Key Aspects of a Sustainable Health Insurance System in Germany

Matthias Pelster (), Vera Hagemann () and Franziska Laporte Uribe ()
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Matthias Pelster: Leuphana University of Lueneburg
Vera Hagemann: Ruhr-University Bochum
Franziska Laporte Uribe: German Center for Neurodegenerative Diseases e. V. (DZNE), DZNE site Witten

Applied Health Economics and Health Policy, 2016, vol. 14, issue 3, No 5, 293-312

Abstract: Abstract Background The main goals of health-care systems are to improve the health of the population they serve, respond to people’s legitimate expectations, and offer fair financing. As a result, the health system in Germany is subject to continuous adaption as well as public and political discussions about its design. Objective This paper analyzes the key challenges for the German health-care system and the underlying factors driving these challenges. We aim to identify possible solutions to put the German health-care system in a better position to face these challenges. Methods We utilize a broad array of methods to answer these questions, including a review of the published and grey literature on health-care planning in Germany, semi-structured interviews with stakeholders in the system, and an online questionnaire. Results We find that the most urgent (and manageable) aspects that merit attention are holistic hospital planning, initiatives to increase (administrative) innovation in the health-care system, incentives to increase prevention, and approaches to increase analytical quality assurance. Conclusion We found that hospital planning, innovation, quality control, and prevention, are considered to be the topics most in need of attention in the German health system.

Date: 2016
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DOI: 10.1007/s40258-016-0223-8

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