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Produktivitätsmotor Gesundheitswirtschaft: Finanziert sich der medizinisch-technische Fortschritt selbst?

Author

Listed:
  • Alexander Karmann
  • Felix Rösel
  • Markus Schneider

Abstract

Der medizinisch-technische Fortschritt (MTF) gilt als wesentlicher Treiber der Gesundheitsausgaben und Hauptursache düsterer Beitragssatzprognosen für die Gesetzliche Krankenversicherung (GKV). Übersehen wird hierbei zumeist, dass der MTF zugleich Produktivitätszuwächse im Gesundheitswesen sowie eine bessere Gesundheit der Erwerbstätigen generiert. Dies sorgt für gesamtwirtschaftliches Wachstum und damit letztlich für eine Verbreiterung der Einnahmenbasis der Sozialversicherung. In diesem Beitrag wird die Auswirkung des MTF sowohl auf die Ausgaben- als auch auf die Einnahmenseite der GKV zwischen 2002 und 2010 berechnet und einander gegenübergestellt. Wir zeigen auf Basis konservativer Rechnungen, dass sich der MTF allein durch zwei seiner Teilaspekte – Produktivitätsgewinne in der Gesundheitswirtschaft und Rückgang des krankheitsbedingt verlorenen Arbeitsvolumens – zu mindestens rund 20 % selbst finanziert. Dieses Ergebnis relativiert allzu pessimistische Aussichten einer fehlenden Finanzierbarkeit des MTF. Der Druck zu weiteren Strukturreformen im Gesundheitswesen wird hierdurch allerdings keinesfalls aufgehoben.

Suggested Citation

  • Alexander Karmann & Felix Rösel & Markus Schneider, 2016. "Produktivitätsmotor Gesundheitswirtschaft: Finanziert sich der medizinisch-technische Fortschritt selbst?," ifo Working Paper Series 214, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.
  • Handle: RePEc:ces:ifowps:_214
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    References listed on IDEAS

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    1. Gabriel Felbermayr & Jasmin Gröschl & Thomas Steinwachs, 2018. "The Trade Effects of Border Controls: Evidence from the European Schengen Agreement," Journal of Common Market Studies, Wiley Blackwell, vol. 56(2), pages 335-351, March.
    2. Michel Dumont & Peter Willemé, 2013. "Working Paper 02-13 - Machines that go ‘ping’: medical technology and health expenditures in OECD countries," Working Papers 1302, Federal Planning Bureau, Belgium.
    3. Breyer Friedrich & Ulrich Volker, 2000. "Gesundheitsausgaben, Alter und medizinischer Fortschritt: Eine Regressionsanalyse / Ageing, Medical Progress and Health Care Expenditures: A Regression Analysis," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 220(1), pages 1-17, February.
    4. Felix Rösel, 2013. "Kränkelnde Krankenhäuser – Ursachen und Auswirkungen des Rückgangs der Krankenhausinvestitionen der Länder," ifo Dresden berichtet, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 20(05), pages 03-15, October.
    5. Miller,Ronald E. & Blair,Peter D., 2009. "Input-Output Analysis," Cambridge Books, Cambridge University Press, number 9780521517133, May.
    6. Miller,Ronald E. & Blair,Peter D., 2009. "Input-Output Analysis," Cambridge Books, Cambridge University Press, number 9780521739023, May.
    7. Peter Willemé & Michel Dumont, 2016. "Machines that go ‘ping’: Medical Technology and Health Expenditures in OECD Countries," Health Economics, John Wiley & Sons, Ltd., vol. 25(3), pages 387-388, March.
    8. Mary O'Mahony & Marcel P. Timmer, 2009. "Output, Input and Productivity Measures at the Industry Level: The EU KLEMS Database," Economic Journal, Royal Economic Society, vol. 119(538), pages 374-403, June.
    9. Massimo Del Gatto & Adriana Di Liberto & Carmelo Petraglia, 2011. "Measuring Productivity," Journal of Economic Surveys, Wiley Blackwell, vol. 25(5), pages 952-1008, December.
    10. Charles R. Hulten, 2001. "Total Factor Productivity: A Short Biography," NBER Chapters, in: New Developments in Productivity Analysis, pages 1-54, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Gabriel Felbermayr, 2016. "Economic Analysis of TTIP," ifo Working Paper Series 215, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.

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