OECD Health Working Papers

ISSN :
1815-2015 (online)
DOI :
10.1787/18152015
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This series is designed to make available to a wider readership health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language - English or French - with a summary in the other.
 

Managing Hospital Volumes: Germany and Experiences from OECD Countries You or your institution have access to this content

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Author(s):
Ankit Kumar1, Michael Schoenstein1
Author Affiliations
  • 1: OECD, France

Publication Date
11 Oct 2013
Bibliographic information
No.:
64
Pages
33
DOI
10.1787/5k3xwtg2szzr-en

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To help inform a conference organised by the Germany Ministry of Health (BMG) and the OECD on ‘Managing Hospital Volumes’ on the 11th April 2013, the OECD Secretariat produced this paper giving an international perspective on Germany’s situation and the current policy debate. It provides a number of observations about the structure and financing of hospitals in Germany. It begins by arguing that Germany has a more open-ended approach to the financing of hospital services and weaker controls over the hospital budget than in many other OECD countries. In large part this reflects that DRGs in Germany are almost strictly used for pricing, whereas other countries use DRGs as one of many tools they have to influence hospital budgets. This is compounded by a situation where State governments do not have an incentive to rationalise hospital capacity where this may be desirable. Finally, the paper argues that the vast array of quality information available in Germany ought to be used to better direct financing.
JEL Classification:
  • I11: Health, Education, and Welfare / Health / Analysis of Health Care Markets
  • I12: Health, Education, and Welfare / Health / Health Production
  • I13: Health, Education, and Welfare / Health / Health Insurance, Public and Private
  • I18: Health, Education, and Welfare / Health / Government Policy; Regulation; Public Health