Germany's 2024 Hospital Transparency Act: A step towards enhanced accountability and quality in healthcare?

Titelangaben

Sule, Ugbedeojo ; Busse, Reinhard ; Heidecke, Claus-Dieter ; Prinz, Roman ; Quentin, Wilm:
Germany's 2024 Hospital Transparency Act: A step towards enhanced accountability and quality in healthcare?
In: Health Policy. (Juni 2026) Heft 168 . - 105611.
ISSN 1872-6054
DOI der Verlagsversion: https://doi.org/10.1016/j.healthpol.2026.105611

Volltext

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Abstract

Background Germany's 2024 Hospital Transparency Act (Krankenhaustransparenzgesetz) represents a foundational step in a four-pillar hospital reform strategy to enhance hospital planning, optimize financial incentives, and strengthen rescue and emergency care services. The Act responds to longstanding calls for greater transparency in hospital performance and quality, aiming to empower patients and referring doctors with accessible, independent and reliable information. Reform Content Central to the Act is the establishment of the Bundes-Klinik-Atlas, a national, publicly accessible digital platform designed to present hospital performance data in an interactive, patient-oriented, and user-friendly format. Drawing on existing statutory quality assurance and hospital remuneration datasets, the Atlas provides information on service-specific case numbers, staffing levels, minimum volume requirements, and relevant certifications, with additional indicators integrated over time. Expected Results The reform is expected to improve patient empowerment, foster quality improvements through competition, and align Germany with international best practices in healthcare transparency. By making complex data accessible and comprehensible, the Act aims to reduce information asymmetries and support more equitable access to high-quality care. Early implementation shows strong initial public interest and iterative platform refinement, alongside data-quality challenges and political contestation. Conclusions The Act illustrates both the potential and the limits of hospital public performance reporting, serving as both a model and a cautionary tale. While transparency can support patient choice and accountability, meaningful improvements in care quality depend on user-centred design, continuous updates, robust evaluation, complementary policies, and sustained stakeholder and political support within a clear regulatory framework.