Hospital Beds Per 1,000 Population (2017): 8
Nurse-To-Hospital-Bed Ratio (FTE) (2017): 0.58
Doctors Consultations (In All Settings) (Number Per Capita) (2017): 9.9
Hospital Average Length of Stay (All Causes) (2017): 8.9
Computed Tomography Scanners (Per Million Population) (2017): 35.13
Magnetic Imaging Resonance Units (Per Million Population) (2017): 34.71
Mammographs (Per Million Population) (2017): NA

Source: Organization for Economic Cooperation and Development. OECD.Stat. Last accessed Oct. 15, 2019.

“By international standards, the German inpatient care sector is large and varied. In 2017 Germany had 6.02 acute care beds per 1000 population, which is second highest in the EU after Bulgaria. Although acute hospital capacities have been reduced since 2000, the number of acute hospital beds is considerably higher than in neighbouring countries and almost 65% higher than the EU 28 average (Figure 4.1). This is partly due to a higher starting point in acute care bed capacities, and also due to a more pronounced decrease in other countries.

“Table 4.1 shows a substantial shift in the provision of inpatient care: the numbers of curative (or acute) hospital and rehabilitative care beds have decreased simultaneously (by more than 60,000 beds and 24,600 beds respectively between 2000 and 2017). At the same time, psychiatric care beds increased by almost 20% (or 17,400 beds) (see Section 5.11 Mental health care), while the number of beds in nursing and residential care has grown by 40% or 307,000 beds respectively (Statistisches Bundesamt, 2018b).”

Source: Blümel M, Spranger A, Achstetter K, Maresso A, Busse R. Germany: Health system review. Health Systems in Transition, 2020; 22(6): pp.i–273.

“In 2018 there were a total of 1925 hospitals providing 498,192 beds. Of these, 552 hospitals were publicly owned, 650 were private not-for-profit and 723 private for-profit hospitals, with bed shares of 48%, 33% and 19% respectively. Privately owned hospitals have, on average, 132 beds compared to an average of 433 beds in publicly owned hospitals. The number of publicly owned hospitals (general and “other”) almost halved between 1991 and 2018, whereas the number of private hospitals doubled over this period (Statistisches Bundesamt, 2020g). Moreover, there are vast regional differences regarding private for-profit ownership of hospitals: in Hamburg 41 out of 56 hospitals (73%) were under private ownership in 2018, while in Berlin and Mecklenburg-Western Pomerania more than half of the hospitals were privately owned. On the other hand, Saarland had only 0.6% privately owned hospitals in 2018. The 1585 acute care hospitals provide the overwhelming share of hospital beds (91%). The 279 psychiatric hospitals had a total of 46,610 beds in 2018 (9%) while the 61 day surgery hospitals have no beds.

“Using the categories of contractual status with sickness funds, acute hospitals fall into four groups: 1) 35 university hospitals, which account for approximatively 10% of all acute care hospital beds; 2) 1527 hospitals enlisted in state hospital requirement plans (87.7% of acute care hospital beds); 3) 138 acute hospitals additionally contracted by sickness funds according to §109 SGB V (1.7% of acute care beds); and 4) 160 acute hospitals without such contracts (0.5%). In the latter category, hospital services are not covered by SHI and are thus only accessible for privately insured and self-paying patients (the latter may also include patients with SHI).”

Source: Blümel M, Spranger A, Achstetter K, Maresso A, Busse R. Germany: Health system review. Health Systems in Transition, 2020; 22(6): pp.i–273.

“In 2017, Germany had 8.0 hospital beds per 1,000 population, after numbers decreased by about 11 % since 2000. Bed density is the highest across the EU, and much higher than in neighbouring countries such as France (6.0 per 1,000). This signals that there is scope to move more care into the community (Section 5.3). Because of the exceptionally high number of beds, there are relatively few doctors and nurses per bed – despite the comparatively high number of health professionals.

“Hospital activity is very high in Germany (Figure 9), with the number of discharges per 100,000 population being far above the EU average (257 compared with 172). Activity is also high in the outpatient sector (Figure 9), which consists almost exclusively of doctor services provided outside hospitals.⁵ The high number of consultations can partially be explained by the absence of a gatekeeping system or requirement to enrol with a GP, which means that patients can see several GPs and consult specialists without a referral. The number of consultations is also high because nurses and other health professionals still play a minor role in primary care (Section 5.3).”

Source: OECD/European Observatory on Health Systems and Policies (2019), Germany: Country Health Profile 2019, State of Health in the EU, OECD Publishing, Paris/European Observatory on Health Systems and Policies, Brussels.

“In hospitals that are included in the hospital requirement plans, capital investment in high-cost medical equipment is financed by the states (see Section 4.1.1 Infrastructure, capital stock and investments). In 2018, 1095 out of the total of 1925 hospitals were equipped with 12,631 high-cost medical devices. Out of these, 1529 were computed tomography (CT) scanners, 5773 dialysis machines, 1174 angiography units, 478 gamma cameras, 123 positron emission tomography (PET) scanners, and 1007 magnetic resonance imaging (MRI) units (Statistisches Bundesamt, 2020g). For hospitals not eligible for state funding and for the ambulatory care sector, funding of high-cost medical technology must be amortized through reimbursements by the sickness funds or private capital.”

Source: Blümel M, Spranger A, Achstetter K, Maresso A, Busse R. Germany: Health system review. Health Systems in Transition, 2020; 22(6): pp.i–273.

Health Systems Facts is a project of the Real Reporting Foundation. We provide reliable statistics and other data from authoritative sources regarding health systems in the US and several other nations.

Page last updated Nov. 17, 2021 by Doug McVay, Editor.