
centres specialise in the most gainful treatments,  and the liberal 
professions see their business model in danger. 
explained that there are similar developments in other Member States, 


such as France, but this issue is one of national competence and it is not 
really discussed, let alone regulated, at EU level.  
 
 
, SANTE B1 
, SANTE B4 
 
 
 desk officer 
European Commission
Health and Food Safety Directorate General (SANTE) 
Unit B1: Performance of national health systems 
Mail address: 
European Commission
Health and Food Safety Directorate General (SANTE) 
B232  
/
  
Rue de la Loi 200 
B-1049 Brussels, Belgium 
Entrance to the building: Rue Breydel 4 
Phone +32 229 
Email 
@ec.europa.eu 
 
The views expressed are purely those of the writer and may not in any 
circumstances be regarded as stating an official position of the European 
Commission. This message may contain personal and other confidential 
data that are entrusted to the recipients specified in the header of the 
message.