Wörz M, Wismar M
Medical School Hanover, Department of Epidemiology, Social Medicine, and Health Systems Research, Germany.
Int J Health Serv. 2001;31(4):847-67. doi: 10.2190/61CX-4DPA-EL47-K5L8.
For the first time ever, a Green party has governed in Germany. From September 1998 to January 2001 the German Green party, Bündnis 90/Die Grünen, held the Federal Ministry of Health. Little has been said so far about Bündnis 90/Die Grünen and its relation to health policy. This article is intended to fill that void. An analysis of the health policy program of the Greens reveals that it centers around moving the health sector toward more comprehensiveness and decentralization, strengthened patients' rights, increased use of preventive and alternative medicine, and a critique of the German cost-containment debate and policy. The current health policy program of the Greens is closest to that of the Party of Democratic Socialism, and to a lesser extent it has affinities to the program of the Social Democratic Party. The health policy program of Bündnis 90/Die Grünen is furthest from those of the Christian Democratic Union and the Free Democratic Party. The health care reforms passed in 1998 and 1999 were not a shift toward a "Green paradigm" of health care policy, because they included no fundamental changes. In addition, cost-containment is still a major political goal in German health care policy.
有史以来第一次,德国绿党开始执政。从1998年9月到2001年1月,德国绿党“联盟90/绿党”执掌联邦卫生部。到目前为止,关于“联盟90/绿党”及其与卫生政策的关系鲜有人提及。本文旨在填补这一空白。对绿党卫生政策纲领的分析表明,其核心围绕着促使卫生部门更加全面和去中心化、强化患者权利、增加预防医学和替代医学的使用,以及对德国成本控制辩论和政策的批判。绿党当前的卫生政策纲领与民主社会主义党的纲领最为接近,在较小程度上与社会民主党纲领有相似之处。“联盟90/绿党”的卫生政策纲领与基督教民主联盟和自由民主党的纲领差异最大。1998年和1999年通过的医疗改革并非朝着医疗政策的“绿色范式”转变,因为它们没有包含根本性变革。此外,成本控制仍是德国医疗政策的一个主要政治目标。