Strengths and Weaknesses of Financing Hospitals in Germany
Strengths and Weaknesses of Financing Hospitals in Germany
复制标题
德国医院融资的优势和劣势
DOI：
--
复制
发表时间：
2014
期刊：
影响因子：
--
通讯作者：
K. Yaman
中科院分区：
文献类型：
--
作者：
K. Yaman
在这项研究中，德国医疗保健部门的融资医院的优势和劣势进行了研究。在论文的第一部分中，对医院的关键数据、联邦州对医院的补贴、法定和私营卫生部门的费用分配进行了研究。此外，在同一部分中，分析了德国医疗保健行业采取的预防措施。在研究的第二部分中，研究了补偿系统，特别是诊断相关组，作为医院开展活动的财务资源。为了比较，还考虑了2003年之前的系统。第三部分论述了对德国二元制的批判。2003年以来医院筹资情况的变化表明，德国这些机构的财务状况有所改善。然而，新实施的双轨制显示了联邦州支持的投资支出的赤字。Rurup提出的单一资源融资系统的一元模型可以为设备齐全的医院提供更好的财务基础，以应对竞争激烈的德国医院之间的挑战。
In this study strengths and weaknesses of financing hospitals in the German health care sector are examined. In the first part of the paper key data of hospitals, subsidies granted by federal states to hospitals, allocation of expenses in the statutory and private health sector are examined. Moreover, in the same part precautions taken in the German health care industry are analyzed. In the second part of the study compensation system, in particular Diagnosis Related Groups, as a financial resource for the activities performed in hospitals are investigated. For comparison the system before 2003 is also considered. In the third part critical view of the dual system in Germany is discussed. Change in financing of hospitals from 2003 shows improvement in financial situation of these institutions in Germany. However, the new implemented dual system reveals deficits in investment expenditures supported by federal states. The monistic model proposed by Rurup for a financing system from a single resource may provide a better financial base for well-equipped hospitals to meet the challenges among the competitive German hospitals.