The report helps businesses gain a unique insight into the socio-economic dynamics, and helps analyze how they affect healthcare systems and their evolution. It can serve as a valuable tool with actionable guidance for sales, marketing, R&D and business managers with industry related interests.
Four chapters cover the numerical and written analysis for the following topics: Economic Outlook (38 Key industry indicators), The Healthcare System (HC system structures), Reforms (restructuring, re-engineering or austerity efforts) and the Healthcare Market (Capital Equipment, Medical Devices, Disposables and Pharmaceuticals).
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- In 2015 the German economy grew by 1%; a slight decline since 2014 yet a stabilization since 2012 where it was only 0.40%.
- The Euro area, which is Germany’s largest export market, is still recovering from the sovereign debt crisis. Uncertainty about the economy worldwide and in Europe has resulted in postponing German investments.
- The four pillars of the German economy are the automotive, chemical, plant and mechanical engineering industries. Germany is amongst the top exporters in the world, following China and the USA.
- It has one of the highest life expectancies worldwide, and is amongst the highest spenders on healthcare.
The Healthcare System:
- Healthcare spending as a percentage of GDP in 2015 was 11.08%, equivalent to €4,029 per capita. 76.8% of the spending originated from public sources, and 23.2% came from private funds.
- Statutory Health Insurance (SHI) is the main source of financing for the German healthcare system, and serves as the public health insurer for approximately 90% of the German population. It covers approximately 59% of all healthcare expenditure. Most of its expenditure is for ambulatory services, followed by acute hospital provisions.
- There are about 1,700 hospitals with a total of 456,800 beds. Public hospital volumes are decreasing, whilst private hospitals are increasing rapidly.
- German hospitals are gradually adopting more outpatient services as part of integrated care tracks and national disease management programs.
- Hospital Structure Act (2016)
- Care Provision Strengthening Act (2015)
- Preventative Health Care Act (2015)
- Second Bill to Strengthen Long-Term Care (2015)
- First Act to Strengthen Long-Term Care (2015)
- Patient’s Rights Act (2013)
- Care Reform (2013)
- Pre-2013 healthcare defining reforms
- Hospital spending per capita is 5-10% lower in comparison to those same countries, particularly in regards to the amount spent per discharged patient.
- Group and centralized purchasing practices are driving the procurement market. There are over 25 hospital chains/groups, and more than 10 highly specialized Group Purchasing Organizations (GPOs) procuring on behalf of hospitals and clinics.
- Centralized and group purchasing has led to a highly price competitive market; having led to a price erosion of 2 to 4% per year.
- The pharmaceutical market in 2015 in Germany was valued around €45.8 bn, the medical device market was valued around €30 bn, the capital equipment market is valued at €500 m, and the medical disposable market was estimated at around €8.3 bn.
- The German market has a variety of taxation measures to prevent double taxation; dividends are transferable from a German daughter company to a foreign holder without taxation.
Includes tables centralizing all relevant data on socio-demographics, macroeconomics and national Healthcare.
National Care Provision data:
Provides an overview of the Healthcare demographics: Nation Care provision data, Intensive Care units, Operating rooms, Emergency Rooms, Hospital services, Healthcare professionals.
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