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Kränkelnde Krankenhäuser – Ursachen und Auswirkungen des Rückgangs der Krankenhausinvestitionen der Länder

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  • Felix Rösel

Abstract

Krankenkassen, Krankenhausverbände und der Bund beklagen unisono die öffentliche Unterfinanzierung der deutschen Krankenhausinfrastruktur. Zuständig für die Infrastruktur sind die Länder, die seit Jahren die Haushaltsmittel für Krankenhausinvestitionen reduzieren. In diesem Beitrag werden erstmals mögliche Ursachen der Investitionsmittelkürzungen mithilfe einer Regressionsschätzung überprüft. Hierbei kann die Vermutung bestätigt werden, dass die rückläufige Entwicklung der öffentlichen Investitionsmittel vor allem Folge der zunehmenden Bemühungen der Länder um eine Haushaltskonsolidierung ist. Verschärfend wirkt die zunehmende Patientenwanderung zwischen den ändern. Ein steigender Anteil von Patienten wählt zur Behandlung ein Krankenhaus außerhalb des eigenen Wohnsitzlandes und kommt damit in den Genuss einer von fremden Steuerzahlern finanzierten Krankenhausinfrastruktur. Dies reduziert die Investitionsanreize der Länder zusätzlich.

Suggested Citation

  • Felix Rösel, 2013. "Kränkelnde Krankenhäuser – Ursachen und Auswirkungen des Rückgangs der Krankenhausinvestitionen der Länder," ifo Dresden berichtet, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 20(05), pages 03-15, October.
  • Handle: RePEc:ces:ifodre:v:20:y:2013:i:05:p:03-15
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    1. 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.
    2. Arno Städtler, 2015. "Leasing and Asset Investment Rise at the Same Pace – Moderate Growth Also Expected for 2016," ifo Schnelldienst, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 68(23), pages 67-77, December.
    3. Arno Städtler, 2014. "Leasing Growth in 2014 Far Exceeds Capital Investment – Moderate Optimism for 2015," ifo Schnelldienst, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 67(23), pages 53-63, December.

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    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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