Special Research Topic
Regional Analyses

Project: Leibniz ScienceCampus "Health Care Challenges in Regions with Declining and Ageing Populations"

Project Duration

07/2016 - 06/2024 (current)

Commissioned by

Leibniz Association

Project Team (RWI)

Prof. Dr. Ansgar Wübker (Chief), Prof. Dr. Magdalena A. Stroka-Wetsch, Dr. Matthias Westphal, Prof. Dr. Hendrik Schmitz, Dr. Dörte Heger, Dr. Corinna Hentschker


WINEG – Wissenschaftliches Institut der TK für Nutzen und Effizienz im Gesundheitswesen, Maternus-Klinik für Rehabilitation, Tilburg University – Faculty of Economics and Business Administration


The German population is projected to decline by more than 10% until 2050. At the same time, the number of old people will continue growing. Thus, the ratio between old and working-age people will keep on increasing – which leads to challenges for the social insurance systems for pensions, health care, and long-term care. However, the changing size and composition of the population is not affecting all parts of Germany in a uniform way. Some regions are facing particular challenges due to a rapidly ageing population and dwindling human resources in the care sectors. The ‘Leibniz ScienceCampus’ (LSC) will address these challenges and focus on the provision of health care in areas which are particularly hard hit by demographic change, such as rural areas and the Ruhr metropolitan region. The Leibniz Science Campus “Health care challenges in regions with declining and ageing populations“ has three main goals: 1.) Explore causes of regional variation in the demand and supply of health care and assess their consequences for health policy, 2.) Analyze different arrangements for the supply of health care and LTC which encourage a more efficient use of scarce resources, and 3.) Evaluate measures that reduce the demand for health care and LTC, thus alleviating scarcities of resources in demographically declining regions.


Selected project related publications

Discussion Papers


Salm, M. and A. Wübker (2017), Causes of Regional Variation in Healthcare Utilization in Germany. Ruhr Economic Papers #675. RUB, RWI. DOI: 10.4419/86788783 download