Presentation is loading. Please wait.

Presentation is loading. Please wait.

Orthopaedics and Traumatology in Germany

Similar presentations


Presentation on theme: "Orthopaedics and Traumatology in Germany"— Presentation transcript:

1 Orthopaedics and Traumatology in Germany
Prof. Dr. med. Joachim Grifka President of the German Orthopaedic Association 2008 Orthopädische Klinik für die Universität Regensburg im Asklepios Klinikum Bad Abbach

2

3 Private praxis

4 Facts about Germany Area 357.092,90 km² Population 83 Million
Population density 230 per km²

5 Health Care in Germany Largest employment sector in Germany (over 4 Million jobs) 2.104 hospitals Appr rehabilitation departments

6 Costs of public health care
Multiple public insurance organizations linked by a common legal framework 11,1 % of GDP is spent on health (2,5 % more than the average OECD member countries)

7 Number of cases Currently over 30 million people are suffering from MSD* Increasing of MSD* as main diagnosis between and 2005 up to 37,1 % (MSD* cases 1994: : ) Back pain is the second most common diagnosis; three-month prevalence children/ youth 32,9% 2005: people with arthrosis for admission *musculoskeletal diseases

8 Costs of public health care
Total expediture / year € 234 bil Thereof women / year € per head Thereof men / year € per head Thereof hospital expences / year 34,0 %

9 Expenses for MSD direct health care costs (2002) degenerative: 25,2 bil € traumatical 10,6 bil € → about 16 % of total health care costs → more than 1,7 % of the German GDP

10 Number of musculoskeletal diseases Germany
leading cause for work disablement (wd) degenerative traumatical 18 % 9 % of all wd cases 27 % 13 % of all wd days → loss of production more than 100 bil € → according to 4,8 % of German GDP 25 % of all early retirements

11 Endoprotheses in Germany acc. FBMTI
joint type Units in 2007 knee uni-condyle 9.000 bi- condyle revision 12.000 hip prim short diaphysis 9.400 7.500 surface replacem. 4.000 ankle 1.520 shoulder 9.250

12 Actual survival curve age-group over 60 years
Niehaus, F.: Auswirkungen des Alters auf die Gesundheitsausgaben, WIP-Diskussionspapier 5/06 Effect of age opposite health care costs

13 Costs for health service per year - men
Niehaus, F.: Auswirkungen des Alters auf die Gesundheitsausgaben, WIP-Diskussionspapier 5/06

14 Costs for health service per year - women
Source: Niehaus, F.: Auswirkungen des Alters auf die Gesundheitsausgaben, WIP-Diskussionspapier 5/06

15 Increase of costs for health service from 1995 to 2004
Niehaus, F.: Auswirkungen des Alters auf die Gesundheitsausgaben, WIP-Diskussionspapier 5/06

16 Population of Germany 2000 and 2050
Quelle: Statistisches Bundesamt (2006 a)

17 Demographical change 2000 - 2050
Classification 2000 2010 2020 2030 2040 2050 Changes 2000 until 2050 in % Population / Mill. 82,3 81,9 80,1 77,2 73,4 68,8 - 16,4 Population 65 and older / Mill. 13,7 16,8 18,6 22,1 23,5 22,9 + 67,2 Population 80 and older / Mill. 3,1 4,3 5,9 6,3 7,9 10,0 + 222,6 Population employable age (20 to 65) / Mill. 51,2 50,0 48,0 42,4 38,4 35,5 -30,7 Beske, F. u.a.: Gesundheitsversorgung 2050, Kiel 2007

18 Statistics of physicians
Physicians altogether Thereof outpatient section Thereof inpatient section - Thereof orthopeadic specialists 8906

19 BVOU ca Members Orthopaedic Surgeons, mostly in private praxis

20 Average age of physicians

21 Physicians under the age of 35

22 Students human medicine

23 Certified surgeons 2004 2005 2006 Male 731 657 589 Female 215 214 201
Total 946 871 790

24 German Orthopaedic Association
Founded in 1901 2448 members Amalgamation of German Orthopaedic Association and German Trauma Association in 2008 Annual congress in Berlin

25 Research funding so far 2,8 % of annual research funding by BMBF*¹ and DFG*² for musculoskeletal science € by DGOOC*³ for determined sponsorship regenerative and biomechanical projects in research network expectations to Road Map-Agenda by BMBF*¹ *¹ Federal Ministry of Education and Research *² German Research Foundation *³ German Orthopaedic Association

26 Treatment options MSD*
Incidence und prevalence MSD* conditioned to age and sex Training situation and qualification Orthopaedic surgeon is the „General practitioner“ for bones and joints *musculoskeletal diseases

27 Objectives individual and age-based health promotion enhancing attractiveness of medical profession investive social policy: prevention before rehab

28 Thank you for your attention


Download ppt "Orthopaedics and Traumatology in Germany"

Similar presentations


Ads by Google