The self-regulatory German health care system between growing competition and state hierarchy

Claus Wendt, Heinz Rothgang and Uwe Helmert

No 32, TranState Working Papers from University of Bremen, Collaborative Research Center 597: Transformations of the State

Abstract: This article focuses on the changing role of the state in financing, providing and regulating health care services under the German health care system from 1970-2000. While a reduced role of the state can be observed in terms of financing, our analysis of service provision indicates inconsistent developments. Monetary resource flow analyses indicate a decrease in private service provision as a percentage of total health expenditure, but when analysing the development of health employment we see a growth in "private" health care personnel. The most important changes, however, have taken place in terms of regulation. Since the early 1990s, the traditionally self-regulatory German health care system has simultaneously faced growing competition and state hierarchy.

Date: 2005
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Persistent link: https://EconPapers.repec.org/RePEc:zbw:sfb597:32

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