Challenges for the German Health Care System.

Abstract:

:The German Health Care System (GHCS) faces many challenges among which an aging population and economic problems are just a few. The GHCS traditionally emphasised equity, universal coverage, ready access, free choice, high numbers of providers and technological equipment; however, real competition among health-care providers and insurance companies is lacking. Mainly in response to demographic changes and economic challenges, health-care reforms have focused on cost containment and to a lesser degree also quality issues. In contrast, generational accounting, priorisation and rationing issues have thus far been completely neglected. The paper discusses three important areas of health care in Germany, namely the funding process, hospital management and ambulatory care, with a focus on cost control mechanisms and quality improving measures as the variables of interest. Health Information Technology (HIT) has been identified as an important quality improvement tool. Health Indicators have been introduced as possible instruments for the priorisation debate.

journal_name

Z Gastroenterol

authors

Dietrich CF,Riemer-Hommel P

doi

10.1055/s-0032-1312742

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

557-72

issue

6

eissn

0044-2771

issn

1439-7803

journal_volume

50

pub_type

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