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HEALTH

How Germany plans to revamp emergency care to beat hospital overcrowding

Germany’s Health Minister Jens Spahn wants to overhaul medical care to take the pressure off hospitals and reduce emergency room waiting times. Here's how the proposals are shaping up.

How Germany plans to revamp emergency care to beat hospital overcrowding
Signs pointing to the emergency rooms in Munich. Photo: DPA

In a bid to stop overcrowding in emergency rooms across the country, Spahn is submitting a draft bill that would see a complete reorganization of emergency medical care

According to Funke media group reports on Monday, the draft bill provides for all federal states to introduce emergency telephone control centres. In addition, special emergency centres are to be set up at hospitals where patients are sent either to inpatient or outpatient treatment depending on the severity of their illness.

Spahn had presented the main features of the reform last December but the proposals are now taking shape.

“At present, the emergency rooms of hospitals are too often overcrowded, because – among the patients – there are also those who could be better helped elsewhere,” said the Minister. Often doctor practices in Germany are closed after-hours or on weekends.

As a result, waiting times are often too long for patients who urgently need help in the accident and emergency departments.

READ ALSO: Doctor practices should be open later and on weekends

The draft law provides for the emergency number 112 to be connected with the non-emergency out-of-hours doctor numbers 116 and 117.

Emergency control centre staff will then assess who should go to hospital and who can be helped by a doctor.

In addition, all hospitals nationwide should have “Integrated Emergency Centres” (Integrierte Notfallzentren or INZ) operated jointly by the clinics and the Association of Statutory Health Insurance Physicians.

After an initial assessment, patients would either be sent immediately to the emergency room or treated on an outpatient basis.

According to the bill, the emergency centres should be “accessible at all times” and “integrated into a hospital in such a way” that patients “perceive them as the first point of contact in an emergency”.

READ ALSO: How Germany plans to fight its drastic shortage of care workers

Vocabulary

Emergency room/accident and emergency – (die) Notaufnahme

Health Minister – (der) Gesundheitsminister

Draft bill – (der) Gesetzentwurf

Overcrowded – Überlaufen

Waiting times – (die) Wartezeiten

Association of Statutory Health Insurance Physicians – (die) Kassenärztliche Vereinigungen

We're aiming to help our readers improve their German by translating vocabulary from some of our news stories. Did you find this article useful? Do you have any suggestions? Let us know.

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HEALTH

Danish parties agree to raise abortion limit to 18 weeks

Denmark's government has struck a deal with four other parties to raise the point in a pregnancy from which a foetus can be aborted from 12 weeks to 18 weeks, in the first big change to Danish abortion law in 50 years.

Danish parties agree to raise abortion limit to 18 weeks

The government struck the deal with the Socialist Left Party, the Red Green Alliance, the Social Liberal Party and the Alternative party, last week with the formal announcement made on Monday  

“In terms of health, there is no evidence for the current week limit, nor is there anything to suggest that there will be significantly more or later abortions by moving the week limit,” Sophie Løhde, Denmark’s Minister of the Interior and Health, said in a press release announcing the deal.

The move follows the recommendations of Denmark’s Ethics Council, which in September 2023 proposed raising the term limit, pointing out that Denmark had one of the most restrictive abortion laws in Western Europe. 

READ ALSO: 

Under the deal, the seven parties, together with the Liberal Alliance and the Conservatives, have also entered into an agreement to replace the five regional abortion bodies with a new national abortion board, which will be based in Aarhus. 

From July 1st, 2025, this new board will be able to grant permission for abortions after the 18th week of pregnancy if there are special considerations to take into account. 

The parties have also agreed to grant 15-17-year-olds the right to have an abortion without parental consent or permission from the abortion board.

Marie Bjerre, Denmark’s minister for Digitalization and Equality, said in the press release that this followed logically from the age of sexual consent, which is 15 years old in Denmark. 

“Choosing whether to have an abortion is a difficult situation, and I hope that young women would get the support of their parents. But if there is disagreement, it must ultimately be the young woman’s own decision whether she wants to be a mother,” she said. 

The bill will be tabled in parliament over the coming year with the changes then coming into force on June 1st, 2025.

The right to free abortion was introduced in Denmark in 1973. 

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