Ist das Gesundheitswesen in Deutschland ein „Nachfragemotor“ für Fortschritte in der Medizintechnik?: Eine Analyse der Beziehungen zwischen Gesundheitssystem und medizinisch- technischen Innovationen am Beispiel bildgebender Verfahren

Klump Rainer and Plagens Manfred

ORDO. Jahrbuch für die Ordnung von Wirtschaft und Gesellschaft, 2000, vol. 51, issue 1, 355-382

Abstract: The article deals with the interactions between the institutional structures of the German health care system and the demand for innovations in the medical device industry. The special focus is on imaging devices because of their dominance in the industry’s sales. The analysis is based on the concept of Porters „diamond“ which allows a systematic assessment of the industry’s competitiveness and innovative potentials. In the case of the German health care system the particular interactions between patients and their agents, physicians and hospitals, as well as strong state interventions create indeed a stable demand for new medical devices. All participants in the system share a strong preference for technical devices, which are state of the art. However, the steady stream of new devices does not imply that all of them are also health improving and cost reducing innovations, since the existing system has created important barriers to competition. The article also reviews proposals for a reform of the German health care system and their possible effects on the medical device industry. A deregulation of the existing structures is seen as the most promising way to generate incentives for more innovations and higher growth in the medical device industry. On the other hand, it is also obvious that all changes of the status quo risk to provoke strong resistance.

Date: 2000
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DOI: 10.1515/ordo-2000-0116

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