German health and social system Introduction and background

German health and social system – Introduction and background Dr. Bernadette Klapper Senior Vice President Health, Robert Bosch Stiftung

Key characteristics of German health care from the patient‘s perspective Single doctor practices Illustrations: pixabay. Hospitals Other medical care & professions Transnational Forum on Integrated Community Care: Introduction to German health and social system Dr. Bernadette Klapper, 24. 09. 2018, © Robert Bosch Stiftung Gmb. H 2017. All rights reserved. 2

Evert A. Duykinck, A Portrait Gallery of Eminent Men and Women of Europe and America, with Biographies. New York: Johnson, Wilson and Company. Germany, 1883: establishment of the first social health insurance system in the world 5 branches of social welfare Health insurance (1883) Statutory accident insurance (1884) Pension funds (1889) Unemployment insurance (1927) Long-term care insurance (1995) Otto von Bismarck (1815 – 1898) Transnational Forum on Integrated Community Care: Introduction to German health and social system Dr. Bernadette Klapper, 24. 09. 2018, © Robert Bosch Stiftung Gmb. H 2017. All rights reserved. 3

Illustration: Federal Ministry of Health (https: //www. bundesgesundheitsministerium. de/fileadmin/Dateien/3_Downloads/G/Gesundheitssystem/German_Health_System. pdf) Health care system: many actors, different competences Transnational Forum on Integrated Community Care: Introduction to German health and social system Dr. Bernadette Klapper, 24. 09. 2018, © Robert Bosch Stiftung Gmb. H 2017. All rights reserved. 4

Reference (data, graphs): Health at a glance 2017: OECD indicators. Illustrations: pixabay. Facts & figures: many hospital beds, high health care spending Health spending averages $5. 551 person (adjusted for local costs), 40% higher than the OECD average of $4. 003 (OECD 2017) Transnational Forum on Integrated Community Care: Introduction to German health and social system Dr. Bernadette Klapper, 24. 09. 2018, © Robert Bosch Stiftung Gmb. H 2017. All rights reserved. Germany has more doctors and nurses (4, 1 and 13, 3 per 1. 000 population respectively) than most other OECD countries (OECD averages: 3, 4 doctors / 9, 0 nurses per 1. 000 population; OECD 2017) 5

Illustrations: RBSG, Fotolia. Ideas for improvement: strengthening multiprofessional cooperation and comprehensive care Transnational Forum on Integrated Community Care: Introduction to German health and social system Dr. Bernadette Klapper, 24. 09. 2018, © Robert Bosch Stiftung Gmb. H 2017. All rights reserved. 6

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