IDEAS home Printed from https://ideas.repec.org/p/zbw/wipana/273220.html
   My bibliography  Save this paper

Kostenbeteiligungen, Wartezeiten, Leistungsumfang - Ein europäischer Vergleich der Gesundheitssysteme

Author

Listed:
  • Bahnsen, Lewe

Abstract

Im Vergleich von europäischen Gesundheitssystemen zeigen sich deutliche Unterschiede im Zugang zu Gesundheitsleistungen. Deutschland schneidet mit seinem umfangreichen Leistungskatalog, den geringen Wartezeiten und der ausgeprägten Patientenautonomie bei der Wahl eines Arztes oder Krankenhauses im Ländervergleich sehr gut ab. Insbesondere in steuerfinanzierten Ländern stellen Wartezeiten dagegen ein sehr relevantes Versorgungsproblem dar. Es wird dabei deutlich: Einheitlich kollektiv finanzierte Gesundheitssysteme bieten keinen Schutz vor Versorgungsunterschieden. Die WIP-Studie zeigt darüber hinaus auf, dass insbesondere in einheitlichen Systemen Leistungen leichter gekürzt werden können. Einige Länder etablierten zudem Hürden, indem sie durch Gatekeeping die Wahlfreiheit einschränken. Eine Möglichkeit, einen niedrigschwelligen Zugang zur Versorgung aufzubauen, könnte über die Digitalisierung vorangebracht werden. So könnten kleinere Angelegenheiten deutlich schneller auf dem Weg gebracht werden und die Abstimmung zwischen den Akteuren effizienter gestaltet werden. Hier liegt in einige Ländern, auch in Deutschland, noch Potenzial brach.

Suggested Citation

  • Bahnsen, Lewe, 2022. "Kostenbeteiligungen, Wartezeiten, Leistungsumfang - Ein europäischer Vergleich der Gesundheitssysteme," WIP-Analysen Februar 2022, WIP – Wissenschaftliches Institut der PKV.
    • Handle: RePEc:zbw:wipana:273220
    as

    Download full text from publisher

    File URL: https://www.econstor.eu/bitstream/10419/273220/1/WIP-Analyse-2022-02.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Reibling, Nadine & Ariaans, Mareike & Wendt, Claus, 2019. "Worlds of Healthcare: A Healthcare System Typology of OECD Countries," Health Policy, Elsevier, vol. 123(7), pages 611-620.
    2. Antonio Abatemarco & Massimo Aria & Sergio Beraldo & Francesca Stroffolini, 2020. "Measuring Disparities in Access to Health Care: A Proposal Based on an Ex-ante Perspective," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 150(2), pages 549-568, July.
    3. Moscelli, Giuseppe & Siciliani, Luigi & Gutacker, Nils & Cookson, Richard, 2018. "Socioeconomic inequality of access to healthcare: Does choice explain the gradient?," Journal of Health Economics, Elsevier, vol. 57(C), pages 290-314.
    4. Finkenstädt, Verena & Niehaus, Frank, 2013. "Rationierung und Versorgungsunterschiede in Gesundheitssystemen - Ein internationaler Überblick," WIP-Analysen März 2013, WIP – Wissenschaftliches Institut der PKV.
    5. Espinosa-González, Ana Belén & Delaney, Brendan C. & Marti, Joachim & Darzi, Ara, 2021. "The role of the state in financing and regulating primary care in Europe: a taxonomy," Health Policy, Elsevier, vol. 125(2), pages 168-176.
    6. Nyman, John A., 1999. "The value of health insurance: the access motive," Journal of Health Economics, Elsevier, vol. 18(2), pages 141-152, April.
    7. Martin, Steve & Siciliani, Luigi & Smith, Peter, 2020. "Socioeconomic inequalities in waiting times for primary care across ten OECD countries," Social Science & Medicine, Elsevier, vol. 263(C).
    8. Meyer, Elisabeth & Rees, Ray, 2012. "Watchfully waiting: Medical intervention as an optimal investment decision," Journal of Health Economics, Elsevier, vol. 31(2), pages 349-358.
    9. Nicolai Fink Simonsen & Anne Sophie Oxholm & Søren Rud Kristensen & Luigi Siciliani, 2020. "What explains differences in waiting times for health care across socioeconomic status?," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1764-1785, December.
    10. Martin, Stephen & Smith, Peter C., 1999. "Rationing by waiting lists: an empirical investigation," Journal of Public Economics, Elsevier, vol. 71(1), pages 141-164, January.
    11. Wild, Frank & Kozica, Daria, 2021. "E-Health-Anwendungen im Ländervergleich," WIP-Kurzanalysen September 2021, WIP – Wissenschaftliches Institut der PKV, Köln.
    Full references (including those not matched with items on IDEAS)

    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. Turner, Alex J & Francetic, Igor & Watkinson, Ruth & Gillibrand, Stephanie & Sutton, Matt, 2022. "Socioeconomic inequality in access to timely and appropriate care in emergency departments," Journal of Health Economics, Elsevier, vol. 85(C).
    2. Laia Bosque‐Mercader & Neus Carrilero & Anna García‐Altés & Guillem López‐Casasnovas & Luigi Siciliani, 2023. "Socioeconomic inequalities in waiting times for planned and cancer surgery: Evidence from Spain," Health Economics, John Wiley & Sons, Ltd., vol. 32(5), pages 1181-1201, May.
    3. Nicolai Fink Simonsen & Anne Sophie Oxholm & Søren Rud Kristensen & Luigi Siciliani, 2020. "What explains differences in waiting times for health care across socioeconomic status?," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1764-1785, December.
    4. Lippi Bruni, Matteo & Ugolini, Cristina & Verzulli, Rossella, 2021. "Should I wait or should I go? Travelling versus waiting for better healthcare," Regional Science and Urban Economics, Elsevier, vol. 89(C).
    5. Rutten, Frans & Bleichrodt, Han & Brouwer, Werner & Koopmanschap, Marc & Schut, Erik, 2001. "Handbook of Health Economics," Journal of Health Economics, Elsevier, vol. 20(5), pages 855-879, September.
    6. Martin, Steve & Siciliani, Luigi & Smith, Peter, 2020. "Socioeconomic inequalities in waiting times for primary care across ten OECD countries," Social Science & Medicine, Elsevier, vol. 263(C).
    7. Joan Costa & Jaume Garcia, 2001. "Demand for private health insurance: Is there a quality gap?," Economics Working Papers 531, Department of Economics and Business, Universitat Pompeu Fabra.
    8. Joan Costa‐Font & Jaume García‐Villar, 2009. "Risk Attitudes And The Demand For Private Health Insurance: The Importance Of ‘Captive Preferences’," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 80(4), pages 499-519, December.
    9. Wen, Jinglin & Santos, Rita & Siciliani, Luigi & Proctor, Andrew, 2024. "Socioeconomic inequalities in hospital access for prostate cancer before and after COVID-19," Socio-Economic Planning Sciences, Elsevier, vol. 94(C).
    10. Callum Brindley & James Lomas & Luigi Siciliani, 2023. "The effect of hospital spending on waiting times," Health Economics, John Wiley & Sons, Ltd., vol. 32(11), pages 2427-2445, November.
    11. Matthias Klumpp & Dominic Loske & Silvio Bicciato, 2022. "COVID-19 health policy evaluation: integrating health and economic perspectives with a data envelopment analysis approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(8), pages 1263-1285, November.
    12. Joan Costa & Jaume Garcia, 2003. "Demand for private health insurance: how important is the quality gap?," Health Economics, John Wiley & Sons, Ltd., vol. 12(7), pages 587-599, July.
    13. Eric French & Elaine Kelly & Richard Cookson & Carol Propper & Miqdad Asaria & Rosalind Raine, 2016. "Socio‐Economic Inequalities in Health Care in England," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 371-403, September.
    14. Tal Gross & Timothy J. Layton & Daniel Prinz, 2022. "The Liquidity Sensitivity of Healthcare Consumption: Evidence from Social Security Payments," American Economic Review: Insights, American Economic Association, vol. 4(2), pages 175-190, June.
    15. Hernæs, Øystein & Kverndokk, Snorre & Markussen, Simen & Øien, Henning, 2023. "When health trumps money: Economic incentives and health equity in the public provision of nursing homes in Norway," Social Science & Medicine, Elsevier, vol. 333(C).
    16. Wolfgang Frimmel & Felix Glaser, 2024. "Socio-Economic Inequality in Mortality and Healthcare Utilization: Evidence from Cancer Patients," Economics working papers 2024-14, Department of Economics, Johannes Kepler University Linz, Austria.
    17. Boone, Jan, 2015. "Basic versus supplementary health insurance: Moral hazard and adverse selection," Journal of Public Economics, Elsevier, vol. 128(C), pages 50-58.
    18. Tomasz Rokicki & Aleksandra Perkowska & Marcin Ratajczak, 2020. "Differentiation in Healthcare Financing in EU Countries," Sustainability, MDPI, vol. 13(1), pages 1-17, December.
    19. Luigi Siciliani, 2008. "A note on the dynamic interaction between waiting times and waiting lists," Health Economics, John Wiley & Sons, Ltd., vol. 17(5), pages 639-647, May.
    20. Karin Monstad & Lars Birger Engesæter & Birgitte Espehaug, 2014. "Waiting Time And Socioeconomic Status—An Individual‐Level Analysis," Health Economics, John Wiley & Sons, Ltd., vol. 23(4), pages 446-461, April.

    More about this item

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:zbw:wipana:273220. 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: ZBW - Leibniz Information Centre for Economics (email available below). General contact details of provider: https://edirc.repec.org/data/wipkvde.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.