By public health policy one understands on the one hand the politics policy, which is responsible with planning, organization, controlling and financing of the health system busily and for its functionality. In addition other negotiations with the federations of the health insurance companies, the hospital carrier, the physicians and pharmacist and the Pharmaindustrie and the regulation belong in appropriate laws and regulations under vielem. Responsibly the Federal Ministry for health is main in Germany on federal level. The Lands of the Federal Republic have own, however competencies by far smaller to the extent (e.g. Organization of the public health service).

To the public health policy on the other hand also the influence of other health-relevant policies and areas of life belongs such as education, work, living, nutrition, traffic, environment, family, spare time. This "indirect public health policy" can affect the public health more strongly than the actual health system.

Goals of the public health policy

The goals of the public health policy should be,

• that diseases and accidents are avoided by Vorbeugung (prevention) if possible,
• that each citizen in the medical case keeps the necessary health care independent of its coming in and ability,
• that this supply taken place under attention of the human and the right of self-determination of the patient in optimum quality,
• that the health system works as efficiently and economically as possible,
• that the population with the health care is content and
• that the personnel in the health sector has good conditions of work.

These goals are fulfilled not by the state alone, but are an achievement promise, which is to be partly fulfilled by private-economically organized structures (for example private hospitals, established physicians, dentists etc.).

Trend

Since the costs of the health system should be limited after possibility despite the demographic change, there were numerous reforms and reform attempts within this range (see: Health reform). The trend goes by to distribute the costs less like so far solidary on all (e.g. legally Versicherte and in equal numbers the employers) but the particular after individual risks different costs to put on (so-called "sole responsibility"). By the discharge esp. the employer portion at the legal health insurance the ancillary wages are to be lowered.

Since 1976 there are indirect transfer services from the legal health insurance in Germany to other social security systems (pension and unemployment insurance). Thereby contribution increases developed under the term of the cost explosion as political means to cuts in welfare assistance were used and led under the key word of the "reform" to numerous changes in the structure of this social system. By the complexity of these structural changes it came in the consequence to a ever stronger influence of the administrations and thus to an increasing formalizing of the operational sequences.

Since 2002 is in Germany models in the discussion, those the past duality of legal health insurance with contraction obligation and family collateral insurance as well as the private health insurance, which starting from a certain income height (contribution assessment limit) risks after individual evaluation (age, Vorerkrankungen, sex etc.) per person specifies, replace. In the debate thereby a model of the health premium and a citizen insurance is main in different arrangements.

That German Bundestag decided the disputed medicament supplying economy law (AVWG) on 17 February 2006 with the voices of CDU/CSU and SPD. It is at the 1. Into force step March 2006.

See also

Health service Switzerland, a health goal, Swiss society for public health policy, health system

Literature

• Rolf into rose-break, Thomas Gerlinger: Public health policy. A systematic introduction, Hans Huber, Berne 2004, 320 S. ISBN 3456840225
• Gerhard digester, Willy Oggier (Hrsg.): Health service Switzerland 2004-2006, Hans Huber, Berne 2004, 336 S., ISBN 3-456-84080-2
• Gellner, Winand/beautiful, Markus (Hrsg.): Paradigm change in the public health Baden-Baden (2002) ISBN 3789082791

to the history of the public health policy:

• Wolfgang Woelk et al. (Hrsg.): History of the public health policy in Germany. From the Weimar Republic into the early history of the "double establishment of state", Duncker & Humblot, Berlin 2002. ISBN 3-428-10610-5

Related links

• Current plans of the government to the health reform

social politics up-to-date info. portal to the health and social politics with data collection

• www.die-gesundheitsreform.de portal about health reform
• www.gesetzliche-krankenkasse.de new archives, background, FAQ, GKV Newsfeed in the RSS format
• Health and medicine right also left to main participants of the health system (Germany and internationally) * http://www.coe.int/T/d/Com/Dossiers/Themen/Gesundheitspolitik/ public health policy in Europe]
• German physician sheet

Forums

• Forum public health policy
• Krankenkasse.de consumer forum to the public health policy and health insurance

Articles in category "Public health policy"

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