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Health, Care & Inclusion

Providing support for people

People want to live their lives in a self-determined way and participate in society on equal terms. To achieve this, some people require more support than others – sometimes temporarily, sometimes over their entire lifetime. This is particularly important when one's health or capabilities are impaired and, as a result, everyday life can no longer be managed independently. A person's individual situation should always be at the centre of care and support. To ensure the provision of appropriate care is the task of the health and care sector.

Health and long-term care in Germany

Health care in and out of hospital, prevention, rehabilitation and long-term care must meet high standards in terms of needs orientation, quality and efficiency, and undergo continuous development. Major challenges such as demographic change, the shortage of skilled workers and decreasing family support require new approaches to care and caring.

An important goal for health and long-term care in Germany is patient-centred, integrated care that is provided efficiently and with empathy. The increasing importance of digital services for the integration of services also requires innovative approaches – both for patients and providers.

Inclusion and participation

Inclusion is about everyone being accepted regardless of their gender, age, origin, religion or other personal characteristics, and enabling individuals to participate in society in an equal and self-determined way. The UN Convention on the Rights of Persons with Disabilities and the German Federal Participation Act (Bundesteilhabegesetz) have formally strengthened the participation of persons with disabilities in society. However, to achieve sustainable progress, the barriers to inclusion that prevent people from living full and inclusive lives need to be revisited and removed on a regular basis.

Reforms and laws

In Germany, social laws – on social long-term care insurance, statutory health insurance, and the right to rehabilitation and participation – are subject to continuous development. Qualitative analysis and evaluation are important tools to assess the impact of reforms prospectively or retrospectively. In doing so, the perspectives of all stakeholders must be considered.

Health, Care & Inclusion: a selection of our services

  • Health services research
  • Surveys and analyses of needs and care services
  • Cost and financial analyses (e.g. of innovative forms of care)
  • Reporting (e.g. care reporting)

Research for policy & evaluation

  • Analysis of care structures/approaches and their policy contexts (also in international comparisons)
  • Monitoring and evaluation of pilot programmes and projects
  • Evaluation of political programmes and legal reforms

Forecasting & simulation

  • Forecasting of care and personnel requirements
  • Modelling and simulation of future funding or financing options in statutory health insurance and social long-term care insurance

System design & strategy development

  • Strategic solutions and recommendations for action for care systems
  • including in the areas of prevention, user/patient orientation and innovation & digitalisation.

Our work on this topic

Take a look at our latest projects and activities.

Älterer Mann mit Gehstock läuft mit Pflegekraft auf der Wiese, am Rand steht ein Rollstuhl

Care Perspective. Reorientation of the elderly care profession


The annual expenditure of social long-term care insurance will continue to increase in the coming decades according to the results of a Prognos study for the Bertelsmann Foundation.

Älterer Mann mit Gehstock läuft mit Pflegekraft auf der Wiese, am Rand steht ein Rollstuhl

Strategies to combat the skilled-worker shortage in nursing care


Which strategies can be used to tackle the shortage of skilled workers in nursing care for the elderly? This question is the subject of a Prognos study commissioned by the Bertelsmann Stiftung.

Do you have questions?

Your contact at Prognos

Jakob Maetzel

Project Manager

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Andreas Heimer

Director, Partner

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About us

Prognos – Providing Orientation.

Prognos is one of the oldest economic research centres in Europe. Founded at the University of Basel, Prognos experts have been conducting research for a wide range of clients from the public and private sectors since 1959 – politically independent, scientifically sound.

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