Strengthening health system governance in Germany: looking back, planning ahead
Health system governance has been receiving increasing attention in health system research since the 1980s. The contemporary challenges that the German health system is faced with are often closely linked to governance issues. Although Germany has the highest health expenditure as a share of Gross D...
Gespeichert in:
| Veröffentlicht in: | Health economics, policy and law policy and law, 2023-01, Vol.18 (1), p.14-31 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 31 |
|---|---|
| container_issue | 1 |
| container_start_page | 14 |
| container_title | Health economics, policy and law |
| container_volume | 18 |
| creator | Schmitt, Tugce Haarmann, Alexander Shaikh, Mujaheed |
| description | Health system governance has been receiving increasing attention in health system research since the 1980s. The contemporary challenges that the German health system is faced with are often closely linked to governance issues. Although Germany has the highest health expenditure as a share of Gross Domestic Product (GDP) in the European Union (EU), the spending on healthcare is out of proportion to the health outcomes of the population. The reason for this lies mainly in the complexity of the German health system which is hard to steer due to several administrative levels in the country and numerous policy actors to whom the decision-making power on healthcare provision is delegated. In this paper, we present the results of focus group discussions on governance and build upon the insights gained through the
project of the Robert Bosch Foundation. Based on an internationally recognised health governance framework from the World Health Organization (WHO), experts who work in, on or for the German health system addressed health governance challenges. They provided evidence-based recommendations for the new legislative period (2021-2025) on transparency, accountability, participation, integrity and capacity of the German health system. |
| doi_str_mv | 10.1017/S1744133122000123 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2697369506</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2697369506</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-8e911e7548a16b4b6c096dbca33ea6a09fd125687a8df80f266dd8c163f973983</originalsourceid><addsrcrecordid>eNplkEFLwzAUx4Mobk4_gBcpePFgNS9p08SbDJ3CYIcpeCtp-rp1a9PZtMK-va2bO-gpj_D7_XnvT8gl0DugEN3PIQoC4BwYo5QC40dk2H_5wIOP48PMYUDOnFtRGgjJ4ZQMeKhAMB4NyWze1GgXzRJtbhfeEnXRLD23dQ2W3qL6wtpqa9DLrTfButR2--AVVbXu4USb9a23KbT9cXUnp-fkJNOFw4v9OyLvz09v4xd_Opu8jh-nvglo2PgSFQBGYSA1iCRIhKFKpInRnKMWmqosBRYKGWmZZpJmTIg0lQYEz1TEleQjcrPL3dTVZ4uuicvcGSy6ZbBqXcxExwkVUtGh13_QVdV2ZxUdJRXjEiLRB8KOMnXlXI1ZvKnzUtfbGGjctx3_a7tzrvbJbVJiejB-6-XfA5t40g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2892381768</pqid></control><display><type>article</type><title>Strengthening health system governance in Germany: looking back, planning ahead</title><source>MEDLINE</source><source>PAIS Index</source><source>Cambridge University Press Journals Complete</source><creator>Schmitt, Tugce ; Haarmann, Alexander ; Shaikh, Mujaheed</creator><creatorcontrib>Schmitt, Tugce ; Haarmann, Alexander ; Shaikh, Mujaheed</creatorcontrib><description>Health system governance has been receiving increasing attention in health system research since the 1980s. The contemporary challenges that the German health system is faced with are often closely linked to governance issues. Although Germany has the highest health expenditure as a share of Gross Domestic Product (GDP) in the European Union (EU), the spending on healthcare is out of proportion to the health outcomes of the population. The reason for this lies mainly in the complexity of the German health system which is hard to steer due to several administrative levels in the country and numerous policy actors to whom the decision-making power on healthcare provision is delegated. In this paper, we present the results of focus group discussions on governance and build upon the insights gained through the
project of the Robert Bosch Foundation. Based on an internationally recognised health governance framework from the World Health Organization (WHO), experts who work in, on or for the German health system addressed health governance challenges. They provided evidence-based recommendations for the new legislative period (2021-2025) on transparency, accountability, participation, integrity and capacity of the German health system.</description><identifier>ISSN: 1744-1331</identifier><identifier>EISSN: 1744-134X</identifier><identifier>DOI: 10.1017/S1744133122000123</identifier><identifier>PMID: 35916237</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Accountability ; Coronaviruses ; COVID-19 ; Decision making ; Delivery of Health Care ; Efficiency ; European Union ; Evidence-based medicine ; Focus groups ; GDP ; Germany ; Governance ; Gross Domestic Product ; Health care ; Health care expenditures ; Health care policy ; Health economics ; Health Expenditures ; Health planning ; Health Policy ; Health services ; Health status ; Humans ; Morality ; Pandemics ; Population ; Public health ; Social Responsibility ; Transparency</subject><ispartof>Health economics, policy and law, 2023-01, Vol.18 (1), p.14-31</ispartof><rights>Copyright © The Author(s), 2022. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-8e911e7548a16b4b6c096dbca33ea6a09fd125687a8df80f266dd8c163f973983</citedby><cites>FETCH-LOGICAL-c405t-8e911e7548a16b4b6c096dbca33ea6a09fd125687a8df80f266dd8c163f973983</cites><orcidid>0000-0001-6893-6428</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27866,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35916237$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schmitt, Tugce</creatorcontrib><creatorcontrib>Haarmann, Alexander</creatorcontrib><creatorcontrib>Shaikh, Mujaheed</creatorcontrib><title>Strengthening health system governance in Germany: looking back, planning ahead</title><title>Health economics, policy and law</title><addtitle>Health Econ Policy Law</addtitle><description>Health system governance has been receiving increasing attention in health system research since the 1980s. The contemporary challenges that the German health system is faced with are often closely linked to governance issues. Although Germany has the highest health expenditure as a share of Gross Domestic Product (GDP) in the European Union (EU), the spending on healthcare is out of proportion to the health outcomes of the population. The reason for this lies mainly in the complexity of the German health system which is hard to steer due to several administrative levels in the country and numerous policy actors to whom the decision-making power on healthcare provision is delegated. In this paper, we present the results of focus group discussions on governance and build upon the insights gained through the
project of the Robert Bosch Foundation. Based on an internationally recognised health governance framework from the World Health Organization (WHO), experts who work in, on or for the German health system addressed health governance challenges. They provided evidence-based recommendations for the new legislative period (2021-2025) on transparency, accountability, participation, integrity and capacity of the German health system.</description><subject>Accountability</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Decision making</subject><subject>Delivery of Health Care</subject><subject>Efficiency</subject><subject>European Union</subject><subject>Evidence-based medicine</subject><subject>Focus groups</subject><subject>GDP</subject><subject>Germany</subject><subject>Governance</subject><subject>Gross Domestic Product</subject><subject>Health care</subject><subject>Health care expenditures</subject><subject>Health care policy</subject><subject>Health economics</subject><subject>Health Expenditures</subject><subject>Health planning</subject><subject>Health Policy</subject><subject>Health services</subject><subject>Health status</subject><subject>Humans</subject><subject>Morality</subject><subject>Pandemics</subject><subject>Population</subject><subject>Public health</subject><subject>Social Responsibility</subject><subject>Transparency</subject><issn>1744-1331</issn><issn>1744-134X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNplkEFLwzAUx4Mobk4_gBcpePFgNS9p08SbDJ3CYIcpeCtp-rp1a9PZtMK-va2bO-gpj_D7_XnvT8gl0DugEN3PIQoC4BwYo5QC40dk2H_5wIOP48PMYUDOnFtRGgjJ4ZQMeKhAMB4NyWze1GgXzRJtbhfeEnXRLD23dQ2W3qL6wtpqa9DLrTfButR2--AVVbXu4USb9a23KbT9cXUnp-fkJNOFw4v9OyLvz09v4xd_Opu8jh-nvglo2PgSFQBGYSA1iCRIhKFKpInRnKMWmqosBRYKGWmZZpJmTIg0lQYEz1TEleQjcrPL3dTVZ4uuicvcGSy6ZbBqXcxExwkVUtGh13_QVdV2ZxUdJRXjEiLRB8KOMnXlXI1ZvKnzUtfbGGjctx3_a7tzrvbJbVJiejB-6-XfA5t40g</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Schmitt, Tugce</creator><creator>Haarmann, Alexander</creator><creator>Shaikh, Mujaheed</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>8BJ</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FQK</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>JBE</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KC-</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2R</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYYUZ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6893-6428</orcidid></search><sort><creationdate>202301</creationdate><title>Strengthening health system governance in Germany: looking back, planning ahead</title><author>Schmitt, Tugce ; Haarmann, Alexander ; Shaikh, Mujaheed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-8e911e7548a16b4b6c096dbca33ea6a09fd125687a8df80f266dd8c163f973983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Accountability</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Decision making</topic><topic>Delivery of Health Care</topic><topic>Efficiency</topic><topic>European Union</topic><topic>Evidence-based medicine</topic><topic>Focus groups</topic><topic>GDP</topic><topic>Germany</topic><topic>Governance</topic><topic>Gross Domestic Product</topic><topic>Health care</topic><topic>Health care expenditures</topic><topic>Health care policy</topic><topic>Health economics</topic><topic>Health Expenditures</topic><topic>Health planning</topic><topic>Health Policy</topic><topic>Health services</topic><topic>Health status</topic><topic>Humans</topic><topic>Morality</topic><topic>Pandemics</topic><topic>Population</topic><topic>Public health</topic><topic>Social Responsibility</topic><topic>Transparency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schmitt, Tugce</creatorcontrib><creatorcontrib>Haarmann, Alexander</creatorcontrib><creatorcontrib>Shaikh, Mujaheed</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>PAIS Index</collection><collection>Access via ABI/INFORM (ProQuest)</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Politics Collection</collection><collection>ProQuest Central Korea</collection><collection>International Bibliography of the Social Sciences</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Politics Collection</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Political Science Database</collection><collection>Social Science Database</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ABI/INFORM Collection China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Health economics, policy and law</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schmitt, Tugce</au><au>Haarmann, Alexander</au><au>Shaikh, Mujaheed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Strengthening health system governance in Germany: looking back, planning ahead</atitle><jtitle>Health economics, policy and law</jtitle><addtitle>Health Econ Policy Law</addtitle><date>2023-01</date><risdate>2023</risdate><volume>18</volume><issue>1</issue><spage>14</spage><epage>31</epage><pages>14-31</pages><issn>1744-1331</issn><eissn>1744-134X</eissn><abstract>Health system governance has been receiving increasing attention in health system research since the 1980s. The contemporary challenges that the German health system is faced with are often closely linked to governance issues. Although Germany has the highest health expenditure as a share of Gross Domestic Product (GDP) in the European Union (EU), the spending on healthcare is out of proportion to the health outcomes of the population. The reason for this lies mainly in the complexity of the German health system which is hard to steer due to several administrative levels in the country and numerous policy actors to whom the decision-making power on healthcare provision is delegated. In this paper, we present the results of focus group discussions on governance and build upon the insights gained through the
project of the Robert Bosch Foundation. Based on an internationally recognised health governance framework from the World Health Organization (WHO), experts who work in, on or for the German health system addressed health governance challenges. They provided evidence-based recommendations for the new legislative period (2021-2025) on transparency, accountability, participation, integrity and capacity of the German health system.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>35916237</pmid><doi>10.1017/S1744133122000123</doi><tpages>18</tpages><orcidid>https://orcid.org/0000-0001-6893-6428</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1744-1331 |
| ispartof | Health economics, policy and law, 2023-01, Vol.18 (1), p.14-31 |
| issn | 1744-1331 1744-134X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2697369506 |
| source | MEDLINE; PAIS Index; Cambridge University Press Journals Complete |
| subjects | Accountability Coronaviruses COVID-19 Decision making Delivery of Health Care Efficiency European Union Evidence-based medicine Focus groups GDP Germany Governance Gross Domestic Product Health care Health care expenditures Health care policy Health economics Health Expenditures Health planning Health Policy Health services Health status Humans Morality Pandemics Population Public health Social Responsibility Transparency |
| title | Strengthening health system governance in Germany: looking back, planning ahead |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T07%3A21%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Strengthening%20health%20system%20governance%20in%20Germany:%20looking%20back,%20planning%20ahead&rft.jtitle=Health%20economics,%20policy%20and%20law&rft.au=Schmitt,%20Tugce&rft.date=2023-01&rft.volume=18&rft.issue=1&rft.spage=14&rft.epage=31&rft.pages=14-31&rft.issn=1744-1331&rft.eissn=1744-134X&rft_id=info:doi/10.1017/S1744133122000123&rft_dat=%3Cproquest_cross%3E2697369506%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2892381768&rft_id=info:pmid/35916237&rfr_iscdi=true |