In , people were employed in pharmaceutical-producing companies . in the Pharmaceutical Price Ordinance ( Arzneimittelpreisverordnung). Seit sinkt die Zahl der Apotheken in Deutschland. Filialstruktur 05 . in der Arzneimittelpreisverordnung leicht angepasst. Index ( = ). wird in Deutschland durch die Arzneimittelpreisverordnung reguliert. and debt crisis, in particular in the second half of and

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To meet these requirements, the SHI funds have to provide the following services: Funding of the German healthcare system [ 1 ].

In larger clinic networks, a board of directors generally manages the enterprise as a whole. Each hospital has physician, nursing and business administration teams, which are headed by a medical director, director of nursing, business director, respectively, who together comprise the hospital management.

Assessment of the nursing level required is based primarily on the time family members need to carry out nursing tasks as opposed to the time required by a professional caregiver. In this way, the association has significant influence on the general conditions of the medical care provided by Arzneeimittelpreisverordnung physicians.

Without SHI approval, physicians may only treat private patients or SHI patients who choose to pay for the treatment directly. Mail ordering of medicine is permitted in principle, however only by a pharmacist approved to operate a public pharmacy and the process must moreover meet specified quality assurance requirements. Verband der privaten Krankenversicherung e.

By thus relieving the burden on the state, they are in turn granted substantial say in health arzneimittelpreisverorxnung, and also represent the interests of their members and implement government regulation. On the other hand, if expenditure is higher than the incoming funds, the nursing insurance company is paid the difference from the revenue sharing fund.

Wholesalers and pharmacists must also comply with the mark-up limits for proprietary medicinal products defined in the drug price ordinance AMPreisV. At state level, this includes the state committee of physicians and health insurers the committee seats are occupied in equal measure by physicians and health insurers and decides whether a planning district is over- or under-suppliedthe approvals committee again, occupied in equal measure by physicians and health insurers and decides on applications for SHI-approval statusthe appointments committee and justice of peace officials.

Arznemittelpreisverordnung health insurers are also obliged to offer specified minimum services, the cost of which may not exceed the corresponding highest SHI rates. The remuneration is paid as lump sums for so-called service packages, which include several frequently required nursing services [ 13 ].


Nursing care premiums are calculated based on income and are paid jointly by members and their employers.

The German healthcare system

Ambulatory medical treatment in Germany Almost all outpatient medical treatment in Germany is carried out by registered physicians. The arzeimittelpreisverordnung most frequent inpatient diagnoses in Germany in [ 6 ]. Supply of medicine in Germany Under German law, medicine is defined as materials and preparations of materials intended to cure, alleviate, prevent or diagnose diseases, ailments, physical injury or other physical complaints when applied to or in the human or animal body.

The premiums are subject to the same income thresholds as for statutory health insurance and family members are also insured for free. Please review our privacy policy.

The German healthcare system

The associations also represent the interests of the SHI physicians in the public sphere and have arzneimittelpreisverordnuung in important health policy decisions at state level. Statutory health insurers only cover the costs of medical treatment of a SHI insuree by a private physician in cases of proven emergency. Unlike the statutory health insurers, private health insurers do not have a contractual obligation to accept applicants.

The aim of this article was to give an overview about the German healthcare system and gain an understanding of its complexity and principles of organization. These are self-employed in individual or joint practices joint use of surgery rooms by various independent physicians with their own patient files and separate billingjoint surgeries several physicians in one surgery, with joint patient files and billing and medical treatment centers physician-led, interdisciplinary centers, in which at least two doctors with different medical specialties work, often with other participating health practitioners, such as pharmacists, physiotherapists, medical and arzneimittelpreisverordnunv technology companies.

The DRG system has been binding for all hospitals, except for psychiatry, psychosomatic and psychotherapy here hospital departmental rates apply since 1st January The federal association also has a representative assembly and a full-time board. Nursing insurance encompasses and organizes the tasks of the ambulatory and nursing treatment.

Under certain conditions, hospitals can also treat patients on an outpatient basis. Healthcare services are provided by both public e. Although integrated in and administrated by the health insurance companies, arzneimittelpreisverordnng funds of the nursing and health insurance companies are managed in strict separation.


Hospital physicians are only allowed to treat patients on an outpatient basis in exceptional cases. Primary and secondary diagnoses, and the medical services corresponding to the diagnoses, comprise the most important distinguishing criteria. Over-the-counter medicines can be sold in grocery and drug stores, as well as in pharmacies.


The private health insurer provides the insuree with cash benefits, xrzneimittelpreisverordnung the form of reimbursements for medical treatment expenses. To prevent the insurance premiums from increasing aarzneimittelpreisverordnung steeply with age and the associated higher expenses, the private insurers charge younger members higher contribution rate than necessary for their age and condition of health aging provision.

All approved medicines, as well as all companies and arzneimuttelpreisverordnung that manufacture, assess, store, package or distribute drugs are subject to state srzneimittelpreisverordnung. Peculiar to Germany is that physicians are prohibited from dispensing medicine to patients, except for small amounts of samples and medicine required directly during the consultation.

However, this right only extends to medicines that are, firstly, only available on prescription and, secondly, not expressly excluded in SHI service catalogue.

Arzneimittel-Festbeträge – GKV-Spitzenverband

In contrast, prescription drugs may only be sold in pharmacies. Although, like the SHI system, the social nursing insurance system is also managed by a self-administrated arzbeimittelpreisverordnung corporation, it cannot determine its own premiums, and is subject to a set rate currently 1. For example, the Federal Joint Committee G-BAon which physicians, dentists, hospitals, health insurers and patients are represented, has significant influence on which services are provided by the statutory health insurers and under which conditions.

Small and medium investments, such as the replacement of furnishings, are covered by lump-sum grants and each hospital in the hospital plan has arzneimittelpteisverordnung legal entitlement to such funding. Generally the medicines are arzneimittelpreosverordnung medicinal products; only in rare arzneimittelpreisverorddnung are medicines prepared on-site in pharmacies e. The following paper provides an overview of the structural organization, individual components and funding of the German healthcare system, which, in its current form, is extremely complex and which even experts find difficult to grasp.

The main task service guarantee contract is ensuring insurees receive sufficient, uniform nursing care that meets the recognized standards of arzneimittelprisverordnung nursing care. This board in turn elects a board of directors, which represents the health insurance companies in the public sphere [ 12 ]. Together the two types of insurance form the nursing insurance system, whose common institutions are the nursing insurance companies.

Contracts are generally concluded for an indefinite period and any increase in fees must be clearly justified.