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Mielck, A. ; John, J.

Kostendämpfung im Gesundheitswesen durch Rationierung - Was spricht dafür und was dagegen?

Cost control in public health by rationing - what are the advantages and disadvantages?

Gesundheitswesen 58, 1-9 (1996)
PMC
Open Access Green as soon as Postprint is submitted to ZB.
In Germany, the discussion on the pros and cons of rationing health care services in the statutory health insurance funds has just begun, but it will probably be of great importance in the years to come. Until now, it is mainly a political discussion with only very few researches participating. In order to enhance the matter-of-factness in this controversial debate, the experiences in the USA with rationing health care services are summarised, and in the second part a more general discussion is added on different forms and consequences of rationing. The present discussion in Germany is outlined in the third part of the paper. In our own evaluation two arguments are stressed: Firstly, the central argument that rationing of health care services is inevitable because health care costs are "exploding", has as yeb no firm empirical and theoretical basis. Secondly rationing by taking medically useful benefits from the schedule of benefits in the statutory health insurance funds is not compatible with the ethical principles governing these funds.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Benefits schedule; Cost containment; Rationing; Statutory health insurance funds
ISSN (print) / ISBN 0941-3790
e-ISSN 1439-4421
Journal Gesundheitswesen, Das
Quellenangaben Volume: 58, Issue: 1, Pages: 1-9 Article Number: , Supplement: ,
Publisher Thieme
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Department for Medical Information Systems (MEDIS)
Institute of Health Economics and Health Care Management (IGM)