IDEAS home Printed from https://ideas.repec.org/p/pra/mprapa/80720.html

Application of the Multiregional Health Account for Germany - A financial equalization scheme to cope with lagging investments in German hospitals

Author

Listed:
  • Schwärzler, Marion Cornelia
  • Kronenberg, Tobias

Abstract

Lagging investments in German hospitals have become a serious challenge in recent decades. The responsibility for investment financing lies with the German federal states, the “Bundeslaender”, due to the dualistic financing framework applying for German hospitals. Yet, hospital investments experience a field of tension between the availability of financial resources and necessary investments. A possible solution could be a financial equalization scheme for the health economy incorporating an earmarked fund for hospital investments. The rationale for such a system is that health economies of federal states do not represent single closed systems, but depend on interregional trade flows to supply patient treatment. The respective calculations in this paper are based on our recently compiled Multiregional Health Account for Germany. The model represents a satellite account of the health economy based on national accounts. Consequently, we are able to calculate spillover effects from patient treatment in federal states by conducting input-output analysis. Based on the results, we derive a sketch of a financial equalization scheme in order to ensure needs-based hospital infrastructure in German federal states.

Suggested Citation

  • Schwärzler, Marion Cornelia & Kronenberg, Tobias, 2017. "Application of the Multiregional Health Account for Germany - A financial equalization scheme to cope with lagging investments in German hospitals," MPRA Paper 80720, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:80720
    as

    Download full text from publisher

    File URL: https://mpra.ub.uni-muenchen.de/80720/1/MPRA_paper_80720.pdf
    File Function: original version
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Schwärzler, Marion Cornelia & Kronenberg, Tobias, 2017. "Basic Results of the Multiregional Health Account for Germany - Validation of Direct Effects of the Health Economy," MPRA Paper 80717, University Library of Munich, Germany.
    2. Umed Temurshoev & Marcel P. Timmer, 2011. "Joint estimation of supply and use tables," Papers in Regional Science, Wiley Blackwell, vol. 90(4), pages 863-882, November.
    3. Schwärzler, Marion Cornelia & Kronenberg, Tobias, 2017. "Methodology of the Multiregional Health Account for Germany - An Iterative Algorithm-Based Multiregionalization Approach of Supply and Use Tables with Emphasis on Health," MPRA Paper 80712, University Library of Munich, Germany.
    4. Rürup, Bert & Albrecht, Martin & Igel, Christian & Häussler, Bertram, 2008. "Umstellung auf eine monistische Finanzierung von Krankenhäusern. Expertise im Auftrag des Bundesministeriums für Gesundheit," Publications of Darmstadt Technical University, Institute for Business Studies (BWL) 35311, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute for Business Studies (BWL).
    5. Ranscht, Anja, 2009. "Quantifizierung regionaler Wachstums- und Beschäftigungseffekte der Gesundheitswirtschaft : am Beispiel ausgewählter Metropolregionen," Publications of Darmstadt Technical University, Institute for Business Studies (BWL) 34095, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute for Business Studies (BWL).
    6. Schwärzler, Marion Cornelia & Kronenberg, Tobias, 2016. "Methodology of the National Health Account for Germany - Database, compilation and results," MPRA Paper 73561, University Library of Munich, Germany.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Schwärzler, Marion Cornelia & Kronenberg, Tobias, 2017. "Basic Results of the Multiregional Health Account for Germany - Validation of Indirect Effects of the Health Economy," MPRA Paper 80719, University Library of Munich, Germany.
    2. Schwärzler, Marion Cornelia & Kronenberg, Tobias, 2017. "Methodology of the Multiregional Health Account for Germany - An Iterative Algorithm-Based Multiregionalization Approach of Supply and Use Tables with Emphasis on Health," MPRA Paper 80712, University Library of Munich, Germany.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Schwärzler, Marion Cornelia & Kronenberg, Tobias, 2017. "Basic Results of the Multiregional Health Account for Germany - Validation of Direct Effects of the Health Economy," MPRA Paper 80717, University Library of Munich, Germany.
    2. Schwärzler, Marion Cornelia & Kronenberg, Tobias, 2017. "Methodology of the Multiregional Health Account for Germany - An Iterative Algorithm-Based Multiregionalization Approach of Supply and Use Tables with Emphasis on Health," MPRA Paper 80712, University Library of Munich, Germany.
    3. Los, Bart & Timmer, Marcel P. & de Vries, Gaaitzen J., 2015. "How important are exports for job growth in China? A demand side analysis," Journal of Comparative Economics, Elsevier, vol. 43(1), pages 19-32.
    4. Robert Stehrer, 2012. "Trade in Value Added and the Valued Added in Trade," wiiw Working Papers 81, The Vienna Institute for International Economic Studies, wiiw.
    5. Barbara Hutniczak, 2022. "Efficient updating of regional supply and use tables with the national-level statistics," Journal of Economic Structures, Springer;Pan-Pacific Association of Input-Output Studies (PAPAIOS), vol. 11(1), pages 1-11, December.
    6. Ha Thi Thanh Doan & Trinh Quang Long, 2019. "Technical Change, Exports, and Employment Growth in China: A Structural Decomposition Analysis," Asian Economic Papers, MIT Press, vol. 18(2), pages 28-46, Summer.
    7. Amat Adarov & Robert Stehrer, 2019. "Tangible and Intangible Assets in the Growth Performance of the EU, Japan and the US," wiiw Research Reports 442, The Vienna Institute for International Economic Studies, wiiw.
    8. Vogl, Matthias, 2014. "Hospital financing: Calculating inpatient capital costs in Germany with a comparative view on operating costs and the English costing scheme," Health Policy, Elsevier, vol. 115(2), pages 141-151.
    9. Oliver Reiter & Robert Stehrer, 2021. "Value Chain Integration of the Western Balkan Countries and Policy Options for the Post-COVID-19 Period," wiiw Policy Notes 48, The Vienna Institute for International Economic Studies, wiiw.
    10. Voskoboynikov, Ilya B., 2012. "New measures of output, labour and capital in industries of the Russian economy," GGDC Research Memorandum GD-123, Groningen Growth and Development Centre, University of Groningen.
    11. Harry X. WU & Zhan LI, 2021. "Reassessing China's GDP Growth Performance: an Exploration of The Underestimated Price Effect," Discussion papers 21018, Research Institute of Economy, Trade and Industry (RIETI).
    12. Umed Temursho & Manuel Alejandro Cardenete & Krzysztof Wojtowicz & Luis Rey & Matthias Weitzel & Toon Vandyck & Bert Saveyn, 2020. "Projecting input-output tables for model baselines," JRC Research Reports JRC120513, Joint Research Centre.
    13. Marcel Timmer & Abdul A. Erumban & Reitze Gouma & Bart Los & Umed Temurshoev & Gaaitzen J. de Vries & I–aki Arto & Valeria Andreoni AurŽlien Genty & Frederik Neuwahl & JosŽ M. Rueda?Cantuche & Joseph , 2012. "The World Input-Output Database (WIOD): Contents, Sources and Methods," IIDE Discussion Papers 20120401, Institue for International and Development Economics.
    14. Timmer, Marcel & Los, Bart & Vries, Gaaitzen J. de, 2012. "China and the World Economy:A Global Value Chain Perspective on Exports, Incomes and Jobs," GGDC Research Memorandum GD-128, Groningen Growth and Development Centre, University of Groningen.
    15. Konstantins Benkovskis & Ludmila Fadejeva & Julia Wörz, 2013. "How Important Is Total Factor Productivity for Growth in Central, Eastern and Southeastern European Countries?," Focus on European Economic Integration, Oesterreichische Nationalbank (Austrian Central Bank), issue 1, pages 8-27.
    16. Oliver Reiter & Robert Stehrer, 2018. "Trade Policies and Integration of the Western Balkans," wiiw Working Papers 148, The Vienna Institute for International Economic Studies, wiiw.
    17. Schwärzler, Marion Cornelia & Kronenberg, Tobias, 2016. "Methodology of the National Health Account for Germany - Database, compilation and results," MPRA Paper 73561, University Library of Munich, Germany.
    18. M. Alejandro Cardenete & M. Carmen Delgado & Patricia D. Fuentes & M. Carmen Lima & Alfredo J. Mainar & Jose M. Rueda-Cantuche & Sébastien Mary & Fabien Santini & Sergio Gomez y Paloma, 2015. "Rural-urban social accounting matrixes for modelling the impact of rural development policies in the EU," JRC Research Reports JRC94394, Joint Research Centre.
    19. Veeramani C & Garima Dhir, 2017. "Domestic Value Added Content of India's Exports: Estimates for 112 Sectors, 1999-2000 to 2012-13," Working Papers id:11889, eSocialSciences.
    20. repec:dgr:rugggd:gd-128 is not listed on IDEAS
    21. Manfred Lenzen & Arne Geschke & Muhammad Daaniyall Abd Rahman & Yanyan Xiao & Jacob Fry & Rachel Reyes & Erik Dietzenbacher & Satoshi Inomata & Keiichiro Kanemoto & Bart Los & Daniel Moran & Hagen Sch, 2017. "The Global MRIO Lab – charting the world economy," Economic Systems Research, Taylor & Francis Journals, vol. 29(2), pages 158-186, April.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;

    JEL classification:

    • C67 - Mathematical and Quantitative Methods - - Mathematical Methods; Programming Models; Mathematical and Simulation Modeling - - - Input-Output Models
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • R15 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Econometric and Input-Output Models; Other Methods

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:pra:mprapa:80720. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Joachim Winter (email available below). General contact details of provider: https://edirc.repec.org/data/vfmunde.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.