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2013 Global Health and Wellness Report - Kantar Health

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National <strong>Health</strong> <strong>and</strong> <strong>Wellness</strong> Survey | Germany 124Population profileJJThere is an increasing proportion of elderly peoplein the population. 21% of the population is aged 65+years, which is the highest percentage in Europe.JJAbout 61% of all adults in Germany are overweight,<strong>and</strong> about 25% are obese.JJGermany has the lowest birth rate in Europe. Netmigration <strong>and</strong> total population growth are positive,although this population growth is one of the lowerrates in Europe.JJPer capita alcohol consumption in Germany hasdropped in the last 10 years, following the Europeantrend, but remains higher than the average.Life expectancy <strong>and</strong> causes of deathJJPeople in Germany are living longer – 83 years forwomen <strong>and</strong> 78 for men, <strong>and</strong> overall life expectancyis slightly above average for European countries.JJNoncommunicable conditions account for 89% of alldeaths in Germany. Of these, 40% are attributed tocardiovascular diseases <strong>and</strong> 26% are attributed tocancers.<strong>Health</strong>care systemJJThe healthcare system is funded through a mix ofstatutory (90%) <strong>and</strong> private (10%) health insurance.JJGermany has high st<strong>and</strong>ards in healthcare provision<strong>and</strong> a high density of doctors <strong>and</strong> hospitals.Reimbursement policiesJJThere are no reimbursement levels; all approvedprescription medications are fully reimbursed, butpatients have to pay a flat fee per prescription of10% of the price of the drug, between €5 <strong>and</strong> €10.Since 2006, some cheap generics are free fromco-payment.JJDoctors are budgeted <strong>and</strong> obliged to prescribecheap generic drugs where possible. Pharmacistsare obliged to h<strong>and</strong> out the cheapest availablealternative product unless one br<strong>and</strong> is specificallyrequested on prescription by physician.JJBudgeting leads to price being a major factorof consideration for doctors when prescribing atreatment.Germanywww.<strong>Kantar</strong><strong>Health</strong>.com

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