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Zwischen Kostenprivatisierung und PatientInnenautonomie: Eigenverantwortung in der Gesundheitspolitik

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  • Grimmeisen, Simone
  • Leiber, Simone

Abstract

Dieses Papier verfolgt zwei Ziele: Zum einen geht es darum, anknüpfend an häufig gebrauchte theoretische und argumentative Stränge zur Eigenverantwortung in der Gesundheitspolitik (z.B. Moral-Hazard-Theorie) Möglichkeiten, aber auch Grenzen der Eigenverantwortung in der Gesundheitspolitik auf abstrakter Ebene auszuloten. Inwiefern kann die Einführung eigenverantwortlicher Elemente in das Gesundheitswesen die Effizienz und Effektivität sozialpolitischer Leistungserbringung erhöhen und welche prinzipiellen Hindernisse (beispielsweise durch Informationsasymmetrien der PatientInnen gegenüber dem Arzt; anbieterinduzierte Nachfrage) stehen der Verlagerung von Verantwortung auf die BürgerInnen entgegen? Im zweiten Teil des Papiers analysieren wir vor diesem Hintergrund die Reformentwicklungen im deutschen Gesundheitssystem seit Anfang der 1990er Jahre. Der Beitrag schließt mit einigen Überlegungen zur Umsetzung eines Konzepts der Eigenverantwortung, das Autonomie und Selbstbestimmung in der Lebensgestaltung der BürgerInnen als Ziele in den Vordergrund stellt.

Suggested Citation

  • Grimmeisen, Simone & Leiber, Simone, 2009. "Zwischen Kostenprivatisierung und PatientInnenautonomie: Eigenverantwortung in der Gesundheitspolitik," WSI Working Papers 163, The Institute of Economic and Social Research (WSI), Hans Böckler Foundation.
    • Handle: RePEc:zbw:wsidps:163
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    Cited by:

    1. Lott, Yvonne, 2014. "Working time autonomy and time adequacy: What if performance is all that counts?," WSI Working Papers 188, The Institute of Economic and Social Research (WSI), Hans Böckler Foundation.
    2. Keller, Berndt & Seifert, Hartmut, 2015. "Atypical forms of employment in the public sector: Are there any?," WSI Working Papers 199, The Institute of Economic and Social Research (WSI), Hans Böckler Foundation.
    3. Tangian, Andranik, 2012. "Statistical test for the mathematical theory of democracy," WSI Working Papers 179, The Institute of Economic and Social Research (WSI), Hans Böckler Foundation.
    4. Lott, Yvonne, 2015. "Costs and benefits of flexibility and autonomy in working time: The same for women and men?," WSI Working Papers 196, The Institute of Economic and Social Research (WSI), Hans Böckler Foundation.
    5. Tangian, Andranik S., 2015. "Is the left-right alignment of parties outdated?," WSI Working Papers 198, The Institute of Economic and Social Research (WSI), Hans Böckler Foundation.

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