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Kränkelnde Krankenhäuser – Ursachen und Auswirkungen des Rückgangs der Krankenhausinvestitionen der Länder

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  • Felix Rösel

Abstract

Krankenkassen, Krankenhausverbände und der Bund beklagen unisono die öffentliche Unterfinanzierung der deutschen Krankenhausinfrastruktur. Zuständig für die Infrastruktur sind die Länder, die seit Jahren die Haushaltsmittel für Krankenhausinvestitionen reduzieren. In diesem Beitrag werden erstmals mögliche Ursachen der Investitionsmittelkürzungen mithilfe einer Regressionsschätzung überprüft. Hierbei kann die Vermutung bestätigt werden, dass die rückläufige Entwicklung der öffentlichen Investitionsmittel vor allem Folge der zunehmenden Bemühungen der Länder um eine Haushaltskonsolidierung ist. Verschärfend wirkt die zunehmende Patientenwanderung zwischen den ändern. Ein steigender Anteil von Patienten wählt zur Behandlung ein Krankenhaus außerhalb des eigenen Wohnsitzlandes und kommt damit in den Genuss einer von fremden Steuerzahlern finanzierten Krankenhausinfrastruktur. Dies reduziert die Investitionsanreize der Länder zusätzlich.

Suggested Citation

  • Felix Rösel, 2013. "Kränkelnde Krankenhäuser – Ursachen und Auswirkungen des Rückgangs der Krankenhausinvestitionen der Länder," ifo Dresden berichtet, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 20(05), pages 03-15, October.
    • Handle: RePEc:ces:ifodre:v:20:y:2013:i:05:p:03-15
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    Cited by:

    1. Arno Städtler, 2015. "Leasing und Anlageinvestitionen wachsen im Gleichschritt – moderates Wachstum auch für 2016 erwartet," ifo Schnelldienst, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 68(23), pages 67-77, December.
    2. Karmann Alexander & Rösel Felix & Schneider Markus, 2016. "Produktivitätsmotor Gesundheitswirtschaft: Finanziert sich der medizinisch-technische Fortschritt selbst?," Perspektiven der Wirtschaftspolitik, De Gruyter, vol. 17(1), pages 54-67, April.
    3. Arno Städtler, 2014. "Leasinggeschäft wächst 2014 deutlich kräftiger als die Anlageinvestitionen – moderater Optimismus für 2015," ifo Schnelldienst, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 67(23), pages 53-63, December.

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    More about this item

    Keywords

    Krankenhaus; Krankenhauskosten; Krankenhausfinanzierung; Wirtschaftliche Effizienz; Teilstaat; Deutschland;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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