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Most Germans Wait Over a Month for Specialists as TK Pushes Digital Triage and Single Booking Portal

Experts say the delays stem from structural features of Germany's care model rather than doctor shortages.

Overview

  • A Forsa survey for Techniker Krankenkasse finds 56% of statutory insurees wait more than four weeks for a specialist appointment, with 35% reporting waits of several months.
  • Regional polling in Hesse, Rhineland-Palatinate and Saarland shows roughly half wait over a month, only about 5% secure appointments within days, and 29% struggle to find a suitable practice.
  • TK urges a binding first assessment of medical needs and a unified digital appointment platform with reserved slots for statutory patients, noting 72% of respondents are open to digital triage tools.
  • The insurer welcomes the federal government’s planned Primärversorgungssystem as a chance to coordinate patient flow, including gatekeeping via GPs or standardized digital or telephone first assessments.
  • Health-system analysts and regional KVen cite the ambulatory–hospital split, solo-practice models and urban–rural gaps as core causes, and propose multidisciplinary centers and expanded advanced nursing or PA roles to ease bottlenecks.