Health check-up for the early detection of diseases

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The health check-up for the early detection of illnesses (also called health check-up or "Check-up 35") is a preventive medical check-up that has been offered to insured persons by statutory health insurance in Germany since 1989 .

For the first time since the end of 2018, those between the ages of 18 and 34 have a one-time right to a free medical examination. From the age of 35 you are entitled to an examination every three years. In Austria, the "preventive" or "health check-up" has been available to people over the age of 18 free of charge once a year since 1974. The preventive care includes a physical examination , a urine test for blood , protein and glucose excretion as well as the determination of two blood values: the total cholesterol concentration and the glucose concentration .

impact

The general practitioner's health check-up is intended to enable early detection of various diseases such as cancer. This was accompanied by evaluations by the international, independent Cochrane Collaboration on 14 studies since the introduction of the check-up until today. They found that until 2012 it was not noticed whether more lives were saved by the early detection of diseases. The number of deaths was not reduced. After all, 20 percent more diseases were diagnosed.

Germany

Legal basis

The right to health examinations is described in § 25 SGB ​​V. The scope of the health examination guidelines of the Federal Joint Committee describe the scope .

Frequency of use

In 2011, 22.7% of all eligible men and 24.1% of women took part in this preventive medical check-up.

Austria

The regulations for the health check-ups were changed with the "Preventive Check-up NEW" on October 1st, 2005 and the scope of the check-up was extended:

  • Colon cancer screening for people over 50 years of age
  • Attention to hearing and visual performance for people over 65
  • Inclusion of periodontal diseases
  • Reinforcement of the doctor's advisory role
  • Invitation system to increase acceptance within the population.

In 2010, 9.7% of all eligible men and 10.6% of women took part in the health check-up in Austria.

Individual evidence

  1. ↑ Guideline of the Federal Joint Committee on Health Examinations for the Early Detection of Diseases (Health Examination Guideline). (PDF; 75 KB) Federal Joint Committee, July 19, 2018, p. 3 , accessed on September 1, 2019 (entered into force on October 25, 2018; information can be found under Section A.6): “From the end of the From the age of 18 to the end of the age of 35, you are entitled to a one-time medical examination. From the age of 35, insured persons are entitled to a medical health examination every three years. "
  2. ^ Karl-Josef Steden: Preventive examinations: The check-up. Prevention Guide 2019: The check-up for women and men. Doctors should increasingly record health risks and stresses. In: Your provision (an initiative of the regional carriers of the German pension insurance and the German pension insurance Knappschaft-Bahn-See). wdv Gesellschaft für Medien & Kommunikation mbH & Co. OHG, January 14, 2019, accessed on September 1, 2019 .
  3. ^ The preventive medical check-up at a glance , Austrian public health portal from January 8, 2015, accessed on June 15, 2015
  4. ^ Thomas Suermann: Health check-up 35+ . Medical Association of Lower Saxony. 2016. Retrieved January 4, 2017.
  5. ↑ Nordic Cochrane Center questions health check-up . Deutsches Ärzteblatt. 2012. Retrieved February 6, 2014.
  6. ↑ Preventive medical check-ups are less useful than expected , test.de from November 26, 2014, accessed on February 5, 2015
  7. ↑ Guideline of the Federal Joint Committee on Health Examinations for the Early Detection of Diseases (Health Examination Guideline). (PDF; 75 KB) Federal Joint Committee, July 19, 2018, accessed on September 1, 2019 (entered into force on October 25, 2018).
  8. ↑ Participation in the statutory health check-up, year: 2011, gender: male ( memento of the original from February 5, 2015 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. , Federal Health Reporting Information System , accessed on February 5, 2015  @1@ 2Template: Webachiv / IABot / www.gbe-bund.de
  9. ↑ Participation in the statutory health check-up, year: 2011, gender: female ( memento of the original from February 5, 2015 in the Internet Archive ) Info: The archive link was automatically inserted and not yet checked. Please check the original and archive link according to the instructions and then remove this notice. , Federal Health Reporting Information System , accessed on February 5, 2015  @1@ 2Template: Webachiv / IABot / www.gbe-bund.de
  10. ↑ New preventive medical check-up ( Memento of the original from January 1, 2016 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. - Information document, Main Association of Austrian Social Insurance Institutions, created on May 30, 2005, accessed on February 5, 2015  @1@ 2Template: Webachiv / IABot / www.hauptverband.at
  11. ↑ Statistics Austria : Absolute preventive examinations since 1990 and in% of the population , accessed on June 15, 2015