Germany: Healthcare system and eHealth strategy

Basic Data

  • 357,340 square km
  • 81.3 million inhabitants
  • 227 inhabitants per square km
  • Complex health care system federal/regional, corporal




Healthcare system

All citizens are obliged to insure themselves. The Healthcare system is mainly financed through health insurance contributions, paid by insured persons and employers. Subsidies from tax revenue are added. The level of contributions depends on the income. In this way, rich people pay for the poor and also healthy people pay for the sick (principle of solidarity). People have free access to most health services. Most of the people go to the general practitioner, when they have a health problem. In particular medical problems the general practitioner refers a patient to an appropriate specialist. But it is also possible to go directly to a specialist.

Healthcare organisation

Two levels:

  • state (federal level, regional level with 16 german federal states - Länder )
  • corporal level (e.g. health insurance companies).

Healthcare insurance system

124 statutory health insurances with 70.74 million members and 44 private health insurance companies with 8.83 million members.

Number of general practitioners, dentists and hospitals

In Schleswig-Holstein: 73 hospitals (28 in free-non-profit, 14 in public and 31 in more private ownership), 53 precaution and rehabilitation hospitals.

eHealth services already used

  • Partnership for the heart (Cardiovascular Diseases)
  • eHealth law (2016)
  • Tempis (Stroke)