The Current Debate and Reforms in Germany’s Pharmacy Coverage

The ongoing personnel crisis in rural healthcare has pushed the necessity for innovative solutions to the forefront. Walter Hess, the boss of DocMorris, emphasizes the efficiency of telepharmacy, which he describes as “the most conceivable efficient form of drug supply.” According to Hess, telepharmacy allows for “optimal allocation of scarce caregiving resources,” enabling staff to work independently of location. This is particularly crucial in structurally weak regions or for individuals with limited mobility, making telepharmacy a vital “pillar of care.”

The Ministry of Health’s plans, as introduced by Health Minister Lauterbach, include a proposal for “pharmacies without pharmacists” where pharmacy technicians (PTAs) could connect with pharmacists via telepharmacy when additional expertise is needed. This suggestion is seen as a way to address the shortage without compromising the quality of care.

Carola Reimann, chairperson of the AOK Federal Association, supports the reform enthusiastically. She can imagine scenarios where “drug dispensing in rural areas could also be done by machines equipped with a screen for a pharmacist’s consultation.” This approach, she argues, could be “a pragmatic complement to local pharmacies.”

Adding another layer to the discussion, the online pharmacy sector has seen a resurgence to levels of prominence that echo the heights reached during the COVID-19 pandemic. The shift in consumer behavior towards online shopping, driven by the pandemic, has remained a persistent trait. Consumers continue to value the convenience, broader selection, and often lower prices offered by online shopping.

Thomas Ziegelmayer, an e-commerce expert, explains that the increase in mail-order sales and the simultaneous decline in retail sales can be attributed to several factors: “First of all, the pandemic has permanently changed consumer shopping behavior, with online shopping becoming more important.” He also mentions that “online platforms often offer better availability and promotions, which also attracts buyers.”

The trend toward online pharmacies is complemented by increasing promotional efforts from major players in the sector, such as elaborate TV campaigns aimed at promoting e-prescriptions and online redemption. This strategic push has succeeded in attracting many new customers to the online channels.

In summary, Germany’s current discussions and reforms in pharmacy services reflect a broader trend of integrating more technology and online platforms to overcome geographical and personnel limitations. With the legal and infrastructural foundations gradually solidifying, the potential for online pharmacies continues to expand, promising a more accessible and efficient future for pharmaceutical care in both urban and rural settings.