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The German health care system: structure and changes

K D Henke1, C Ade, M A Murray

  • 1Department of Economics, University of Hannover, Germany.

Journal of Clinical Anesthesia
|May 1, 1994
PubMed
Summary

Germany's healthcare system, a model for cost control and universal coverage, faces rising costs. A new reform aims to reduce deficits and boost competition within the German health care sector.

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Area of Science:

  • Health Policy
  • Health Economics
  • Comparative Health Systems

Background:

  • The German health care system is recognized for cost control and near-universal coverage.
  • Despite successes, rising healthcare expenditures are a significant concern for German policymakers.
  • The system integrates private service delivery with public oversight.

Purpose of the Study:

  • To review the structure and challenges of the German health care system.
  • To analyze the recent major health care reform enacted by the German government.
  • To evaluate the system's accomplishments and the objectives of the new reform.

Main Methods:

  • Review of the general structure of the German health care system.
  • Analysis of specific problems and cost control interventions.
  • Examination of the recently enacted health care reform legislation.

Main Results:

  • The German health care system provides broad coverage with private service delivery.
  • Persistent concerns exist regarding the increasing national income share devoted to healthcare.
  • A major reform has been implemented to address structural deficits and increase competition.

Conclusions:

  • The German health care system, while a model, requires ongoing reform to manage costs.
  • The recent reform seeks to improve efficiency and competition.
  • Future evaluation will determine the effectiveness of these interventions.

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