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Produktivitätsmotor Gesundheitswirtschaft: Finanziert sich der medizinisch-technische Fortschritt selbst?

Author

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  • Karmann Alexander

    (Technische Universität Dresden, Gesundheitsökonomisches Zentrum der TU Dresden, Helmholtzstraße 10, 01069 Dresden, Deutschland)

  • Rösel Felix

    (ifo Institut – Leibniz-Institut für Wirtschaftsforschung an der Universität München e.V., Niederlassung Dresden, Einsteinstraße 3, 01069 Dresden, Deutschland)

  • Schneider Markus

    (BASYS Beratungsgesellschaft für angewandte Systemforschung mbH, Reisingerstr. 25, 86159 Augsburg, Deutschland)

Abstract

Der medizinisch-technische Fortschritt (MTF) gilt als wesentlicher Treiber der Gesundheitsausgaben und Hauptursache düsterer Beitragssatzprognosen für die Gesetzliche Krankenversicherung (GKV). Übersehen wird hierbei zumeist, dass der MTF zugleich Produktivitätszuwächse im Gesundheitswesen sowie eine bessere Gesundheit der Erwerbstätigen generiert. Dies sorgt für gesamtwirtschaftliches Wachstum und damit letztlich für eine Verbreiterung der Einnahmenbasis der Sozialversicherung. In diesem Beitrag wird die Auswirkung des MTF sowohl auf die Ausgaben- als auch auf die Einnahmenseite der GKV zwischen 2002 und 2010 berechnet und einander gegenübergestellt. Wir zeigen auf Basis konservativer Rechnungen, dass sich der MTF allein durch zwei seiner Teilaspekte – Produktivitätsgewinne in der Gesundheitswirtschaft und Rückgang des krankheitsbedingt verlorenen Arbeitsvolumens – zu mindestens rund 20 % selbst finanziert. Dieses Ergebnis relativiert allzu pessimistische Aussichten einer fehlenden Finanzierbarkeit des MTF. Der Druck zu weiteren Strukturreformen im Gesundheitswesen wird hierdurch allerdings keinesfalls aufgehoben.
(This abstract was borrowed from another version of this item.)

Suggested Citation

  • Karmann Alexander & Rösel Felix & Schneider Markus, 2016. "Produktivitätsmotor Gesundheitswirtschaft: Finanziert sich der medizinisch-technische Fortschritt selbst?," Perspektiven der Wirtschaftspolitik, De Gruyter, vol. 17(1), pages 54-67, April.
    • Handle: RePEc:bpj:pewipo:v:17:y:2016:i:1:p:54-67:n:4
    DOI: 10.1515/pwp-2016-0004
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    1. Gabriel Felbermayr, 2016. "Economic Analysis of TTIP," ifo Working Paper Series 215, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.

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