Öffentliche und private Steuerung des Gesundheitswesens. Die Erfahrungen in den USA und in England

  • Alan Maynard


Die für die Gesundheitspolitik Verantwortlichen in aller Welt stehen vor vergleichbaren Problemen. In dem Bemühen, sie zu bewältigen, kommt es zu einer schärferen Definition der allgemeinen politischen Ziele und der möglichen Wege. Die Hauptthemen der Gesundheitspolitik der 80er Jahre dürften Kostenbeschränkungen im Rahmen des generellen Problems der Effizienz und Verteilungsgerechtigkeit sein.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Aaron H, Schwartz WBG (1984) The painful prescription: rationing hospital care. Brookings, WashingtonGoogle Scholar
  2. 2.
    Abel-Smith B (1984) Cost contamination health care. Bedford Square Press, LondonGoogle Scholar
  3. 3.
    Abel-Smith B, Maynard A (1979) The organisation, financing and cost of health care in the European community. Commission of the European Communities, Brussels (Social policy series, no 36)Google Scholar
  4. 4.
    Arrow K (1963) Uncertainty and the welfare economics of medical care. Am Econ Rev (December)Google Scholar
  5. 5.
    Brittan L (1982) Health service pressure point. Guardian (11 May, p 20)Google Scholar
  6. 6.
    Bunker JP (1970) A comparison of operations and surgeons in the United States and in England and Wales. N Engl J Med 136 (15 January)Google Scholar
  7. 7.
    Bunker JP, Barnes BA, Mosteller F (1977) The cost, benefits and risks of surgery. Oxford University Press, New YorkGoogle Scholar
  8. 8.
    Cairns J, Snell M (1978) Prices and the demand for health care. In: Culyer AJ, Wright KG (eds) Economic aspects of health services. RobertsonGoogle Scholar
  9. 9.
    Cochrane AL (1972) Efficiency and effectiveness: random reflections on health services. Nuffield Provincial Hospitals Trust, NuffieldGoogle Scholar
  10. 10.
    Culyer AJ, Maynard A, Williams A (1981) Alternative systems of health care provision: An essay on motes and beams. In: Olson M (ed) a new approach to the economics of medical care. American Enterprise Institute, Washington, DCGoogle Scholar
  11. 11.
    Department of Health and Social Security (1976) Priorities for health and personal social services in England: a consultative document. HMSO, LondonGoogle Scholar
  12. 12.
    Department of Health and Social Security (1976 b) Sharing resources for health in England: report of the resource allocation working party. HMSO, LondonGoogle Scholar
  13. 13.
    Department of Health (New Zealand) (1980) Funding for health: an allocation formula. Wellington (Special report, no 58)Google Scholar
  14. 14.
    Department of Health and Social Security (1980) Unequalities in health: a report of a research working group (The Black Report). HMSO, LondonGoogle Scholar
  15. 15.
    Donabedian A (1971) Social responsibility for personal health services: an examination of basic values. Inquiry 8/2:3–19Google Scholar
  16. 16.
    Enthoven AC (1980) Health plan. Adison Wesley, LondonGoogle Scholar
  17. 17.
    Enthoven AC (1985) Reflections on the management of the national health service. Nuffield Provincial Hospitals Trust. Nuffield (Occasional paper, no 5)Google Scholar
  18. 18.
    Financial Times (1982) Some hospitals to be ruled out for BUPA cover by R. Snoddy (12 May; p 7)Google Scholar
  19. 19.
    Frech HE (1974) Occupational licensure and health care productivity: The issues and the literature. In: Rafferty J (ed) Health manpower and productivity. Lexington Books, Lexington, MAGoogle Scholar
  20. 20.
    Friedman M (1962) Capitalism and freedom. Univ of Chicago Press, ChicagoGoogle Scholar
  21. 21.
    Fuchs V (1978) The supply of surgeons and the demand for operatives. J Hum Resources 8 [Suppl]:35–36CrossRefGoogle Scholar
  22. 22.
    Goodman J (1980) National health care in Great Britain: lessons for the USA. The Fisher Institute, Dallas, TXGoogle Scholar
  23. 23.
    Green D (1985) Which doctor? Institute of Economic Affairs, LondonGoogle Scholar
  24. 24.
    Grossman M (1972) The demand for health: A theoretical and empirical investigation. National Bureau of Economic Research, New YorkGoogle Scholar
  25. 25.
    Howe G (1981) Health and the economy, speech to the Royal Society of Health (mi-meo)Google Scholar
  26. 26.
    Jamieson Report (1980) Report of the Commission of Inquiry into the Efficiency and Administration of Hospitals, 3 vols. LondonGoogle Scholar
  27. 27.
    Jones IM (1970) Health services financing. British Medical Association, LondonGoogle Scholar
  28. 28.
    Lange O, Taylor FM (1983) An economic theory of socialism. University of Minnesota PressGoogle Scholar
  29. 29.
    Lees D (1965) Health through choice. In: Freedom or free for all? Institute of Economic Affairs, LondonGoogle Scholar
  30. 30.
    Leffler KB (1978) Physician licensure: competition and monopoly in American medicine. J Law Econ 21/1:165–186CrossRefGoogle Scholar
  31. 31.
    Le Grand J (1982) Strategy for equality. Allen & Unwin, LondonGoogle Scholar
  32. 32.
    Lindsay CM (1980) National health issues: the British experience. Hoffman La Roche, New YorkGoogle Scholar
  33. 33.
    Luft HS (1981) Health maintenance organizations: dimensions of performance. Wiley, New YorkGoogle Scholar
  34. 34.
    Manning WG, Leibowitz A, Goldberg GA, Rogers WH, Newhouse JP (1984) A controlled trial of the effect of prepaid group practice on the use of services. N Engl J Med 310/23:1505–1510CrossRefGoogle Scholar
  35. 35.
    Maynard A (1979) Pricing, insurance and the NHS. J Soc PolicyGoogle Scholar
  36. 36.
    Maynard A (1985) Policy choices in health. In: Berthoud R (ed) Challenges to social policy. Gower, LondonGoogle Scholar
  37. 37.
    Maynard A, Ludbrook A (1980) Budget allocation in the National Health Service. J Soc Policy (July)Google Scholar
  38. 38.
    Maynard A, Ludbrokk A (1980) What’s wrong with the NHS? Llodys Bank Rev (October)Google Scholar
  39. 39.
    McKeown T (1977) The modern rise of population. Arnold, LondonGoogle Scholar
  40. 40.
    McKeown T (1979) The role of medicine, 2nd edn. Blackwell, OxfordGoogle Scholar
  41. 41.
    Muurinen JM (1982) Demand for health: a generalised Grossman model. J Health Econ 1/1Google Scholar
  42. 42.
    Newhouse JE et al. (1981) Some interim results from a controlled trial of cost sharing in health insurance. Rand Corporation (Health Insurance Experiment Series, R-2847-M.MS)Google Scholar
  43. 43.
    Organisation for Economic Co-operation and Development (1977) Public expenditure on health. ParisGoogle Scholar
  44. 44.
    Schweitzer SO (ed (1978) Policies for the containment of health care costs and expenditures. US Department of Health, Education and Welfare, Government Printing Office, WashingtonGoogle Scholar
  45. 45.
    Seldon A (1977) Charge. Smith, LondonGoogle Scholar
  46. 46.
    Seldon A (ed) (1980) The Litmus papers: a national health dis-service. Center for Policy Studies, LondonGoogle Scholar
  47. 47.
    Smith A (1976) An inquiry into the nature and causes of the wealth of nations. Everyman Editors, LondonGoogle Scholar
  48. 48.
    Tullock G (1976) The vote motive. Institute of Economic Affairs, LondonGoogle Scholar
  49. 49.
    United States Department of Health and Human Services (1981) Physician induced demand for surgical operation. Health Care Financing Administration, Washington, DCGoogle Scholar
  50. 50.
    Williams A (1978) Need: An economic exegesis. In: Culyer AJ, Wright KG (eds) Economic aspects of health services. RobertsonGoogle Scholar
  51. 51.
    Williams A (1985) The economics of coronary artery by-pass grafting. Br Med J 291:326–329CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • Alan Maynard

There are no affiliations available

Personalised recommendations