Germany with the second most hospital treatments
The hospital sector in Germany has been a constant source of discussion for years. In order to put the latter on a valid statistical basis, the Organization for Economic Cooperation and Development (OECD) has compared hospital care in Germany with the figures of other OECD countries in a current paper available to the “dpa” news agency. The result: measured by the hospital beds per inhabitant, the hospital care is extremely good, the number of hospital treatments is higher than in most other industrialized countries and the costs have so far been reasonably reasonable.
The OECD still sees some risks in the structure of the hospital sector. Because of the financial performance of the German healthcare system, hospital care can be maintained in its current form for a long time, but "the continuous growth of hospital volume at an already high level" entails the risk of "over-provision and an oversupply of hospital services". Compared to the news agency "dpa", the executive board of the AOK federal association, Uwe Deh, explained in the light of the OECD survey that there is already enormous competitive pressure between the clinics and the impression is being given that certain hospital treatments are increasingly being carried out for financial reasons. According to Deh, patients "increasingly report their dissatisfaction and experience with questionable interventions." His concern was that the high competition between the clinics would be carried out on the back of the patient. In the opinion of the AOK Federal Association and other health insurance companies, reforms are urgently needed in the hospital sector.
Germany ranks second in hospital treatment According to OECD figures, Germany ranks third in industrialized countries for hospital beds per capita (8.3 per 1,000 inhabitants). In terms of hospital treatment, Germany achieved second place behind Austria with 240 per 1,000 inhabitants in 2010. According to the OECD, this is also due to the traditionally high importance of the hospital sector in Germany. But at first glance the particularly good supply structure also harbors risks. In this country, for example, significantly more patients are treated in hospital than in other industrialized countries. For example, 35.7 out of every 1,000 residents in Germany receive inpatient treatment for a disease of the cardiovascular system, while the average in all OECD countries is only 19.6. According to the experts, this deviation does not assume a significantly different disease rate, but is essentially due to the preference for inpatient treatment over outpatient treatment.
Stagnant reform of the structure of the hospital sector The OECD survey served as a template for a conference with the Federal Minister of Health Daniel Bahr on the development of the number of treatments in the clinics. Based on the data, structural reforms in the hospital sector are also to be discussed. However, the German Hospital Society (DKG) has already shown that, in its opinion, the figures cited are of little significance. For example, Germany's expenditure on hospital care - despite the more extensive services - is at a rather average level in relation to the gross domestic product. A possible expansion of outpatient care while reducing inpatient stays has been discussed for years, also from a medical point of view. Because inpatient treatment is in no way to be equated with faster or higher healing success. (fp)
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