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K:IDD - Hospital: Impulses for Germany from Denmark

The German hospital landscape is characterized by a decentralization of the range of services provided, low levels of specialization and significant overcapacity. This leads to over-, under- and misuse of hospital care, which is not least evidenced by wide variation in quality in the system.

The German federal states are responsible for hospital capacity planning. For too long they have insisted on simply continuing the hospital planning processes renouncing a nationwide framework development plan. As a result, multiple structures exist today, especially in urban regions, which are ineffective, neither medically nor economically. However, in recent years, other European countries with similar conditions at the end of the twentieth century have begun to redesign their hospital landscape configuration, orienting instead more strongly on the quality of service delivery.

Project K: IDD aims to learn from these developments and to generate insights and impulses for the further development of the German hospital landscape. It will assess to what extent – and in what respect – the German health service can learn from its neighbors, especially from Denmark, where since the early 2000s, a continuous restructuring of the e hospital landscape has been undertaken. Among other things, hospitals have been rebuilt, many smaller hospitals have closed and the number of emergency rooms has been halved. The overarching objective of the project is to examine which conditions have to be created in Germany to be able to incorporate parts of the Danish reform into German hospital care, and to leverage these for improved patient care. The project is divided into three work packages: (1) an inventory of the German hospital landscape and a comparison with the "Danish model", (2) a comprehensive analysis the reform process in Denmark and (3) a detailed assessment of the transferability of the insights gained for Germany. For this purpose, German and Danish accounting data will be analyzed and document review and analysis will be carried out. Expert workshops will also be held, in which participants will discuss the reforms in the context of different scenarios to be able to better evaluate certain conditions and their effects on the success of reform decisions. Finally, basic implementation guidance and alternative courses of action to improve inpatient care in Germany will be presented to relevant stakeholders. The K: IDD project is funded for two years, with a budget of about €796.0 00,00.

By using a participatory approach and by involving all relevant stakeholders, the findings from this in-depth analysis of the hospital structural reform in Denmark can provide important and practical recommendations for the necessary reform of the hospital landscape in Germany, thereby improving hospital care in the long term.


Consortium leadership:

Department of Health Care Management (MiG), TU Berlin


Consortium members:

BKK Dachverband, Deutsches Krankenhaus Institut, Zentralinstitut der kassenärztlichen Versorgung

Funding code : 01VSF18044




Berger E, Busse R, Finger B, Focke K, Geissler A (2018): Krankenhaus: Impulse aus Dänemark für Deutschland. G&S Gesundheits- und Sozialpolitik, Jahrgang 72 (2018), Heft 3, Seite 19-24. DOI: 10.5771/1611-5821-2018-3-19

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