Health Economics

Project: Economic Challenges for the Care of Elderly

Project Duration

09/2014 - 07/2015 (finalized)

Commissioned by

Federal Ministry for Economic Affairs and Energy

Project Team (RWI)

Prof. Dr. Boris Augurzky (Chief), Dr. Dörte Heger, Prof. Dr. Magdalena A. Stroka-Wetsch, Prof. Dr. Ansgar Wübker


IEGUS Institut für Europäische Gesundheits- und Sozialwirtschaft GmbH


Demographic transition in Germany confronts the care of elderly with a particularly challenging set of issues: Demand for long-term care and assistance service grows inexorably while financial restrictions within the nursing insurance sector and supply shortages persist. The aim of this project is to thoroughly analyze the economic challenges that long-term care faces to derive policy-relevant action. Methodologically it is based mainly on secondary data analyses, supplementary expert interviews as well as internet- and literature research. Furthermore a simple forecasting model to estimate future trends in demand for different kinds of nursing will be developed. To evaluate the economic situation of the care services sector as a whole one the project analyses the trends of demand and supply both within the previous 10 years and forecasts trends up to 2030. After all, these trends within the nursing care market will be used as a basis to examine financial challenges for nursing services.

Selected project related publications

RWI Reports


IEGUS Institut and RWI (2015), Ökonomische Herausforderungen der Altenpflegewirtschaft - Endbericht. RWI Projektberichte download

IEGUS Institut and RWI (2015), Ökonomische Herausforderungen der Altenpflegewirtschaft – Kurzfassung. RWI Projektberichte download