IDEAS home Printed from https://ideas.repec.org/p/ces/ifowps/_214.html
   My bibliography  Save this paper

Produktivitätsmotor Gesundheitswirtschaft: Finanziert sich der medizinisch-technische Fortschritt selbst?

Author

Listed:
  • Alexander Karmann
  • Felix Rösel
  • Markus Schneider

Abstract

Der medizinisch-technische Fortschritt (MTF) gilt als wesentlicher Treiber der Gesundheitsausgaben und Hauptursache düsterer Beitragssatzprognosen für die Gesetzliche Krankenversicherung (GKV). Übersehen wird hierbei zumeist, dass der MTF zugleich Produktivitätszuwächse im Gesundheitswesen sowie eine bessere Gesundheit der Erwerbstätigen generiert. Dies sorgt für gesamtwirtschaftliches Wachstum und damit letztlich für eine Verbreiterung der Einnahmenbasis der Sozialversicherung. In diesem Beitrag wird die Auswirkung des MTF sowohl auf die Ausgaben- als auch auf die Einnahmenseite der GKV zwischen 2002 und 2010 berechnet und einander gegenübergestellt. Wir zeigen auf Basis konservativer Rechnungen, dass sich der MTF allein durch zwei seiner Teilaspekte – Produktivitätsgewinne in der Gesundheitswirtschaft und Rückgang des krankheitsbedingt verlorenen Arbeitsvolumens – zu mindestens rund 20 % selbst finanziert. Dieses Ergebnis relativiert allzu pessimistische Aussichten einer fehlenden Finanzierbarkeit des MTF. Der Druck zu weiteren Strukturreformen im Gesundheitswesen wird hierdurch allerdings keinesfalls aufgehoben.

Suggested Citation

  • Alexander Karmann & Felix Rösel & Markus Schneider, 2016. "Produktivitätsmotor Gesundheitswirtschaft: Finanziert sich der medizinisch-technische Fortschritt selbst?," ifo Working Paper Series 214, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.
    • Handle: RePEc:ces:ifowps:_214
    as

    Download full text from publisher

    File URL: https://www.ifo.de/DocDL/wp-2016-214-roesel-etal-gesundheitswirtschaft.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Gabriel Felbermayr & Jasmin Gröschl & Thomas Steinwachs, 2018. "The Trade Effects of Border Controls: Evidence from the European Schengen Agreement," Journal of Common Market Studies, Wiley Blackwell, vol. 56(2), pages 335-351, March.
    2. Peter Willemé & Michel Dumont, 2016. "Machines that go ‘ping’: Medical Technology and Health Expenditures in OECD Countries," Health Economics, John Wiley & Sons, Ltd., vol. 25(3), pages 387-388, March.
    3. Charles R. Hulten & Edwin R. Dean & Michael J. Harper, 2001. "New Developments in Productivity Analysis," NBER Books, National Bureau of Economic Research, Inc, number hult01-1.
    4. Michel Dumont & Peter Willemé, 2013. "Working Paper 02-13 - Machines that go ‘ping’: medical technology and health expenditures in OECD countries," Working Papers 1302, Federal Planning Bureau, Belgium.
    5. Breyer Friedrich & Ulrich Volker, 2000. "Gesundheitsausgaben, Alter und medizinischer Fortschritt: Eine Regressionsanalyse / Ageing, Medical Progress and Health Care Expenditures: A Regression Analysis," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 220(1), pages 1-17, February.
    6. Mary O'Mahony & Marcel P. Timmer, 2009. "Output, Input and Productivity Measures at the Industry Level: The EU KLEMS Database," Economic Journal, Royal Economic Society, vol. 119(538), pages 374-403, June.
    7. Massimo Del Gatto & Adriana Di Liberto & Carmelo Petraglia, 2011. "Measuring Productivity," Journal of Economic Surveys, Wiley Blackwell, vol. 25(5), pages 952-1008, December.
    8. Charles R. Hulten, 2001. "Total Factor Productivity: A Short Biography," NBER Chapters, in: New Developments in Productivity Analysis, pages 1-54, National Bureau of Economic Research, Inc.
    9. 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.
    10. Miller,Ronald E. & Blair,Peter D., 2009. "Input-Output Analysis," Cambridge Books, Cambridge University Press, number 9780521517133.
    11. Miller,Ronald E. & Blair,Peter D., 2009. "Input-Output Analysis," Cambridge Books, Cambridge University Press, number 9780521739023.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Gabriel Felbermayr, 2016. "Economic Analysis of TTIP," ifo Working Paper Series 215, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Van Biesebroeck, Johannes., 2014. "How tight is the link between wages and productivity? : a survey of the literature," ILO Working Papers 994864443402676, International Labour Organization.
    2. Nicholas Crafts & Pieter Woltjer, 2021. "Growth Accounting In Economic History: Findings, Lessons And New Directions," Journal of Economic Surveys, Wiley Blackwell, vol. 35(3), pages 670-696, July.
    3. Henk Kox & George van Leeuwen, 2012. "Dynamic market selection in EU business services," CPB Discussion Paper 210, CPB Netherlands Bureau for Economic Policy Analysis.
    4. Kox, Henk L.M. & Leeuwen, George van, 2011. "Measuring dynamic market selection by persistent scale inefficiencies - new methodology applied to EU business services," MPRA Paper 34986, University Library of Munich, Germany.
    5. Paul E. Brockway & Matthew K. Heun & João Santos & John R. Barrett, 2017. "Energy-Extended CES Aggregate Production: Current Aspects of Their Specification and Econometric Estimation," Energies, MDPI, vol. 10(2), pages 1-23, February.
    6. Yılmaz Kılıçaslan & Robin C. Sickles & Aliye Atay Kayış & Yeşim Üçdoğruk Gürel, 2017. "Impact of ICT on the productivity of the firm: evidence from Turkish manufacturing," Journal of Productivity Analysis, Springer, vol. 47(3), pages 277-289, June.
    7. repec:ilo:ilowps:486444 is not listed on IDEAS
    8. Kerstens, Kristiaan & Van de Woestyne, Ignace, 2014. "Comparing Malmquist and Hicks–Moorsteen productivity indices: Exploring the impact of unbalanced vs. balanced panel data," European Journal of Operational Research, Elsevier, vol. 233(3), pages 749-758.
    9. Balland, Pierre-Alexandre & Broekel, Tom & Diodato, Dario & Giuliani, Elisa & Hausmann, Ricardo & O'Clery, Neave & Rigby, David, 2022. "Reprint of The new paradigm of economic complexity," Research Policy, Elsevier, vol. 51(8).
    10. Johann Audrain & Mateo Cordier & Sylvie Faucheux & Martin O’Connor, 2013. "Écologie territoriale et indicateurs pour un développement durable de la métropole parisienne," Revue d'économie régionale et urbaine, Armand Colin, vol. 0(3), pages 523-559.
    11. Daniel Croner & Ivan Frankovic, 2018. "A Structural Decomposition Analysis of Global and NationalEnergy Intensity Trends," The Energy Journal, , vol. 39(2), pages 103-122, March.
    12. Arne J. Nagengast & Robert Stehrer, 2016. "Accounting for the Differences Between Gross and Value Added Trade Balances," The World Economy, Wiley Blackwell, vol. 39(9), pages 1276-1306, September.
    13. Harald Edquist & Magnus Henrekson, 2006. "Technological Breakthroughs and Productivity Growth," Research in Economic History, in: Research in Economic History, pages 1-53, Emerald Group Publishing Limited.
    14. Nikita Céspedes & Nelson Ramirez-Rondán, 2014. "Total Factor Productivity Estimation in Peru: Primal and Dual Approaches," Revista Economía, Fondo Editorial - Pontificia Universidad Católica del Perú, vol. 37(73), pages 9-39.
    15. Johan Brolund & Robert Lundmark, 2017. "Effect of Environmental Regulation Stringency on the Pulp and Paper Industry," Sustainability, MDPI, vol. 9(12), pages 1-16, December.
    16. repec:ilo:ilowps:485511 is not listed on IDEAS
    17. Diao, Xinshen & Rattso, Jorn & Stokke, Hildegunn Ekroll, 2005. "International spillovers, productivity growth and openness in Thailand: an intertemporal general equilibrium analysis," Journal of Development Economics, Elsevier, vol. 76(2), pages 429-450, April.
    18. Robert Inklaar & Marcel P. Timmer, 2012. "Productivity Convergence Across Industries and Countries: The Importance of Theory-based Measurement," Chapters, in: Matilde Mas & Robert Stehrer (ed.), Industrial Productivity in Europe, chapter 11, Edward Elgar Publishing.
    19. Garry Mcdonald, 2010. "A didactic Input-Output model for territorial ecology analyses," Working Papers hal-00911640, HAL.
    20. Jeffrey G. Woods, 2017. "The Effect of Technological Change on the Task Structure of Jobs and the Capital-Labor Trade-Off in US Production," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 8(2), pages 739-757, June.
    21. Moretto, Antonio Carlos & Rodrigues, Rossana Lott & Sesso Filho, Umberto Antonio & Guilhoto, Joaquim José Martins & Maia, Katy, 2012. "Regiões polarizadas no Paraná: relações inter setoriais e inter regionais em 2006," MPRA Paper 46996, University Library of Munich, Germany.
    22. Haddad, Eduardo & García-Samaniego, Juan Manuel & Porsse, Alexandre & Jimenez, Diego & Moreno, Wilman & de Souza, Luiz Gustavo, 2011. "Interregional Input-Ouptut System for Ecuador, 2007: Methodology and Results," TD NEREUS 3-2011, Núcleo de Economia Regional e Urbana da Universidade de São Paulo (NEREUS).

    More about this item

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • O47 - Economic Development, Innovation, Technological Change, and Growth - - Economic Growth and Aggregate Productivity - - - Empirical Studies of Economic Growth; Aggregate Productivity; Cross-Country Output Convergence

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ces:ifowps:_214. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Klaus Wohlrabe (email available below). General contact details of provider: https://edirc.repec.org/data/ifooode.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.