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Jochen Pimpertz IW-Policy Paper No. 12 26. May 2020 More government in the health care system?: Eight theses on a system debate that is budding at an inopportune moment

Among the current challenges of the pandemic, the German health care system has so far proven to be comparatively robust. While the infection rate in Germany is so far slightly lower than in other large European economies, the relatively low mortality rate stands out positively.

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Eight theses on a system debate that is budding at an inopportune moment
Jochen Pimpertz IW-Policy Paper No. 12 26. May 2020

More government in the health care system?: Eight theses on a system debate that is budding at an inopportune moment

IW-Policy Paper

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Among the current challenges of the pandemic, the German health care system has so far proven to be comparatively robust. While the infection rate in Germany is so far slightly lower than in other large European economies, the relatively low mortality rate stands out positively.

So far, this is explained by the early onset of contact restrictions. In addition, there are indications that the customarily high frequency of contact between German patients and their physicians, in combination with facilitated conditions for sick leave under the pandemic, also may have had a positive impact on the development to date.  
 
Under SARS-CoV-2, the focus is particularly on inpatient care. Even before, the German health care system was already characterised by a comparatively large number of hospital beds. Particularly the intensive care equipment could be increased – potentially favoured by a mix of private and public hospital operators in Germany. Bottlenecks are more likely to be caused by the staffing of hospitals, where Germany does not compare favourably with other countries. Fortunately, up to now, the system has not yet been subjected to an ultimate stress test.

Against the background of a currently emerging debate on the design of the German health care system, it is worth noting that so far there is no evidence of a lack of medical efficiency among the challenges posed by the crisis, especially with regard to the private sector organisation. Beyond the day, however, misguided incentives that have already been criticised before are still waiting for a solution.  

 

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Eight theses on a system debate that is budding at an inopportune moment
Jochen Pimpertz IW-Policy Paper No. 12 26. May 2020

Jochen Pimpertz: Mehr Staat im Gesundheitswesen? Acht Thesen zu einer zur Unzeit aufkeimenden Systemdebatte

IW-Policy Paper

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Measuring the solidarity principle in Germany’s statutory health insurance system
Martin Beznoska / Jochen Pimpertz / Maximilian Stockhausen IW-Analyse No. 143 13. July 2021

Would universal health insurance lead to more solidarity?

The principle behind Germany’s statutory health insurance (SHI) system, into which all employees up to a certain income threshold are obliged to pay a per¬centage of their earnings, is one of solidarity.

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Susanna Kochskämper / Silvia Neumeister / Maximilian Stockhausen IW-Trends No. 4 28. December 2020

Who Nurses When and How Much?: An Inventory of Home Nursing Care in Germany

German society is ageing and the need for nursing care is increasing. In 2017, just under 5 million people claimed to be providing nursing care in a private setting. An analysis of the data from the Socio-Economic Panel provides a heterogeneous picture of how ...

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