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Grenzen des Wettbewerbs im Gesundheitswesen

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  • Kumpmann, Ingmar

Abstract

Many health economists demand more competition in the health care system. They focus on the competition between sickness funds for insured and the competition between health care providers for contracts with sickness funds. But they neglect the competition between health care providers for patients which is crucial for medical quality. This third field of competition is in conflict with the two former fields. The empirical evidence concerning the effects of competition on cost and quality is also ambiguous. Thus the mere claim for "more competition" does not do justice to the high complexity of the health care system.

Suggested Citation

  • Kumpmann, Ingmar, 2008. "Grenzen des Wettbewerbs im Gesundheitswesen," IWH Discussion Papers 1/2008, Halle Institute for Economic Research (IWH).
  • Handle: RePEc:zbw:iwhdps:iwh-1-08
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    References listed on IDEAS

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    1. Breyer, Friedrich & Franz, Wolfgang & Homburg, Stefan & Schnabel, Reinhold & Wille, Eberhard, 2004. "Reform der sozialen Sicherung: Kurzfassung," EconStor Books, ZBW - Leibniz Information Centre for Economics, number 92399, July.
    2. Greß, Stefan, 2004. "Competition in Social Health Insurance: A Three-Country Comparison," IBES Diskussionsbeiträge 135, University of Duisburg-Essen, Institute of Business and Economic Studie (IBES).
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    Cited by:

    1. Ribhegge, Hermann, 2008. "Zur Harmonie von Wettbewerbsrecht und Gesundheitspolitik: kritische Anmerkungen zu den Beschlüssen des Bundeskartellamtes zur Fusion im Krankenhausbereich," Discussion Papers 269, European University Viadrina Frankfurt (Oder), Department of Business Administration and Economics.

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    More about this item

    Keywords

    health care system; competition; free choice of medical practitioner;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis

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