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Orthopaedics and Traumatology in Germany Prof. Dr. med. Joachim Grifka President of the German Orthopaedic Association 2008 Orthopädische Klinik für die.

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Presentation on theme: "Orthopaedics and Traumatology in Germany Prof. Dr. med. Joachim Grifka President of the German Orthopaedic Association 2008 Orthopädische Klinik für die."— 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 ,90 km² Population83 Million Population density230 per km²

5 Health Care in Germany Largest employment sector in Germany (over 4 Million jobs) 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 Currently over 30 million people are suffering from MSD* Increasing of MSD* as main diagnosis between 1994 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 Number of cases

8 Costs of public health care Total expediture / year 234 bil -Thereof women / year per head -Thereof men / year per head -Thereof hospital expences / year34,0 %

9 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 Expenses for MSD

10 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 Number of musculoskeletal diseases Germany

11 Endoprotheses in Germany acc. FBMTI jointtypeUnits in 2007 kneeuni-condyle9.000 bi- condyle revision hipprim short diaphysis9.400 revision7.500 surface replacem ankle1.520 shoulder9.250

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

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

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

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

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

17 Beske, F. u.a.: Gesundheitsversorgung 2050, Kiel 2007 Demographical change Classification Changes 2000 until 2050 in % Population / Mill. 82,381,980,177,273,468,8- 16,4 Population 65 and older / Mill. 13,716,818,622,123,522,9+ 67,2 Population 80 and older / Mill. 3,14,35,96,37,910,0+ 222,6 Population employable age (20 to 65) / Mill. 51,250,048,042,438,435,5-30,7

18 Statistics of physicians Physicians altogether Thereof outpatient section Thereof inpatient section Thereof orthopeadic specialists8906

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 Male Female Total

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

25 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 Research funding

26 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 Treatment options MSD*

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

28 Thank you for your attention


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