Germany Region

Medium HALE and Life Expectancy
High Gap between HALE and Life Expectancy

Final Longevity Progressiveness Ranking: #24

Final Longevity Progressiveness Score: 0.657

Practical Recommendation Summary: A balanced diet and sufficient physical exercise are important aspects of a health-promoting lifestyle in Germany. They can help to prevent the occurrence of obesity, lipid metabolic disorder and hypertension.

Practical Recommendations (Full):
● Enable patient-centered care with information technology systems. Embracement of technology in health care will lead to personalization and improvement of the quality of medical care through close coordination between patients, caregivers, and professionals.
● Strengthening disease prevention and health promotion with a focus on non-communicable diseases remains an issue. Favourable living conditions in Switzerland, such as good housing conditions, a high-quality education system and low rates of unemployment contribute to healthy living conditions.
● Move to a life-course perspective in tackling the rising epidemic of “metabesity.” Initiate strategies to improve the health of the nation, promote the importance of focusing on socio-demographic factors to ensure delivery of healthy newborns and decrease the burden of behavioral factors such as insufficient physical ability, overweight, alcohol abuse, smoking. This will stimulate policy initiatives that supplement income and improve educational opportunities, housing prospects, and social mobility as income is strongly associated with morbidity and mortality.
● The strengthening of incentive mechanisms for the research and development of new antibiotics. Representatives of the public health institutes within the human and veterinary medicine sector in partnership with government authorities should joint effort to tackle antibiotic resistance.
● Provide incentives for development of patient-centered treatments. Strengthen prevention and health promotion across all areas of life including day-care centres, schools and nursing homes, strengthen workplace health promotion and better integrate it with occupational safety and health.
● Focus on elderly healthcare status through utilizing opportunities of Artificial Intelligence for precision health. Novel methods of using AI to optimize psychological wellness, social activity, promote neuroplasticity and combat loneliness and social isolation among elderly.

SWOT Analysis

Strengths:
● High life expectancy at a birth (80.7 years) that is slightly above the EU average.
● The number of hospital beds in Germany is higher than in other OECD countries.
● Great spending on health per capita that is 11.2% of GDP and is the second highest in the EU.
● Amenable mortality is below the EU average.
● The level of services in Germany is high.
● There is a high level of public expenditures on the health - 84.5% - one of the highest in Europe.
● Developed preventive medicine subsector and qualified staff.

Weaknesses:
● Uneven distribution of doctors and specialists
● Self-employed people with low income and migrants have the limited access to the benefits of social insurance in comparison with other citizens.
● Only 60% of additionally prognosed years (21.0 for female and 17.9 for male) German people can live disability free that is low amount.
● There are certain disparities in different income groups - people with lower education and income are twice as tend to live with diabetics and on 30% more likely to have asthma and adopt risky behavioural factors.

Opportunities:
● The above OECD average amount of doctors and other personnel that is well-trained and qualified.
● There are considerable resources for enhancing and maintaining the healthcare system in Germany that include financial, human and organizational ones.
● There are big numbers of hospitals and physician and well trained nurses for providing the qualitative services to population.
● Investments in R&D in era of advanced medical treatment and disruptive technologies.

Threats:
● Ageing of medical workforce (42% of doctors are more than 50 years old) can lead to the shortage of healthcare personnel in the future.
● Expensive pharmaceuticals products.
● CDVs (cardiovascular diseases) (42% of deaths for women and 35% of death for men) and cancer (23% of deaths for women and 29% for men) are the leading causes of the death in Germany.
● The number of deaths from dementia is increasing.

SWOT Conclusions

Strengths Analysis:
● The alcohol consumption has declined rapidly in recent years and relatively with faster pace than in other EU countries.
● The proportion of drinking adolescents is slightly lower than in the EU and tend to decline through the years.
● The smoking rates for adolescents had been falling greatly for the past two decades - from 34% in 2000 to 15% in 2014.
● Relatively good amount of adults in Germany is involved at least in the moderate activity.
● The life expectancy gap between eastern and western regions began to narrow and is predicted to decrease.
● The number of hospital beds in Germany is higher than in other OECD countries.

Weaknesses Analysis:
● Musculoskeletal, dementia and mental health disorders contribute a lot to the disability-adjusted years.
● Heart diseases and strokes are the huge burden for the death and DALY.
● 1 in 16 people live with asthma and 1 in 10 live with chronic depression.
● Lower proportion of the population reports to be in good health compared to the EU average - only 65%. ● 1 in 3 adults in Germany reports to be involved in the bridge drinking.
● There is a large proportion of smoking adults - one quarter of Germans are smoking regularly for men and 1 in 6 women are smoking daily.
● The prevalence of obesity has been increased for the past years sharply and the level of obesity is now bigger than in the EU.
● The bad impact of high blood pressure, body mass index and high fasting plasma glucose on DALY has increased.