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[Autopsy rates in Germany].

M Grassow-Narlik¹, M Wessolly², J Friemann³

¹Bundesverband Deutscher Pathologen e.V., Robert-Koch-Platz 9, 10115, Berlin, Deutschland. bv@pathologie.de.

|August 27, 2017

Summary

This summary is machine-generated.

German autopsy rates declined 30% from 2005-2014. A survey revealed significant variations in autopsy numbers and rates across hospital types, highlighting the need for a flexible initial autopsy quota.

Keywords:

Academic hospitals Autopsy rate Fetal autopsies Hospital institutions Private practices

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Area of Science:

Forensic Pathology
Medical Auditing
Healthcare Policy

Background:

A 2015 survey by the German Association of Pathologists aimed to establish baseline autopsy rates in Germany (2005-2014).
This data collection was prompted by new legislation (KHSG) requiring hospitals to meet autopsy quotas for supplementary payments.

Purpose of the Study:

To determine the autopsy rate in Germany between 2005 and 2014.
To analyze autopsy distribution across different healthcare institutions (university hospitals, local hospitals, private practices).
To identify trends in autopsy numbers and rates over the specified period.

Main Methods:

A survey with 12 questions was distributed to 450 institutes of pathology.
A response rate of 38% was achieved.
Data from various institutional types were grouped and statistically analyzed.

Main Results:

From 2005-2014, the total number of autopsies in Germany decreased by 30%.
University hospitals performed the majority of autopsies for adults (47%), children (83%), and fetuses (55%).
Significant variations in annual autopsy numbers and rates were observed within each institution type.

Conclusions:

Germany currently lacks a standardized system for documenting and registering hospital autopsy rates.
Given the wide range of autopsy rates, a low initial threshold for the supplementary payment quota is recommended.