Traduction en anglais : Strained relations between statutory health insurance and public health service.
A close cooperation between all partners according to 20 IV SGB V is basically welcome.
However, in times of financial straits in public budgets, attempts have to be avoided to shift tasks and financial burdens to statutory health insurance (SHI).
A series of examples shows that because of the different responsibilities - related to the insured persons on the one hand, and the general population on the other - tendencies to shift burdens to SHI are observed.
However, such measures are neither adequate nor without problems (e. g. protection by vaccination).
Public health service is requested to improve its epidemiological capacities and the qualification of its doctors.
Furthermore, the service should be re-orient to a modem citizen-oriented service organisation.
Communities and provincial ( « Land ») governments have to provide the financial prerequisites.
Mots-clés Pascal : Système santé, Service santé, Assurance maladie, Coopération, Financement, Economie santé, Organisation santé, Allemagne, Caisse assurance maladie, Europe
Mots-clés Pascal anglais : Health system, Health service, Health insurance, Cooperation, Financing, Health economy, Public health organization, Germany, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0034122
Code Inist : 002B30A01B. Création : 01/03/1996.