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Cost-sharing in the German health care system

Listed author(s):
  • Gericke, Christian A.
  • Wismar, Matthias
  • Busse, Reinhard
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    In Germany, cost-sharing for health care has been used as a financing mechanism since 1923. In this article, the historical development of user charges in Germany since the 1980s is presented in more detail by type of private expenditure, including direct payments, cost-sharing measures, and voluntary health insurance. This is followed by a mapping of current cost-sharing measures including a discussion of protection mechanisms and responsibility for decision-making on cost-sharing measures and a summary of national policy debates. In the final section, the results of a systematic review of the literature on the impact of cost-sharing on equity, efficiency and health outcomes in Germany are presented.

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    Paper provided by Technische Universität Berlin, School of Economics and Management in its series Discussion Papers with number 2004/4.

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    Date of creation: 2004
    Handle: RePEc:zbw:tubsem:20044
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