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Health care reform and Diagnosis Related Groups in Germany: The mediating role of Hospital Liaison Committees for Jehovah's Witnesses

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  • Rajtar, Małgorzata

Abstract

Resulting from health care reform in Germany that was implemented in 2003–2004, a new medical classification system called the “Diagnosis Related Groups” (DRGs) was introduced in hospitals. According to the media, social scientists, and a few physicians interviewed in this study the policy negatively transformed the German health care system by allowing the privatization of the hospital sector consistent with the neoliberal health care model. Allegedly, this privileged economic values over the quality of health care and introduced competition between hospitals. Nevertheless, members of the Hospital Liaison Committees (HLCs) of Jehovah's Witnesses argued that the DRGs system could be used to the advantage of Jehovah's Witness (JW) patients. HLCs often assist in the patient's search by providing names of physicians that would be willing to refrain from blood transfusions.

Suggested Citation

  • Rajtar, Małgorzata, 2016. "Health care reform and Diagnosis Related Groups in Germany: The mediating role of Hospital Liaison Committees for Jehovah's Witnesses," Social Science & Medicine, Elsevier, vol. 166(C), pages 57-65.
    • Handle: RePEc:eee:socmed:v:166:y:2016:i:c:p:57-65
    DOI: 10.1016/j.socscimed.2016.08.016
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    References listed on IDEAS

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    1. Michael E. Porter & Clemens Guth, 2012. "Redefining German Health Care," Springer Books, Springer, edition 127, number 978-3-642-10826-6, November.
    2. Rajtar, Małgorzata, 2013. "Bioethics and religious bodies: Refusal of blood transfusions in Germany," Social Science & Medicine, Elsevier, vol. 98(C), pages 271-277.
    3. Timmermans, Stefan & Almeling, Rene, 2009. "Objectification, standardization, and commodification in health care: A conceptual readjustment," Social Science & Medicine, Elsevier, vol. 69(1), pages 21-27, July.
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    1. Reif, Simon & Wichert, Sebastian & Wuppermann, Amelie, 2018. "Is it good to be too light? Birth weight thresholds in hospital reimbursement systems," Journal of Health Economics, Elsevier, vol. 59(C), pages 1-25.
    2. Meng, Zhaolin & Hui, Wen & Cai, Yuanyi & Liu, Jiazhou & Wu, Huazhang, 2020. "The effects of DRGs-based payment compared with cost-based payment on inpatient healthcare utilization: A systematic review and meta-analysis," Health Policy, Elsevier, vol. 124(4), pages 359-367.

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