Analysing the impact of health-care system change in the EU member states--Germany.

摘要: The core of the German health-care system is statutory health insurance (SHI). Coverage SHI has remained fairly constant at about 90% whereas rest population insured for most part with private insurance. primary goal reforms since 1990s been to contain expenditure SHI. measures do this have introduction budgets and a shift towards households mainly in form benefit exclusions increased co-payments. So far these did not negative effect on broad outcome such as life expectancy, which continued rise, self-assessed population, stable period 1992--2002. Besides cost containment another leitmotif reform attempts increase competition both between sickness funds providers care. These two strands also affected incentive structures insurers various ways article describes. immediate future will concern mode financing centres question if contributions proportional income shall be maintained or there radical flat-rate premiums.