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Managed Care Konzepte und Lösungsansätze– Ein internationaler Vergleich aus schweizerischer Sicht

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  • Johannes Schoder

    ()
    (Socioeconomic Institute, University of Zurich)

  • Peter Zweifel

    ()
    (Socioeconomic Institute, University of Zurich)

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    Abstract

    This paper applies the five modified standard criteria generally used in economics for assessing system performances to gauge the contribution of Managed Care to the performance of three health care systems, viz. Germany, the Netherlands and the United States. The maximum contribution of Managed Care to the performance of the health care system is found for the United States and the Netherlands. The Health Maintenance Organization (U.S.) and the gatekeeper model (the Netherlands) score 10 and 9 out of 15 points, respectively, importantly due to a market-oriented environment. By way of contrast, the so-called ‘structured treatment programs’ of the German health care system score only 4 out of 15 points. Not only the more tightly regulated environment but also the lack of consideration of consumer preferences and of incentives for service providers to participate in the programs contributed to poor performance.

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    File URL: http://www.soi.uzh.ch/research/wp/2008/wp0801.pdf
    File Function: first version, 2008
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    Bibliographic Info

    Paper provided by Socioeconomic Institute - University of Zurich in its series SOI - Working Papers with number 0801.

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    Length: 23 pages
    Date of creation: Jan 2008
    Date of revision:
    Publication status: published in Jörg Sydow, Arnold Windeler, Volker E. Amelung (eds.), Vernetzung im Gesundheitswesen, Kohlhammer: Stuttgart, pp. 149-166, 2008
    Handle: RePEc:soz:wpaper:0801

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    Keywords: steigende Gesundheitsausgaben; Managed Care; Performance; Principal-Agent Relationship;

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    References

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