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  1. The integration of two health systems : Social stratification, work and health in East and West Germany.

    Article - En anglais

    This is an analysis of system integration, social stratification and work for health status and health care in East and West Germany.

    It is based on aggregate data and representative survey data of random samples of 2554 adults in both subsystems.

    Findings show that there were marked differences in life-expectancy prior to unification.

    The integration of the two systems, which occurred almost totally with regard to terms of West German health care organization, shows adjustment problems in the East for the public Health-Care-Funds and few if any for ambulatory care.

    The work situation has an impact on health, but there are no significant differences for East versus West.

    Social stratification variables show an influence on subjective health status for education (East) and for income, social status (West), while physician utilization (despite a preference of specialists by those with higher status) is not significantly determined by stratification variables in either East or West Germany.

    Beyond the central focus on work and stratification determinants a major finding pertains to a comparatively worse health situation for the aged and for women in what was the former East Germany.

    System models of Capitalism versus Socialism fit the results and recent history of the two systems to only a limited degree, as the West German corporate health system shows clear limits in following free market principles. (...)

    Mots-clés Pascal : Santé, Consultation, Médecin, Epidémiologie, Homme, Unification, Allemagne, Europe, Statut social, Statut socioéconomique, Emploi, Système santé

    Mots-clés Pascal anglais : Health, Consultation, Physician, Epidemiology, Human, Unification, Germany, Europe, Social status, Socioeconomic status, Employment, Health system

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0281507

    Code Inist : 002B30A01A2. Création : 15/07/1997.