The self-regulatory German health care system between growing competition and state hierarchy

Wendt, Claus ; Rothgang, Heinz ; Helmert, Uwe


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Dokumentart: Bericht / Forschungsbericht / Abhandlung
Institut: SFB 597 Staatlichkeit im Wandel
Schriftenreihe: TranState working papers
Bandnummer: 32
Sprache: Englisch
Erstellungsjahr: 2005
Publikationsdatum: 12.12.2012
Originalveröffentlichung: (2005)
SWD-Schlagwörter: Gesundheitswesen , Deutschland , Politischer Prozess
DDC-Sachgruppe: Politik
BK - Basisklassifikation: 89.50 (Politische Prozesse: Allgemeines), 74.20 (Deutschland), 44.10 (Gesundheitswesen: Allgemeines)
Sondersammelgebiete: 3.6 Politik und Friedensforschung

Kurzfassung auf Englisch:

This article focuses on the changing role of the state in financing, providing and regulating health care services under the German health care system from 1970-2000. While a reduced role of the state can be observed in terms of financing, our analysis of service provision indicates inconsistent developments. Monetary resource flow analyses indicate a decrease in private service provision as a percentage of total health expenditure, but when analysing the development of health employment we see a growth in “private” health care personnel. The most important changes, however, have taken place in terms of regulation. Since the early 1990s, the traditionally self-regulatory German health care system has simultaneously faced growing competition and state hierarchy.

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