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Wege zur Sicherung der Qualität im Gesundheitswesen: Theorie und Praxis

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  • Dirk Sauerland

Abstract

In order to keep premium rates for Statutory Health Insurance (SHI) stable, German health policy designed several cost‐containment acts since 1989. Within these reform acts budgets for SHI‐expenditures were introduced in 1997, and reimbursement schemes were changed from fee‐for‐service‐payments to capitation and flat rates per case. This article discusses the possible effects of these institutional changes on the quality of health care. It then demonstrates the weaknesses of the regulatory strategy for quality assurance pursued by German health policy. Finally, it outlines a two‐tier strategy based on regulatory and competitive elements to ensure a high quality of care.

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  • Dirk Sauerland, 2001. "Wege zur Sicherung der Qualität im Gesundheitswesen: Theorie und Praxis," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 2(2), pages 211-227, May.
    • Handle: RePEc:bla:perwir:v:2:y:2001:i:2:p:211-227
    DOI: 10.1111/1468-2516.00045
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    References listed on IDEAS

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    Cited by:

    1. Thomas Gries & Dirk Langeleh, 2004. "Anreizkompatibilität als zentrales Element eines neu gestalteten Gesundheitsmarktes," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 5(3), pages 293-311, August.

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