Fair Funding and Competitive Governance (notice n° 550205)
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|---|---|
| fixed length control field | 01813cam a2200157 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121120001.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Bode, Ingo |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Fair Funding and Competitive Governance |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2006.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 99 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | In Germany, health care is provided via the (publicly regulated) interplay of a multitude of non profit sickness funds and a pluralistic set of providers with which these funds maintain contractual relations. With its Bismarckian tradition, the system relies on pay-as-you-go contributions shared by employers and employees – an institutional design that has recently been challenged, though. Moreover, a particular (novel) characteristic of the German health care system is competitive governance in its administrative setting(s). This article explores both the evolution of the funding regime and developments in the governance structures of the system. It argues that there have been incremental changes in the former and more radical shifts concerning the latter. The current debate on health care reform tends to confirm this configuration; in spite of far-reaching proposals to modify medical financing, the old funding regime basically tends to persist while the governance structures present an in-built tendency towards ever more inter-agency competition. The result is a contradictory evolution exhibiting both institutional stability and path-breaking liberalisation – with a creeping differentiation of medical service provision and (some) more social inequality as a likely outcome. |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Revue française des affaires sociales | - | 2 | 2006-06-01 | p. 191-216 | 0035-2985 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/journal-revue-francaise-des-affaires-sociales-2006-2-page-191?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-revue-francaise-des-affaires-sociales-2006-2-page-191?lang=en&redirect-ssocas=7080</a> |
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