Das Personengebundene Budget (PGB) in der Pflege – Eine Governance Analyse

Meyer Dirk ()
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Meyer Dirk: Helmut-Schmidt-Universität, Universität der Bundeswehr Hamburg, Institut für Wirtschaftspolitik, Holstenhofweg 85, 22043 Hamburg

Zeitschrift für Wirtschaftspolitik, 2007, vol. 56, issue 2, 210-230

Abstract: The personal budget for persons in need of care is tested currently as large-scale model project. As a hybrid between the benefit in cash and in kind the acceptance as a standard benefit is considered in the discussion about reforming of nursing care insurance. Especially a priority related expenditure of budget and the avoidance of cost intensive stays at nursing homes would be seen as an advantage. Within the score of governance analyses the actors and their roles in the currently corporate influenced system will be analysed so then their interests in an implementation of the PB can be worked out. Opposed to superficial assumptions there seems any serious resistance excluding by the owners of the nursing homes. This is even more remarkable considering that the PB will work as an accelerator for a change of system towards a marked based nursing care system. The corresponding relief of responsibilities of the state and the social insurance offers new opportunities and poses challenges. Therefore the deregulation will have to be accompanied by a re-regulation that focuses the quality assurance.

Date: 2007
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DOI: 10.1515/zfwp-2007-0205

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