Economics at your fingertips  

Die deutsche Krankenhauspolitik: Eine Geschichte verpasster Strukturreformen?

Dittmann Heidi ()
Additional contact information
Dittmann Heidi: Bauhaus-Universität Weimar, Fakultät Medien, Professur Medienökonomik, Albrecht-Dürer-Str. 2, 99425 Weimar Germany, Tel.: (03643) 58 39 18

Zeitschrift für Wirtschaftspolitik, 2018, vol. 67, issue 1, 1-28

Abstract: The introduction of the DRG system in 2003/04 can be considered the last real hospital reform. Although the latest reform was called Hospital Structure Act due to its insufficient structural components it is sometimes referred to as missed reform. Essential aspects of the institutional background remained unchanged. However, a closer look reveals even the introduction of the DRG system was only a change in the reimbursement of operating costs. Further structural changes were neither discussed nor induced. The same applies to all subsequent reforms. The key parameters of the regulatory framework are for the greater part the same as those established by the German Hospital Finance Act in 1972. Against this backdrop, the presented paper discusses the institutional background and potential reasons for its continuance. The focus is on the question, whether missed reforms are based on its optimality or which alternative explanations seem to be convincing.

Keywords: H11; H51; I11; K20; L51; Hospital Policy; Regulation; Structural Reforms (search for similar items in EconPapers)
Date: 2018
References: Add references at CitEc
Citations Track citations by RSS feed

Downloads: (external link) ... -0001.xml?format=INT (text/html)
For access to full text, subscription to the journal or payment for the individual article is required.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link:

Ordering information: This journal article can be ordered from

Access Statistics for this article

Zeitschrift für Wirtschaftspolitik is currently edited by Juergen B. Donges, Steffen J. Roth, Achim Wambach and Christian Watrin

More articles in Zeitschrift für Wirtschaftspolitik from De Gruyter
Bibliographic data for series maintained by Peter Golla ().

Page updated 2018-06-04
Handle: RePEc:lus:zwipol:v:67:y:2018:i:1:p:1-28:n:1