The German Health System

Running head: NURSING ASSIGNMENT
THE GERMAN HEALTH SYSTEM

1NURSING ASSIGNMENT
The Standard of health in Germany
As per the German Government Healthcare system, the public healthcare system is
the primary pillar of healthcare and depending on it the other healthcare system namely the
private healthcare organisations, insurance, and legislation system is developed (The
Commonwealth Fund, 2019). The states whereas vary among themselves depending on their
subgroups and population of the process. While discussing the demographics of the
healthcare system of Germany, the total population of Germany in 2019 has been recorded as
82,421,954 within which 20.8% people were above the age of 65, hence required effective
and immediate healthcare service for the healthcare concerns (Health in Germany, 2019). It
was also seen that the number of smokers was 21% and 16% were suffering from the
prevalence of obesity.
Within 16 states of Germany, after implementation of Preventive Health Care Act in
Germany, only two states North Rhine – Westphalia and Bavaria have achieved maximum
immunisation with 89.5% and 71.4% respectively (Health in Germany, 2019). Further, it
should also be mentioned that these two states have high rate of GDP in German states and
has every facility for conducting effective health care. Further, the child mortality rate in
North Rhine – Westphalia is 3.34% per 1000 person and 2.28 in Bavaria (Health in Germany,
2019). Moreover, the report also mentioned that in North Rhine – Westphalia, more than 89%
people avail health insurance on the other hand Germany has 59% of total health insurance
coverage (Health in Germany, 2019). Due to this, the government spent $5119 for the
healthcare spending of per capita population in Germany.
Hence, from these detailed description of healthcare in Germany, it could be said that:
1. Obesity, geriatric care and improper distribution of funds were one of the primary
concerns of the German health ministry.

2NURSING ASSIGNMENT
2. Socio-economic status, social determinants of health and wealth of the service
users play an important role in the attainment of healthcare in Germany.
3. Despite the fact that Germany spends 11.1% of its GDP in healthcare and 4% in
the health promotional activities, attainment of healthcare is lower in the country
due to the higher number of geriatric patients seeking for palliative care.
Standard of healthcare
As per the Jackson and Barber (2015), the healthcare system distribution, delivery and
finance of the healthcare system is divided into several sections such as physicians,
administrative mechanism for the direct patient payment providers, after hour care system,
hospitals, mental healthcare system and palliative or long term care with social and cultural
support. The healthcare system in Germany is inclusive of Ministry of health and states as the
primary and highest in the hierarchy. In this, while the ministry of health involves in the
inpatient and outpatient healthcare, states are involved in public health agencies. The third
independent aspect of the healthcare system in Germany is its healthcare insurance system
and as per Memon et al. (2017), this operates both in public and private domain so that
effective care could be provided to the patients.

3NURSING ASSIGNMENT
Hence, after analysing the standards of healthcare in Germany, it could be said that
 The reformed healthcare standards are developed so that the lower and
backward section of the society could be provided with effective healthcare
interventions.
 The government also aims to develop a universal healthcare system through
merging the public and private healthcare services for the growth and
improvement of the healthcare facilities.
Joint commitsion international
1. anaesthsia and surgical care
2. patient and their family education
medical professional education
3. research programs depending on
human subjects and assessing the
patients
Health standards in Germany
1. Administrative mechanism
2. Direct payment methods for
patients
3. palliative or long term care with
social and cultural support
Health standards of Australia
1. Clinical Governance and Medication
Safety
2. Partnering with Consumers and
Comprehensive Care
3. Preventing and Controlling Healthcare-
Associated Infection with comprehensive
Care
4. Communicating for Safety and blood
Management,
5. Recognising and Responding to Acute
Deterioration.
Insurance and
medication
safety
Governance
Figure mentions the healthcare standards of Germany, Australia and the international healthcare
standards mentioning the similarities and differences (Developed by the author) (Joint Commission
International, 2019), (Australian Commission on Safety and Quality in Healthcare, 2019)