At the beginning of
June, the EU Commission published a report on the European health care
and care systems and their fiscal sustainability.
The report contains country-specific analyses aimed at helping the Member
States to prepare their health and long-term care systems for the future.
According to the EU
Commission, the growing pressure on European health care and long-term care
systems is increasing due to demographic change, high public spending and debt,
and technological progress. Therefore, the sustainability of the systems must
be ensured through structural reforms and fiscal policy measures. Common
European priorities include the further development of electronic health
services and the expansion of programmes for disease prevention and health
Germany: More efficient health care processes and expenditure management needed
The country report for
Germany addresses ground-breaking reforms that have been put in place to ensure
the financial sustainability, efficiency and quality of general health care.
The report states that the German health care system generally has a high level
However, the analysis also shows that Germany needs to do more in
terms of promoting further telemedicine and digital technologies in the health
care system. This will improve communication between all those involved
(patients, service providers and payers) and ensure that health processes are
more effective. Given rising health care expenditure due to demographic change,
health care spending must be managed more efficiently.
The German health system
should also promote integrated care and service quality. According to the
analysis, public health expenditure is expected to rise to 8.1 percentage
points of gross domestic product by 2070, despite a declining population in
In terms of long-term
care, Germany has prioritised its national strategy and the corresponding
action plans for dementia and the improvement of access to home care services
over the last two years. However, further efforts in the provision of effective
home care and telecare need to be increased.
The report is positive
about the progress being made in strengthening the financing of the long-term care