Integrierte Versorgung – Wettbewerbspotenzial in der Gesundheitsversorgung heben!
Der Wettbewerb im deutschen Gesundheitswesen ist – vor allem zwischen den Leistungserbringern – trotz diverser Reformen nicht sehr ausgeprägt. Inzwischen gibt es zwar die Möglichkeit, individuelle Verträge zwischen einzelnen Anbietern und den Krankenkassen abzuschließen, dies wird aber kaum genutzt....
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Ehlert, Andree - 1979- [verfasserIn] Wein, Thomas [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Deutsch |
| Erschienen: |
2014 |
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| Schlagwörter: |
Integrierte Versorgung / Wettbewerb / Gesundheitswesen / Deutschland |
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| Übergeordnetes Werk: |
In: Wirtschaftsdienst - Warsaw, Poland : Sciendo, 1916, 94(2014), 3, Seite 194-202 |
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| Übergeordnetes Werk: |
volume:94 ; year:2014 ; number:3 ; pages:194-202 |
| Links: |
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| DOI / URN: |
10.1007/s10273-014-1655-0 |
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| Katalog-ID: |
781299403 |
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| 520 | |a Der Wettbewerb im deutschen Gesundheitswesen ist – vor allem zwischen den Leistungserbringern – trotz diverser Reformen nicht sehr ausgeprägt. Inzwischen gibt es zwar die Möglichkeit, individuelle Verträge zwischen einzelnen Anbietern und den Krankenkassen abzuschließen, dies wird aber kaum genutzt. Die Ausweitung dieser sogenannten Integrierten Versorgung hätte erhebliches Wettbewerbspotenzial. Die Autoren schlagen deshalb vor, mehr Entscheidungskompetenzen über die Zahlungsströme im Gesundheitswesen an die Versicherten zu übertragen, um so deren Abhängigkeit von der gesetzlichen Krankenversicherung im Bereich der Integrierten Versorgung zu lockern. | ||
| 520 | |a The German health care market suffers of a lack of competition. This is the resolution of a long period of collective negotiations between a provider monopoly and statutory health insurance funds. To correct this market failure, the sector has undergone a series of reforms such as the initiation of managed care programmes. Even after more than ten years of managed care, however, such contracts continue to play a minor role in German health care. We identify an insufficient level of patient authority as a key reason for the failure of managed care. As an approach to solving this problem, we discuss a possible change to the legal framework that would give patients full control over payment flows in health care. We investigate the possible economic impact of this scenario. | ||
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10.1007/s10273-014-1655-0 doi 10419/141341 hdl (DE-627)781299403 (DE-599)GBV781299403 DE-627 ger DE-627 rakwb ger D43 I13 I18 jelc Ehlert, Andree 1979- verfasserin (DE-588)143160141 (DE-627)642834768 (DE-576)335414087 aut Integrierte Versorgung – Wettbewerbspotenzial in der Gesundheitsversorgung heben! Andree Ehlert; Thomas Wein 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Der Wettbewerb im deutschen Gesundheitswesen ist – vor allem zwischen den Leistungserbringern – trotz diverser Reformen nicht sehr ausgeprägt. Inzwischen gibt es zwar die Möglichkeit, individuelle Verträge zwischen einzelnen Anbietern und den Krankenkassen abzuschließen, dies wird aber kaum genutzt. Die Ausweitung dieser sogenannten Integrierten Versorgung hätte erhebliches Wettbewerbspotenzial. Die Autoren schlagen deshalb vor, mehr Entscheidungskompetenzen über die Zahlungsströme im Gesundheitswesen an die Versicherten zu übertragen, um so deren Abhängigkeit von der gesetzlichen Krankenversicherung im Bereich der Integrierten Versorgung zu lockern. The German health care market suffers of a lack of competition. This is the resolution of a long period of collective negotiations between a provider monopoly and statutory health insurance funds. To correct this market failure, the sector has undergone a series of reforms such as the initiation of managed care programmes. Even after more than ten years of managed care, however, such contracts continue to play a minor role in German health care. We identify an insufficient level of patient authority as a key reason for the failure of managed care. As an approach to solving this problem, we discuss a possible change to the legal framework that would give patients full control over payment flows in health care. We investigate the possible economic impact of this scenario. 1.1\x Integrierte Versorgung (DE-627)091376165 (DE-2867)19551-3 stw 1.2\x Wettbewerb (DE-627)091400597 (DE-2867)10895-2 stw 1.3\x Gesundheitswesen (DE-627)091363438 (DE-2867)13371-0 stw 1.4\x Deutschland (DE-627)091354749 (DE-2867)18012-3 stw Wein, Thomas verfasserin (DE-588)170739767 (DE-627)060868171 (DE-576)131596357 aut In Wirtschaftsdienst Warsaw, Poland : Sciendo, 1916 94(2014), 3, Seite 194-202 Online-Ressource (DE-627)348585373 (DE-600)2079503-8 (DE-576)099139170 1613-978X nnns volume:94 year:2014 number:3 pages:194-202 http://hdl.handle.net/10419/141341 Resolving-System Volltext http://dx.doi.org/10.1007/s10273-014-1655-0 Resolving-System Volltext GBV_USEFLAG_U GBV_ILN_26 ISIL_DE-206 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_119 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_184 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_250 GBV_ILN_266 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_811 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4238 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 94 2014 3 194-202 26 01 0206 1464947430 z1k 24-03-14 |
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10.1007/s10273-014-1655-0 doi 10419/141341 hdl (DE-627)781299403 (DE-599)GBV781299403 DE-627 ger DE-627 rakwb ger D43 I13 I18 jelc Ehlert, Andree 1979- verfasserin (DE-588)143160141 (DE-627)642834768 (DE-576)335414087 aut Integrierte Versorgung – Wettbewerbspotenzial in der Gesundheitsversorgung heben! Andree Ehlert; Thomas Wein 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Der Wettbewerb im deutschen Gesundheitswesen ist – vor allem zwischen den Leistungserbringern – trotz diverser Reformen nicht sehr ausgeprägt. Inzwischen gibt es zwar die Möglichkeit, individuelle Verträge zwischen einzelnen Anbietern und den Krankenkassen abzuschließen, dies wird aber kaum genutzt. Die Ausweitung dieser sogenannten Integrierten Versorgung hätte erhebliches Wettbewerbspotenzial. Die Autoren schlagen deshalb vor, mehr Entscheidungskompetenzen über die Zahlungsströme im Gesundheitswesen an die Versicherten zu übertragen, um so deren Abhängigkeit von der gesetzlichen Krankenversicherung im Bereich der Integrierten Versorgung zu lockern. The German health care market suffers of a lack of competition. This is the resolution of a long period of collective negotiations between a provider monopoly and statutory health insurance funds. To correct this market failure, the sector has undergone a series of reforms such as the initiation of managed care programmes. Even after more than ten years of managed care, however, such contracts continue to play a minor role in German health care. We identify an insufficient level of patient authority as a key reason for the failure of managed care. As an approach to solving this problem, we discuss a possible change to the legal framework that would give patients full control over payment flows in health care. We investigate the possible economic impact of this scenario. 1.1\x Integrierte Versorgung (DE-627)091376165 (DE-2867)19551-3 stw 1.2\x Wettbewerb (DE-627)091400597 (DE-2867)10895-2 stw 1.3\x Gesundheitswesen (DE-627)091363438 (DE-2867)13371-0 stw 1.4\x Deutschland (DE-627)091354749 (DE-2867)18012-3 stw Wein, Thomas verfasserin (DE-588)170739767 (DE-627)060868171 (DE-576)131596357 aut In Wirtschaftsdienst Warsaw, Poland : Sciendo, 1916 94(2014), 3, Seite 194-202 Online-Ressource (DE-627)348585373 (DE-600)2079503-8 (DE-576)099139170 1613-978X nnns volume:94 year:2014 number:3 pages:194-202 http://hdl.handle.net/10419/141341 Resolving-System Volltext http://dx.doi.org/10.1007/s10273-014-1655-0 Resolving-System Volltext GBV_USEFLAG_U GBV_ILN_26 ISIL_DE-206 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_119 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_184 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_250 GBV_ILN_266 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_811 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4238 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 94 2014 3 194-202 26 01 0206 1464947430 z1k 24-03-14 |
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10.1007/s10273-014-1655-0 doi 10419/141341 hdl (DE-627)781299403 (DE-599)GBV781299403 DE-627 ger DE-627 rakwb ger D43 I13 I18 jelc Ehlert, Andree 1979- verfasserin (DE-588)143160141 (DE-627)642834768 (DE-576)335414087 aut Integrierte Versorgung – Wettbewerbspotenzial in der Gesundheitsversorgung heben! Andree Ehlert; Thomas Wein 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Der Wettbewerb im deutschen Gesundheitswesen ist – vor allem zwischen den Leistungserbringern – trotz diverser Reformen nicht sehr ausgeprägt. Inzwischen gibt es zwar die Möglichkeit, individuelle Verträge zwischen einzelnen Anbietern und den Krankenkassen abzuschließen, dies wird aber kaum genutzt. Die Ausweitung dieser sogenannten Integrierten Versorgung hätte erhebliches Wettbewerbspotenzial. Die Autoren schlagen deshalb vor, mehr Entscheidungskompetenzen über die Zahlungsströme im Gesundheitswesen an die Versicherten zu übertragen, um so deren Abhängigkeit von der gesetzlichen Krankenversicherung im Bereich der Integrierten Versorgung zu lockern. The German health care market suffers of a lack of competition. This is the resolution of a long period of collective negotiations between a provider monopoly and statutory health insurance funds. To correct this market failure, the sector has undergone a series of reforms such as the initiation of managed care programmes. Even after more than ten years of managed care, however, such contracts continue to play a minor role in German health care. We identify an insufficient level of patient authority as a key reason for the failure of managed care. As an approach to solving this problem, we discuss a possible change to the legal framework that would give patients full control over payment flows in health care. We investigate the possible economic impact of this scenario. 1.1\x Integrierte Versorgung (DE-627)091376165 (DE-2867)19551-3 stw 1.2\x Wettbewerb (DE-627)091400597 (DE-2867)10895-2 stw 1.3\x Gesundheitswesen (DE-627)091363438 (DE-2867)13371-0 stw 1.4\x Deutschland (DE-627)091354749 (DE-2867)18012-3 stw Wein, Thomas verfasserin (DE-588)170739767 (DE-627)060868171 (DE-576)131596357 aut In Wirtschaftsdienst Warsaw, Poland : Sciendo, 1916 94(2014), 3, Seite 194-202 Online-Ressource (DE-627)348585373 (DE-600)2079503-8 (DE-576)099139170 1613-978X nnns volume:94 year:2014 number:3 pages:194-202 http://hdl.handle.net/10419/141341 Resolving-System Volltext http://dx.doi.org/10.1007/s10273-014-1655-0 Resolving-System Volltext GBV_USEFLAG_U GBV_ILN_26 ISIL_DE-206 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_119 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_184 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_250 GBV_ILN_266 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_811 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4238 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 94 2014 3 194-202 26 01 0206 1464947430 z1k 24-03-14 |
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10.1007/s10273-014-1655-0 doi 10419/141341 hdl (DE-627)781299403 (DE-599)GBV781299403 DE-627 ger DE-627 rakwb ger D43 I13 I18 jelc Ehlert, Andree 1979- verfasserin (DE-588)143160141 (DE-627)642834768 (DE-576)335414087 aut Integrierte Versorgung – Wettbewerbspotenzial in der Gesundheitsversorgung heben! Andree Ehlert; Thomas Wein 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Der Wettbewerb im deutschen Gesundheitswesen ist – vor allem zwischen den Leistungserbringern – trotz diverser Reformen nicht sehr ausgeprägt. Inzwischen gibt es zwar die Möglichkeit, individuelle Verträge zwischen einzelnen Anbietern und den Krankenkassen abzuschließen, dies wird aber kaum genutzt. Die Ausweitung dieser sogenannten Integrierten Versorgung hätte erhebliches Wettbewerbspotenzial. Die Autoren schlagen deshalb vor, mehr Entscheidungskompetenzen über die Zahlungsströme im Gesundheitswesen an die Versicherten zu übertragen, um so deren Abhängigkeit von der gesetzlichen Krankenversicherung im Bereich der Integrierten Versorgung zu lockern. The German health care market suffers of a lack of competition. This is the resolution of a long period of collective negotiations between a provider monopoly and statutory health insurance funds. To correct this market failure, the sector has undergone a series of reforms such as the initiation of managed care programmes. Even after more than ten years of managed care, however, such contracts continue to play a minor role in German health care. We identify an insufficient level of patient authority as a key reason for the failure of managed care. As an approach to solving this problem, we discuss a possible change to the legal framework that would give patients full control over payment flows in health care. We investigate the possible economic impact of this scenario. 1.1\x Integrierte Versorgung (DE-627)091376165 (DE-2867)19551-3 stw 1.2\x Wettbewerb (DE-627)091400597 (DE-2867)10895-2 stw 1.3\x Gesundheitswesen (DE-627)091363438 (DE-2867)13371-0 stw 1.4\x Deutschland (DE-627)091354749 (DE-2867)18012-3 stw Wein, Thomas verfasserin (DE-588)170739767 (DE-627)060868171 (DE-576)131596357 aut In Wirtschaftsdienst Warsaw, Poland : Sciendo, 1916 94(2014), 3, Seite 194-202 Online-Ressource (DE-627)348585373 (DE-600)2079503-8 (DE-576)099139170 1613-978X nnns volume:94 year:2014 number:3 pages:194-202 http://hdl.handle.net/10419/141341 Resolving-System Volltext http://dx.doi.org/10.1007/s10273-014-1655-0 Resolving-System Volltext GBV_USEFLAG_U GBV_ILN_26 ISIL_DE-206 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_119 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_184 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_250 GBV_ILN_266 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_811 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4238 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 94 2014 3 194-202 26 01 0206 1464947430 z1k 24-03-14 |
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Integrierte Versorgung – Wettbewerbspotenzial in der Gesundheitsversorgung heben! |
| abstract |
Der Wettbewerb im deutschen Gesundheitswesen ist – vor allem zwischen den Leistungserbringern – trotz diverser Reformen nicht sehr ausgeprägt. Inzwischen gibt es zwar die Möglichkeit, individuelle Verträge zwischen einzelnen Anbietern und den Krankenkassen abzuschließen, dies wird aber kaum genutzt. Die Ausweitung dieser sogenannten Integrierten Versorgung hätte erhebliches Wettbewerbspotenzial. Die Autoren schlagen deshalb vor, mehr Entscheidungskompetenzen über die Zahlungsströme im Gesundheitswesen an die Versicherten zu übertragen, um so deren Abhängigkeit von der gesetzlichen Krankenversicherung im Bereich der Integrierten Versorgung zu lockern. The German health care market suffers of a lack of competition. This is the resolution of a long period of collective negotiations between a provider monopoly and statutory health insurance funds. To correct this market failure, the sector has undergone a series of reforms such as the initiation of managed care programmes. Even after more than ten years of managed care, however, such contracts continue to play a minor role in German health care. We identify an insufficient level of patient authority as a key reason for the failure of managed care. As an approach to solving this problem, we discuss a possible change to the legal framework that would give patients full control over payment flows in health care. We investigate the possible economic impact of this scenario. |
| abstractGer |
Der Wettbewerb im deutschen Gesundheitswesen ist – vor allem zwischen den Leistungserbringern – trotz diverser Reformen nicht sehr ausgeprägt. Inzwischen gibt es zwar die Möglichkeit, individuelle Verträge zwischen einzelnen Anbietern und den Krankenkassen abzuschließen, dies wird aber kaum genutzt. Die Ausweitung dieser sogenannten Integrierten Versorgung hätte erhebliches Wettbewerbspotenzial. Die Autoren schlagen deshalb vor, mehr Entscheidungskompetenzen über die Zahlungsströme im Gesundheitswesen an die Versicherten zu übertragen, um so deren Abhängigkeit von der gesetzlichen Krankenversicherung im Bereich der Integrierten Versorgung zu lockern. The German health care market suffers of a lack of competition. This is the resolution of a long period of collective negotiations between a provider monopoly and statutory health insurance funds. To correct this market failure, the sector has undergone a series of reforms such as the initiation of managed care programmes. Even after more than ten years of managed care, however, such contracts continue to play a minor role in German health care. We identify an insufficient level of patient authority as a key reason for the failure of managed care. As an approach to solving this problem, we discuss a possible change to the legal framework that would give patients full control over payment flows in health care. We investigate the possible economic impact of this scenario. |
| abstract_unstemmed |
Der Wettbewerb im deutschen Gesundheitswesen ist – vor allem zwischen den Leistungserbringern – trotz diverser Reformen nicht sehr ausgeprägt. Inzwischen gibt es zwar die Möglichkeit, individuelle Verträge zwischen einzelnen Anbietern und den Krankenkassen abzuschließen, dies wird aber kaum genutzt. Die Ausweitung dieser sogenannten Integrierten Versorgung hätte erhebliches Wettbewerbspotenzial. Die Autoren schlagen deshalb vor, mehr Entscheidungskompetenzen über die Zahlungsströme im Gesundheitswesen an die Versicherten zu übertragen, um so deren Abhängigkeit von der gesetzlichen Krankenversicherung im Bereich der Integrierten Versorgung zu lockern. The German health care market suffers of a lack of competition. This is the resolution of a long period of collective negotiations between a provider monopoly and statutory health insurance funds. To correct this market failure, the sector has undergone a series of reforms such as the initiation of managed care programmes. Even after more than ten years of managed care, however, such contracts continue to play a minor role in German health care. We identify an insufficient level of patient authority as a key reason for the failure of managed care. As an approach to solving this problem, we discuss a possible change to the legal framework that would give patients full control over payment flows in health care. We investigate the possible economic impact of this scenario. |
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| title_short |
Integrierte Versorgung – Wettbewerbspotenzial in der Gesundheitsversorgung heben! |
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http://hdl.handle.net/10419/141341 http://dx.doi.org/10.1007/s10273-014-1655-0 |
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Ehlert, Andree Wein, Thomas |
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10.1007/s10273-014-1655-0 |
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2024-07-04T11:08:29.152Z |
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| score |
7.3985567 |