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Die deutsche Krankenhauspolitik: Eine Geschichte verpasster Strukturreformen?

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  • Dittmann Heidi

    (Bauhaus-Universität Weimar, Fakultät Medien, Professur Medienökonomik, Albrecht-Dürer-Str. 2, 99425 Weimar Germany, Tel.: (03643) 58 39 18)

Abstract

The introduction of the DRG system in 2003/04 can be considered the last real hospital reform. Although the latest reform was called Hospital Structure Act due to its insufficient structural components it is sometimes referred to as missed reform. Essential aspects of the institutional background remained unchanged. However, a closer look reveals even the introduction of the DRG system was only a change in the reimbursement of operating costs. Further structural changes were neither discussed nor induced. The same applies to all subsequent reforms. The key parameters of the regulatory framework are for the greater part the same as those established by the German Hospital Finance Act in 1972. Against this backdrop, the presented paper discusses the institutional background and potential reasons for its continuance. The focus is on the question, whether missed reforms are based on its optimality or which alternative explanations seem to be convincing.

Suggested Citation

  • Dittmann Heidi, 2018. "Die deutsche Krankenhauspolitik: Eine Geschichte verpasster Strukturreformen?," Zeitschrift für Wirtschaftspolitik, De Gruyter, vol. 67(1), pages 1-28, May.
    • Handle: RePEc:lus:zwipol:v:67:y:2018:i:1:p:1-28:n:1
    DOI: 10.1515/zfwp-2018-0001
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    References listed on IDEAS

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    1. Zweifel, Peter & Breuer, Michael, 2003. "Plädoyer für risikogerechte Prämien in der Krankenversicherung," Wirtschaftsdienst – Zeitschrift für Wirtschaftspolitik (1949 - 2007), ZBW - Leibniz Information Centre for Economics, vol. 83(2), pages 85-88.
    2. Marc Bataille & Michael Coenen, 2009. "Monistik in der Krankenhausfi nanzierung — Ist der Anfang gemacht?," Wirtschaftsdienst, Springer;ZBW - Leibniz Information Centre for Economics, vol. 89(2), pages 119-127, February.
    3. Cassel, Dieter & Knappe, Eckhard & Oberender, Peter, 1997. "Für Marktsteuerung, gegen Dirigismus im Gesundheitswesen," Wirtschaftsdienst – Zeitschrift für Wirtschaftspolitik (1949 - 2007), ZBW - Leibniz Information Centre for Economics, vol. 77(1), pages 29-36.
    4. Henke, Klaus-Dirk, 2003. "Finanzierung und Vergütung von Gesundheitsleistungen: Ein Buch mit sieben Siegeln," Wirtschaftsdienst – Zeitschrift für Wirtschaftspolitik (1949 - 2007), ZBW - Leibniz Information Centre for Economics, vol. 83(2), pages 80-85.
    5. Günther Neubauer & Peter Zweifel & Michael Breuer, 2002. "How much market economy for the German health care system?," ifo Schnelldienst, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 55(17), pages 3-14, September.
    6. repec:mhr:btrord:urn:isbn:9783163429116 is not listed on IDEAS
    7. Augurzky, Boris & Beivers, Andreas & Straub, Niels & Veltkamp, Caroline, 2014. "Erarbeitung von Umsetzungsvorschlägen der Positionen der Ersatzkassen zur Krankenhausplanung: Vorläufiger Endbericht zum Forschungsvorhaben des Verbandes der Ersatzkassen e. V. (vdek)," RWI Projektberichte, RWI - Leibniz-Institut für Wirtschaftsforschung, number 111481.
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    More about this item

    Keywords

    H11; H51; I11; K20; L51; Hospital Policy; Regulation; Structural Reforms;
    All these keywords.

    JEL classification:

    • H11 - Public Economics - - Structure and Scope of Government - - - Structure and Scope of Government
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • K20 - Law and Economics - - Regulation and Business Law - - - General
    • L51 - Industrial Organization - - Regulation and Industrial Policy - - - Economics of Regulation

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