1. UEMS Meeting Turku Finland 25th+26th of Mai, 2018 Dr Henri Schlammes
Luxembourg SLOT: Société luxembourgeoise de chirurgie orthopédique et traumatologique founded in 1984
UEMS Meeting Turku Finland
25th+26th of Mai, 2018
Dr Henri Schlammes

2. Geography

3. Geography

4. History
Construction of Luxembourg castle in 963
Successive occupants
1815:Congress of Vienna: autonomy
1839:Independence
King of the Netherlands=head of the state
until 1890
Politics of neutrality
Funding Member of NATO and the United Nations
1957:one of the six founding countries of the European Economic Community

6. Parliamentary form of government with
Politics
Parliamentary form of government with
a constitutional monarchy by inheritance.
Head of state: Grand Duke
Executive power: cabinet + prime minister
Legislative power: Chamber of Deputies
directly elected to 5-year terms.

7. initially: Agriculture and steel Past decades: financial sector
Economy
initially: Agriculture and steel
Past decades: financial sector
Financial ties to Belgium and the Netherlands and the open Europeen market
Home of European institutions:
-European Investment Bank
-Secretariat of the European Parliament
-European Court of Justice
-European Court of Auditors (audits the accounts of the European Institutions)

8. Population and language
inhabitants ( )
inhabitants ( )
Working population: (2016)
Including from EU countries
Official languages: Luxemburgish, French and German

9. Evolution of population

10. Evolution of the population in Luxembourg

11. Density of population

13. Union des Caisses de Maladie:
Health system
Union des Caisses de Maladie:
Union of initially independant health insurances from different sectors of the economic life
Membership obligation for every economically activ person

14. Number of medical doctors 2015

15. Number of medical doctors Total:1656 (2015) (290/100,000 inhabitants Orthopaedic surgeons: 1/12000 Inhabitants

17. Healthcare expenditure 2015

18. (conventionnement obligatoire) No real private medicine.
Health system
4 hospitals
All general practitioners and most specialist doctors are private doctors (except one hospital employing full time salaried specialists)
They all work under a tarification agreement made with the Union des Caisses de Maladie (fixed prices for every medical act)
(conventionnement obligatoire)
No real private medicine.

20. Every patient has the liberty to choose his generalpractitioner and medical specialist
40 % of all patients have a médical specialist as ‘their doctor’.

21. 42 orthopaedic specialists 32 of them treating regularly trauma
Manpower data
42 orthopaedic specialists
32 of them treating regularly trauma
35 general surgeons treating also trauma
39/42 are full time private orthopaedic specialists
2 with more than 60 years.
2 female orthopaedic specialists

22. Average waiting list for a total hip replacement: 4 weeks (1-12)
Activity
2016
Hip repl
Knee repl
Average waiting list for a total hip replacement: 4 weeks (1-12)

23. University of Luxembourg: first year
Medical training
University of Luxembourg: first year
Plans to extent to 3 years (Medical school)
Collaboration with foreign universities:
(Belgium, France, Germany, Switzerland)
3 training centers collaborating with neighbour country universities

24. Orthopaedic training program
Depends on the university
Generally 1-2 years could be accomplished in Luxembourg
No government rules concerning duration and content of training
The candidate who has accomplished his training in a Europeen Union country can apply for working in Luxembourg

25. Demographic structure/ aging population Technical evolution
Problems
Demographic structure/ aging population
Technical evolution
Obligation to adhesion of the public medical system (no private medecine)
->generation of new costs/ control of budgets