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Das Krankenhausstrukturgesetz 2015 – Der gesundheitspolitisch richtige Weg? Eine wettbewerbsökonomische Einschätzung

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  • Dittmann Heidi

    (Heidi Dittmann, Bauhaus-Universität Weimar, Fakultät Medien, Albrecht-Dürer-Str. 2, 99425 Weimar, E-Mail: heidi.dittmann@uni-weimar.de)

  • Kuchinke Björn A.

    (Björn A. Kuchinke, Bauhaus-Universität Weimar, Fakultät Medien, Albrecht-Dürer-Str. 2, 99425 Weimar, Tel.: (03643) 583 786, E-Mail: bjoern.kuchinke@uni-weimar.de)

Abstract

German hospital markets are highly regulated. In 2016, a health care reform shall take place in which a special focus lies on hospital markets. According to statements of the federal government, especially new instruments in the hospital payment system will be introduced. For example, a new fund for investments, new quality parameters and a new calculation base for the DRG are implemented. In this paper, the new instruments are presented and analyzed for the first time. Overall, we find that the health care reform will not fix the given problems in the German hospital sector. Hospital competition will be reduced to a minimum. Neither the quality of care will increase nor the problems concerning costs or investments will be dissolved.

Suggested Citation

  • Dittmann Heidi & Kuchinke Björn A., 2016. "Das Krankenhausstrukturgesetz 2015 – Der gesundheitspolitisch richtige Weg? Eine wettbewerbsökonomische Einschätzung," Zeitschrift für Wirtschaftspolitik, De Gruyter, vol. 65(2), pages 97-121, August.
    • Handle: RePEc:lus:zwipol:v:65:y:2016:i:2:p:97-121:n:1
    DOI: 10.1515/zfwp-2016-0009
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    References listed on IDEAS

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    1. Cassel, Dieter & Knappe, Eckhard & Oberender, Peter, 1997. "Für Marktsteuerung, gegen Dirigismus im Gesundheitswesen," Wirtschaftsdienst – Zeitschrift für Wirtschaftspolitik (1949 - 2007), ZBW - Leibniz Information Centre for Economics, vol. 77(1), pages 29-36.
    2. Harald Blau, 1996. "Entwicklung und Reformansätze im Gesundheitswesen," ifo Schnelldienst, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 49(17), pages 26-37, October.
    3. Klusen, Norbert, 2006. "Das Gesundheitssystem braucht mehr Wettbewerb," Wirtschaftsdienst – Zeitschrift für Wirtschaftspolitik (1949 - 2007), ZBW - Leibniz Information Centre for Economics, vol. 86(5), pages 295-298.
    4. Dranove, David & Shanley, Mark & White, William D, 1993. "Price and Concentration in Hospital Markets: The Switch from Patient-Driven to Payer-Driven Competition," Journal of Law and Economics, University of Chicago Press, vol. 36(1), pages 179-204, April.
    5. Michael Spence, 1973. "Job Market Signaling," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 87(3), pages 355-374.
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    More about this item

    Keywords

    Health Reform; Hospital Competition; Controlling; Efficiency; Gesundheitsreform; Krankenhauswettbewerb; Controlling; Effizienzpotenziale; Health Reform; Hospital Competition; Controlling; Efficiency;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • K32 - Law and Economics - - Other Substantive Areas of Law - - - Energy, Environmental, Health, and Safety Law

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