Published on International Association of Health Policy (http://www.healthp.org)

Stockholm 2003 abstracts: B. Braun & J-U Niehoff

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Created 06/26/2007 - 12:10

Bernard Braun (Universit?t Bremen)
Jens-Uwe Niehoff (Altwustrow)

The German Health Services System under transformation

The political languages still demands reforms. But the German health services system is going to transform into a different one. There are three main aspects of that transformation to identify:

This presentation focuses on the change of the organizational body, because it is that aspect, mostly clear at the moment. Interestingly the organizational transformation and is (at the moment) nearly not discussed in public, at least not understood in its long-run consequences.

This presentation hypothesizes the organizational changes as most important and triggering both the financing and the services within the next ten up to fifteen years.

The features of the change are the opportunity for sick funds to contract out-patient services provided by "health centres" and limiting the power of classical providers. Both these changes have been demands from the left since decades. But as analyse will show, the new regulations are neither left nor standing in the tradition of a sick fund to compensate social disadvantages.

What are the points:

The transformation will be the result of a mixture of deregulation policies, managed competition and a German kind of Managed Care and exactly that is its aim.

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