Germany Public health


Central

  • Sets the general framework for the organisation and performance of the health sector
  • Concurrent legislative power for measures to combat human and animal diseases which pose a danger to the public, pharmacies, medicines, medical products, drugs, narcotics and poisons (Article 74 BL)
  • Health education and information fulfilled by the federal agency for health education (“Bundeszentrale für Gesundheitliche Aufklärung")
  • Health protection, management of medical disasters and emergency drinking water supplies provided by the Federal Office of Civil Protection and Disaster Assistance (“Bundesamt für Bevölkerungsschutz und Katastrophenhilfe")

 

Regional

  • Legislation on medical corps (“Gesundheitsdienst"), rescue service, organisational matters of the hospitals
  • Implementation of preventive measures in the health sector (action programmes etc.)
  • Programmes combating the shortage of doctors in rural areas

 

Intermediate level - Kreise

  •  Health Policy implementation is decentralised and differs strongly between the areas
  • Local health offices (“Gesundheitsämter”)
  • Running and financing of local hospitals
  • Local programmes for promoting public Health
  • Protection against infections
  • Physical examinations
  • Social psychiatrically services
  • Healthcare promotion and consultation

 

Responsible ministries/bodies

Federal Ministry of Health

Federal Office of Civil Protection and Disaster Assistance

Federal Centre for Health Education (Bundeszentrale für gesundheitliche Aufklärung)

 

Sources

Bundeszentrale für gesundheitliche Aufklärung, Aufgaben und Ziele (Federal Centre for Health Education, tasks and goals)

Gesundheitsamt Bremen (Health Office Bremen)

German Basic Law

 

Compare with:

Decentralization Index

​​An interactive tool with perspective on different dimensions of decentralisation (political, administrative and fiscal) across the 27 EU Member States

Go to the Decentralization Index