German latches record-breaking in operating

Minister of Health sees false incentives for operations


In Germany too much and too fast surgery. This is what the health insurance funds accuse German clinics. After the top association of the statutory health insurance( GKV) in the last summer in the context of a study came to this conclusion, now also suggests health minister Daniel Bahr( FDP) alarm. The increasing number of in-patient hospitalizations and surgical interventions is not solely due to demographic change and medical progress. The question must be asked, "whether there is also a lack of incentives," Bahr said at the opening of a conference of his ministry with the Organization for Economic Cooperation and Development( OECD)

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High costs and additional burden for hospital staff due to increasing operations
Minister of Health Bahr had reloaded to Berlin to investigate the cause of the rapidly increasing number of operations in German hospitalsIt is clear that in Germany too much and too much surgery is done at the expense of patients and contributors, and the OECD presented a report with an international comparison on this subject.

Bahr pointed out that the increase in the number of operations is not only a high costbut at the same time mean a significant additional burden for doctors and nursing staff. In the future, the Minister of Health wants to create incentives for hospitals that are characterized by good treatment and not "just more surgery."

More surgery in Germany than in almost every other country
In international comparison, Germany occupies one of the top spots in the worldObservation of Surgery and Inpatient Hospital Numbers According to the OECD, 240 hospitalizations per 1,000 population have recently been registered, more than in any other country, with only Japan and Korea providing more than 8.3 hospital beds per 1,000 population for their populationAccording to the OECD, the number of cancer treatments in Germany is almost twice as high as the international average, even though there are no more cancers in Germany than in other countries

Last summer, the GKV-Spitzenverband and the Rheinis together with the RheinisCh. Westphalian Institute for Economic Research( RWI), a study, according to which the number of treatments between 2006 and 2010 has increased by 13 percent. Only 40 percent of this could be attributed to the increasing aging of the population, said study author Boris Augurzky, health experts at RWI.GKV and RWI see the main reason for the steadily rising treatment numbers in the increasingly expensive operations. The hospitals would therefore increase the number of lucrative treatments. Particularly dramatic is the increase in orthopedic and cardiac procedures.

The Vice Chairman of the GKV-Spitzenverband, Johann-Magnus von Stackelberg, criticized a patient treatment, which is mainly controlled by the price. He pointed out that there were signs that surgery was not always performed for purely medical reasons, but also for economic reasons.

A false financial incentive for operations, according to the Central Association, also by the usual bonuses in many consultant contracts, which are paid for certain interventions. Even the German Society for Surgery advocates to push back such agreements from the head physician contracts.

Unnecessary operations "on the brink of assault"
Günter Wältermann, head of the AOK Rheinland / Hamburg boss, finds clear words in relation to the "world": "In Germany, people are operated too quickly or unnecessarily. That can be on the verge of assault. "He also points out in this context on the bonus payments to chief physicians for mehroperations."If the patients know about the differences in quality, they vote with their feet." There are generally too many hospital beds, "the hospital sector has to be downsized," says Wältermnn. The CEO of the AOK Rheinland / Hamburg advises patients to seek a second opinion before they go under the knife. In addition, affected persons could be advised by the health insurance company on the choice of hospital.(sb)

Read also:
New doctors portal against unnecessary operations
Unnecessary operations by professionals of the clinics

Image: Dieter Schütz /

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