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Ledyan Corcho

Florida National University

Nursing Program

NUR 3655 – Culture in Nursing Practice

Prof. Eddie Cruz, RN MSN

February 12, 2018

German health care system is one of the most intensively developed health care systems after United States of America and Canada. In 2012 there was a reform on SHI (Social Health Insurance) Health Care Delivery Structure Act that focused on improving medical care in the murals whereas the Rural Physician Act and the reform on Act to Reimburse Care focused on incorporating the psychiatric care into the diagnosis related groups. This was due to the rising of health care expenditures and rise of the non-wage labor costs which led to the freezing of employer’s share of SHI contributions. In 2013 Germany was ranked 7th in its population weighted usage of therapeutic drugs in fourteen different classifications since it was on the basis of treatment of diseases with long term morbidity and led to high expenditures and it was it was considered the country with the highest number of dentists in Europe in 2015.

In 2013, the reforms that were announced by ministers back in 2004 to increase human resource, Aboriginal health, home care, primary health care, medical equipment, prevention, promotion and public health. To support the project the government enhanced cash transfer including yearly increment to the Canada Health Transfer to 2014.

Whereas in Germany and Canada there is the single person payer system of health delivery which is utilized that is not same as in United States of America since they adopted the multiplayer system in which several stakeholders including the federal and state governments, companies are responsible for paying health care providers. The heightened state of technology is among the greatest strengths of the U.S. Since babies who are born in the United States have a higher survival rate and also at attaining age 80 years and above the life expectancy is higher; this is not the case in Germany and Canada due to their level of technology.

The cultural beliefs of the Canadians influences health in that there can be biasness in the provision of the care since care providers need to incorporate their beliefs into the diagnosis and this may affect the provision of quality care since you provide the care that they choose and not that which is needed. Demonstrating or accepting a patient’s culture into the care can enhance provision of good care since they will feel they are respected and hence will cooperate more in the care provision process. Canada is a vast country with significant cultural differences across it regions. It became self-governing in 1867 and, in 1982, it severed its colonial ties with Britain. However, Canada still retains its links with the Monarchy as a member of the Commonwealth of Nations.

The beliefs of the Germans influences health by causing diseases such as diabetes since they have a tradition of eating too much potatoes which causes rise in sugar levels in blood hence causing diabetes, this can’t be stopped since they have a notion of taking it a staple food hence its management and eradication becomes a problem there by causing more harm to the people. In the case of German, Health insurance is mandatory for all citizens and permanent residents of Germany. It is provided by two systems, namely: competing, not-for-profit, nongovernmental health insurance funds (“sickness funds”—there were 118 as of January 2016) in the statutory health insurance (SHI) system; and substitutive private health insurance (PHI). States own most university hospitals, while municipalities play a role in public health activities and own about half of all hospital beds. However, the various levels of government have virtually no role in the direct financing or delivery of health care.


Best, A., Greenhalgh, T., Lewis, S., Saul, J. E., Carroll, S., & Bitz, J. (2012). Large‐system transformation in health care: a realist review. The Milbank Quarterly, 90(3), 421-456.

Haux, R., Ammenwerth, E., Herzog, W., & Knaup, P. (2012). Health care in the information society. A prognosis for the year 2013. International journal of medical informatics, 66(1), 3-21.

Soyez, K. (2012). How national cultural values affect pro-environmental consumer behavior. International Marketing Review, 29(6), 623-646.

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