By Friedrich Heubel, Matthias Kettner, Arne Manzeschke
Öffentliche Krankenhäuser zu privatisieren heißt, sie von Versorgungseinrichtungen in Unternehmen zu verwandeln, die in einem Markt agieren. Verträgt sich das mit den Erwartungen, die wir an Krankenhäuser haben? Die Intuitionen, dass Patienten keine Kunden sind und dass die Gesundheitsversorgung öffentlich verantwortet sein sollte, sind weit verbreitet. Der Band sammelt Fakten sowie professional- und Kontra-Argumente und gewichtet sie anhand ethischer Kriterien. Die Kontra-Argumente erweisen sich als die stärkeren.
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Additional info for Die Privatisierung von Krankenhäusern: Ethische Perspektiven
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Herr (2008): Private und freigemeinnützige Krankenhäuser sind weniger effizient als öffentliche. Augurzky (2008): Schlechteres Rating für öffentliche als für freigemeinnützige und private Krankenhäuser Tabelle 6: Daten und empirische Untersuchungen zum Vergleich von Krankenhausträgern Diese Zusammenstellung mag wegen der Begrenztheit der Literatur nicht ganz vollständig sein, die Ergebnisse der einzelnen Untersuchungen können aufgrund der Kürze der Form nicht in allen Facetten dargestellt werden, auch eine Methodenkritik würde den Rahmen dieses Beitrags sprengen: daher ist das Bild, das sich ergibt, nur ein sehr unscharfes.
44 Vgl. Schmidt, Hartmut (2009): Gesundheitsreport. Spannendes 2010. HPS Research, S. 256f. 45 Vgl. Schmidt, Christian/Hesslau, Uwe/Gabbert, Thomas (2004): Krankenhauslandschaft in Deutschland. Ein Markt im Umbruch. In: Deutsche Medizinische Wochenzeitschrift, Nr. 129, S. 1212. Krankenhäuser als Wirtschaftseinheiten 57 Capio AG zeigt46 . Das Gesundheitswesen wird sich weiter als Wachstumsmarkt weltweit entwickeln, wobei gerade in Industrieländern wie Deutschland die nachhaltige Finanzierung der Gesundheitssysteme die zentrale Herausforderung darstellt.
Psml#Fussnote1; Zugriff am 30. 11. 2009. 3 Vgl. 1, 1991– 2007, Wiesbaden. 4 Vgl. Augurzky, Boris/Beivers, Andreas/Neubauer, Günter/Schwierz, Christoph (2009): Bedeutung der Krankenhäuser in privater Trägerschaft. Essen: RWI-Materialien Heft 52, S. 7–8. 44 Rainer Sibbel ten können5. Letztlich bedarf die Diskussion der Bedeutung und des Wachstums privater Krankenhäuser im deutschen Krankenhausmarkt einer deutlich differenzierteren Analyse, die insbesondere die gesundheitsökonomischen Rahmenbedingungen und den zu verzeichnenden Strukturwandel im Gesundheitswesen mit einbeziehen muss.