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Prevention measures, such as course offerings for promoting physical activity in businesses and schools (Franzkowiak 2022), can contribute to lowering the burden of type 2 diabetes and other noncommunicable diseases (Jordan et al. 2012; Schwarz et al. 2007). Prevention expenditures in the health expenditure billing combine all services that are intended to prevent the development or the further spread of diseases. A sufficient financing of prevention programs is important, so that they do not fail because of financial obstacles.
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In 2022, 467 € were spent in Germany per inhabitant for prevention and health protection. This corresponds to a proportion of the prevention expenditures in the health expenditures of 7.86%. Between 1992 and 2020, the expenditures for prevention have increased steadily from 73 € to 180 € per inhabitant, however, the expenditures for prevention doubled in 2021 to 369 €. During the time period from 1992 until 2020, the proportion of the prevention expenditures in the health expenditures was relatively constant (1992: 3.69%; 2020: 3.39%) and increased tremendously in 2021 (6.48%). The increase of the absolute prevention expenditures as well as the proportion of the prevention expenditures in the health expenditures continued in 2022.
The expenditures for prevention and health protection in Germany increased continuously in the last 25 years. The proportion of the prevention expenditures in the health expenditures remained almost unchanged thereby up to 2020 since an increase in health expenditures corresponded to an increase in absolute prevention expenditures. The expenditures for prevention and health protection increased tremendously during the COVID-19 pandemic in 2021 and 2022 and is linked to expenditures due to the pandemic. Overall, the proportion of the prevention expenditures in the health expenditures is relatively low. To lower the incidence of type 2 diabetes and other common noncommunicable diseases, among other measures a further increase of the prevention expenditures should be considered.