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The German health system is characterised by high levels of human and physical resources guaranteeing good access to care with a low direct financial burden for patients. Nevertheless, the changing demographic situation with a rapidly ageing society creating new demand for health services will pose a challenge for Germany’s health system.
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In Germany, there are two main categories of nurses, first level and second level. A majority of first level nurses are trained through a 3-year vocational training programme involving hospital-based training, and these nurses can go on to pursue further education and training to specialise within the hospital setting.
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There are 37 faculties of medicine in Germany offering medical education, including a private university. Admission to medical studies remains highly competitive. In 2011, 37,400 students applied but only 9,432 students were admitted (roughly one out of four).
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Progress has been made to reduce smoking rates and alcohol consumption in Germany, but obesity is on the rise as in most other EU countries. As in other EU countries, spending for prevention in Germany accounts only for around 3% of current health spending.
To assess the feasibility of using secondary data sets information to feed an output-based PPP approach for hospital services, we reviewed the main characteristics of diagnoses and procedures coding standards, DRG classification systems, and cost-finding methods used in selected OECD countries.
The mortality amenable to health care is defined as a possible indicator to measure the health care systems performance in preventing premature deaths that can be avoided by appropriate health care intervention. This paper assesses the feasibility of using this indicator in OECD countries.