1. UEMS – Dietrich Bornemann
Presentation GERMANY
UEMS – Dietrich Bornemann

2. UEMS – Dietrich Bornemann
Presentation GERMANY
UEMS – Dietrich Bornemann

3. UEMS – Dietrich Bornemann
Presentation GERMANY
Landscapes
UEMS – Dietrich Bornemann

4. UEMS – Dietrich Bornemann
Presentation GERMANY
81,8 million inhabitants
229 inhab. / km² (357 Tsd. km²)
type of government: federal republic, 16 states
capital Berlin
UEMS – Dietrich Bornemann

5. UEMS – Dietrich Bornemann
Presentation GERMANY
Government
federal president federal chancellor
parliament
UEMS – Dietrich Bornemann

6. UEMS – Dietrich Bornemann
Health Care Market
328 Bill. €uro (2014) equates € / inhab. = 11,2% Gross Domestic Product
70 % = 194 Bill. € social insurance
29 Bill. € private insurance
76 Bill. € „second“ health care market (2014)
greatest health care market in Europe leads to greatest interests for the players on this market
(development of hightech products, innovative drugs, new treatments,
new ways of patient centered care)
UEMS – Dietrich Bornemann

7. UEMS – Dietrich Bornemann
Health Care Market
outpatient costs: Bill. €
Doctors offices Bill.
Dentists Bill.
Physioth. et al Bill.
Pharamacies Bill.
Nursing service Bill.
UEMS – Dietrich Bornemann

8. UEMS – Dietrich Bornemann
Health Care Market
inpatient costs: Bill. €
Hospitals Bill.
Prevention/Rehab Bill.
Nursing service Bill.
total costs MSD: Bill. €
UEMS – Dietrich Bornemann

9. UEMS – Dietrich Bornemann
Health Care Market
companies
hospitals (2013)
medical offices (2013)
pharmacies (2013)
124 social insurances (2015)
43 private insurances (2013)
nursing services (2011), hospital treatment , outpatient
medical engineering, biotechnology, pharmaceutical industrie
UEMS – Dietrich Bornemann

10. UEMS – Dietrich Bornemann
Health Care Market
5,2 mill. jobholders, each 8th earner
physicians (2015) ; 70 % specialists
statutory health insurance physicians (SHI physicians)
clinicians
UEMS – Dietrich Bornemann

11. number of physicians in thousand
UEMS – Dietrich Bornemann

12. distribution of physicians in counties
number of inhabitants per physician
UEMS – Dietrich Bornemann

13. UEMS – Dietrich Bornemann
medical disciplines
UEMS – Dietrich Bornemann

14. UEMS – Dietrich Bornemann
O & T Specialists 2015
Total male female
working
Office
independent
employed
Hospital
Administration
Others
UEMS – Dietrich Bornemann

15. average age of physicians
UEMS – Dietrich Bornemann

16. percent of physicians under 35 years
UEMS – Dietrich Bornemann

17. employed physicians in outpatient offices
UEMS – Dietrich Bornemann

18. UEMS – Dietrich Bornemann
Specialists and GP‘s
UEMS – Dietrich Bornemann

19. UEMS – Dietrich Bornemann
foreign physicians
UEMS – Dietrich Bornemann

20. UEMS – Dietrich Bornemann
Health-Insurance
general obligatory insurance
90% social insurance payed by employer + employee in equal shares
14,6% of income; includes family
10% private insurance possible if > € income
costs depending on personal risk profile
no income : contribution payed by social assistence office
UEMS – Dietrich Bornemann

21. UEMS – Dietrich Bornemann
Health-Insurance
Insurance card =
open access to doctors office !
free choice of physician !
(general practioner or specialist)
UEMS – Dietrich Bornemann

22. UEMS – Dietrich Bornemann
Health-Insurance
71.2 mill. treatments quarterly by specialists ( in- and outpatient)
3.000 cases / year / SHI-physician
93 % of specialists treatment take place outpatient
7 % hospital treatment = mill. cases / year
7,4 days mean stay in hospital
UEMS – Dietrich Bornemann

23. UEMS – Dietrich Bornemann
Medical Chamber(s)
16 countries = 17 State Medical Chambers of Physicians
German Medical Association
joint association of the state chambers
represents physicians
in matters relating to professional policy
achieving the most uniform possible regulation of professional duties
and principles for medical practise in all fields.
dual function of representing interests and being a supervising body
UEMS – Dietrich Bornemann

24. UEMS – Dietrich Bornemann
Medical Chamber(s)
State Medical Chambers
self-governed institutions
registered corporations under public law
compulsory membership of physicians
pension funds
monitoring final examination of students
specialists training
trainers
execution of specialists examination
UEMS – Dietrich Bornemann

25. UEMS – Dietrich Bornemann
Medical Chamber(s)
Speciality training regulations (Weiterbildungsordnung) which define the content, duration and objectives of speciality training and specialist designations (valid for all 17 chambers)
Accreditation of CME/CPD-events (e.g. DKOU in October in Berlin)
Defining vocational training contents for medical office assistants and conducting the examinations in this field are further tasks legally assigned to the Chamber.
UEMS – Dietrich Bornemann

26. UEMS – Dietrich Bornemann
Education
physicians begin the training after passing the second state exam,
12-month-on-site-training and receiving their license
in addition to this specialty training, all active physicians in Germany are required to continuously do extra training to maintain up-to-date medical knowledge: CME-points in 5 years, recorded at state med. Chamber
sanction: SHI phyicians loose income, ultimately license
clinicians has to be shown in annual report !
UEMS – Dietrich Bornemann

27. UEMS – Dietrich Bornemann
Education in O&T
6 years overall
24 months surgery basic
48 months O&T, within this period 12 months in office possible
Logbook chambers = 17 logbooks
compulsory exam: performed by the Chamber of Physicians,
UEMS – Dietrich Bornemann

28. UEMS – Dietrich Bornemann
Organisations
BVOU : office hospital
founded
DGOU
founded (Foundation President Joachim Grifka)
DGOOC
founded
SpiFa joint association of 27 specialities
founded (2005)
UEMS – Dietrich Bornemann

29. UEMS – Dietrich Bornemann
Organisations
SpiFa represents specialists
SpiFa will become the representative
for all German medical specialists in UEMS from 2017 on
UEMS – Dietrich Bornemann

30. Reasons visiting Germany
UEMS – Dietrich Bornemann

31. Thank you for your attention
UEMS – Dietrich Bornemann