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Ist das Gesundheitswesen in Deutschland ein „Nachfragemotor“ für Fortschritte in der Medizintechnik?: Eine Analyse der Beziehungen zwischen Gesundheitssystem und medizinisch- technischen Innovationen am Beispiel bildgebender Verfahren

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  • Klump Rainer
  • Plagens Manfred

Abstract

The article deals with the interactions between the institutional structures of the German health care system and the demand for innovations in the medical device industry. The special focus is on imaging devices because of their dominance in the industry’s sales. The analysis is based on the concept of Porters „diamond“ which allows a systematic assessment of the industry’s competitiveness and innovative potentials. In the case of the German health care system the particular interactions between patients and their agents, physicians and hospitals, as well as strong state interventions create indeed a stable demand for new medical devices. All participants in the system share a strong preference for technical devices, which are state of the art. However, the steady stream of new devices does not imply that all of them are also health improving and cost reducing innovations, since the existing system has created important barriers to competition. The article also reviews proposals for a reform of the German health care system and their possible effects on the medical device industry. A deregulation of the existing structures is seen as the most promising way to generate incentives for more innovations and higher growth in the medical device industry. On the other hand, it is also obvious that all changes of the status quo risk to provoke strong resistance.

Suggested Citation

  • Klump Rainer & Plagens Manfred, 2000. "Ist das Gesundheitswesen in Deutschland ein „Nachfragemotor“ für Fortschritte in der Medizintechnik?: Eine Analyse der Beziehungen zwischen Gesundheitssystem und medizinisch- technischen Innovationen ," ORDO. Jahrbuch für die Ordnung von Wirtschaft und Gesellschaft, De Gruyter, vol. 51(1), pages 355-382, January.
    • Handle: RePEc:bpj:ordojb:v:51:y:2000:i:1:p:355-382:n:16
    DOI: 10.1515/ordo-2000-0116
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    1. Rolf Weder & Herbert Grubel, 1993. "The New Growth Theory and Coasean economics: Institutions to capture externalities," Review of World Economics (Weltwirtschaftliches Archiv), Springer;Institut für Weltwirtschaft (Kiel Institute for the World Economy), vol. 129(3), pages 488-513, September.
    2. Meyer Dirk, 1994. "Gesundheitspolitik und Steuerung des medizinisch-technischen Fortschritts / "Free-Lunch" in the German Health Care System - Impacts on Medical Innovations," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 213(2), pages 148-165, March.
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