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Krankenhausmanagement - Paradigmenwechsel in der Krankenhausfinanzierung

Krankenhausmanagement - Paradigmenwechsel in der Krankenhausfinanzierung

          
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About the Book

Studienarbeit aus dem Jahr 2006 im Fachbereich Soziologie - Arbeit, Beruf, Ausbildung, Organisation, Note: 1,3, Ruhr-Universität Bochum (Fakultät für Sozialwissenschaft), Veranstaltung: Gesundheitswirtschaft, Sprache: Deutsch, Abstract: Das deutsche Gesundheitssystem gilt allgemein als reformbedürftig. Gerade jetzt in diesen Tagen nimmt die große Koalition Anlauf, um erneut eine Reform auf den Weg zu bringen. Dabei ist es bemerkenswert, wie viele Versuche es in den vergangenen Jahrzehnten seitens deutscher Regierungen gegeben, und wie re-sistent sich das deutsche Gesundheitssystem v.a. gegenüber den Versuchen zur Kostenreduzierung erwiesen hat. Allein in den letzten 35 Jahren nahmen die Kosten im Gesundheitswesen um 1005% zu, während das Bruttoinlandsprodukt nur um 538% stieg. Gleichzeitig fiel der Anteil der sozialversicherungspflichtig Beschäftigten im gleichen Zeitraum von 28,2 auf 26,1 Millionen (vgl. Spiegel Nr. 27, 19). Diese Zahlen verdeutlichen die Misere des deutschen Gesundheitssystems. Bei steigenden Kosten bricht die wichtigste Einnahmebasis der Gesetzlichen Krankernversicherung weg. Gleichzeitig wird unsere Bevölkerung im Durchschnitt älter und beansprucht immer teurere Leistungen einer moderner werdenden Medi-zin. Der Fokus dieser Arbeit ist es aber nicht, das Gesundheitssystem, seine Ausgaben und Akteure in Gänze zu analysieren. Im Mittelpunkt soll hier nur ein Akteur stehen: die Institution Krankenhaus. Die Krankenhäuser sehen sich in den letzten Jahren verstärktem Druck ausgesetzt, der sie dazu zwingt, Strukturen und Pro-zesse an veränderte Rahmenbedingungen anzupassen. Dieser Druck ist nicht das Resultat einer strukturellen Veränderung des Gesundheitssystems, sondern viel-mehr der Versuche zur Kostendämpfung im bestehenden System. Die Finanzie-rung der Institution Krankenhaus wird vor völlig neue Herausforderungen gestellt. Die Einführung von Fallpauschalen, den so genannten Diagnosis Related Groups, zum Jahresbeginn 2003 stellt hier zweifello


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Product Details
  • ISBN-13: 9783638810746
  • Publisher: Grin Publishing
  • Binding: Paperback
  • Language: German
  • Returnable: N
  • Spine Width: 3 mm
  • Width: 148 mm
  • ISBN-10: 3638810747
  • Publisher Date: 27 Sep 2007
  • Height: 210 mm
  • No of Pages: 52
  • Series Title: German
  • Weight: 82 gr


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