Private Contra Public Health: The German System

The system favors expensive inpatient treatment for non-medical reasons

2012 +++ Jörg Rüggeberg +++ Quelle: Ambulatory Surgery 17.4 April 2012 (link)


In Germany 90 % of the population is covered by a Statutory Health System (SHI) which claims to be one of the best in the world. Fees for procedures are budgeted, be they ambulatory or inpatient, in free standing units or in hospitals. As reimbursement for the same procedure is much higher as inpatient than as ambulatory treatment the system favors expensive inpatient treatment because of non-medical reasons.

Keywords: statutory health system, demographic factor, budgeting, ambulatory surgery