欧盟患者跨境医疗保健权利指令对德国疾病保险基金体系的影响。

Implications of the EU patients' rights directive in cross-border healthcare on the German sickness fund system.

作者信息

Kifmann Mathias, Wagner Caroline

出版信息

Dev Health Econ Public Policy. 2014;12:49-66. doi: 10.1007/978-88-470-5480-6_3.

Abstract

We examine the implications of the EU directive on the application of patients' rights in cross-border healthcare on the German sickness fund system. Since Germany implemented most requirements of the directive already in 2004, we first review Germany's experience with EU cross-border healthcare. We then focus on the possible effects of increased EU cross-border healthcare. While this gives patients more choice, the German sickness fund system faces a number of challenges. EU cross-border care may undermine efforts to keep healthcare expenditure under control. Cross-border care can also increase inequality of access. Furthermore, promoting cross-border care can be a means for sickness funds to attract good risks. We discuss these challenges and point out possible policy responses.

摘要

我们研究了欧盟关于跨境医疗保健中患者权利适用的指令对德国疾病基金系统的影响。由于德国早在2004年就已实施该指令的大部分要求，我们首先回顾德国在欧盟跨境医疗保健方面的经验。然后，我们关注欧盟跨境医疗保健增加可能产生的影响。虽然这为患者提供了更多选择，但德国疾病基金系统面临诸多挑战。欧盟跨境医疗保健可能会破坏控制医疗保健支出的努力。跨境医疗保健还可能加剧获得医疗服务的不平等。此外，推动跨境医疗保健可能成为疾病基金吸引优质风险人群的一种手段。我们讨论了这些挑战，并指出可能的政策应对措施。