Arbeitspapier

Cost-sharing in the German health care system

In Germany, cost-sharing for health care has been used as a financing mechanism since 1923. In this article, the historical development of user charges in Germany since the 1980s is presented in more detail by type of private expenditure, including direct payments, cost-sharing measures, and voluntary health insurance. This is followed by a mapping of current cost-sharing measures including a discussion of protection mechanisms and responsibility for decision-making on cost-sharing measures and a summary of national policy debates. In the final section, the results of a systematic review of the literature on the impact of cost-sharing on equity, efficiency and health outcomes in Germany are presented.

Language
Englisch

Bibliographic citation
Series: Diskussionspapier ; No. 2004/4

Classification
Wirtschaft
Subject
Gesetzliche Krankenversicherung
Gesundheitskosten
Deutschland
Selbstbeteiligung (Versicherung)

Event
Geistige Schöpfung
(who)
Gericke, Christian A.
Wismar, Matthias
Busse, Reinhard
Event
Veröffentlichung
(who)
Technische Universität Berlin, Fakultät Wirtschaft und Management
(where)
Berlin
(when)
2004

Handle
Last update
10.03.2025, 11:43 AM CET

Data provider

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Object type

  • Arbeitspapier

Associated

  • Gericke, Christian A.
  • Wismar, Matthias
  • Busse, Reinhard
  • Technische Universität Berlin, Fakultät Wirtschaft und Management

Time of origin

  • 2004

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