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Germany Healthcare System
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Healthcare System
Lecturer: Dr. Mohammad Aljuaid
Prepered by: Sara Alsultan & Faten Aburukaybah
HHA 527 International Healthcare System
Demographic
1. Number of children born per woman aged 15-49. 2. Purchasing power parity (PPP) is defined as the rate of currency conversion that equalises the purchasing power of different currencies by eliminating the differences in price levels between countries. 3. Percentage of persons living with less than 60 % of median equivalised disposable income. Source: Eurostat database.
Health Status
Risk factors
Health system
Organization and Governance
Germany was the first country to introduce a social health insurance system during the chancellorship of Otto von Bismarck in 1883 for industrial workers, skilled craftsmen, and blue-collar workers. then expanded over the following century to the areas of occupational accidents and disease (1884), old age and disability (1889), unemployment (1927), and long-term care (1994).
In 2009 health insurance become mandatory to all.
Regulation
Regulation
Fedral level
- The Federal Assembly (Bundestag).
- Federal Council (Bundesrat).
- Federal Ministry of Health:
- The regulatory and supervisory authority of health, prevention, and long-term care.
- supervision of the main corporatist bodies at the federal level, such as the Federal Joint Committee and the Federal Association of SHI Physicians.
State level
Investments
public health services
undergraduate medical, dental and pharmaceutical education
Corporatist level
- Based on mandatory membership.
- System consists, on the provider side, of the regional and federal associations of SHI physicians and dentists and, on the payer side, of the sickness funds and the Federal Association of Sickness Funds.
- Much of the decision-making in the SHI system takes the form of horizontal negotiations
Healthcare in Germany is based on five principles
Principles
- Mandatory insurance
- Financed by contribution
- Solidarity
- No direct payment by patients
- Self-administration
There are two types of insurance:
Insurance
The German healthcare system is divided into two main areas (1,900 hospitals)
Treatment
- Inpatient
- Outpatient
Germany Healthcare
Provision of medicines
Almost 19,500 pharmacies in Germany supply 3.5 million people with medicines every day.18
Healthy Living
People should grow up, live and work in good health and stay healthy in old age. In short, they agreed to promote good health in all stages of life.
Dietary advice, exercise programmes, relaxation exercises, stopping smoking, reducing alcohol consumption
Rehabilitation Centers
There is a wide range of rehabilitation activities on offer, both on an outpatient and inpatient basis
the German healthcare system provides rehabilitation centers for special indications, such as eating disorders or addictions
4,127,605 in need of care in 2019
The care grades
1
Slight loss of independence
Nursing care
2
Considerable loss of independence
3
Severe loss of independence
4
Very severe loss of independence
5
Very severe loss of independence with an exceptionally pronounced need for nursing care
Health System Outcomes
Performance of the health system
Healthcare Resourses
Effectiveness
Accessibility
Resilience
Summary
- Life expectancy in Germany is higher than in the EU as a whole despite a temporary drop of 2.5 months in 2020 due to the COVID-19 pandemic.
- Germany spends more of its wealth on health than any other EU country, and most comes from public sources.
- Access to health services is very good.