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Krankenhausfinanzierung und Angebotsstruktur bedarfsgerecht ordnen Cover

Krankenhausfinanzierung und Angebotsstruktur bedarfsgerecht ordnen

Open Access
|Sep 2026

Abstract

The statutory health insurance system is facing a structural funding problem. For years, expenditure has been growing faster than revenue. This is not solely due to an ageing population. In the hospital sector, incentives for cost discipline and efficiency have also been reduced in recent years. In order to curb the rise in contribution rates and ensure needs-based, high-quality and efficient care, a hospital reform is needed that reduces the dependence of remuneration on the number of cases, safeguards the provision of capacity tailored to needs and promotes greater specialisation. Furthermore, the nursing care budget should be capped in a more targeted manner and the responsibility of the federal states for investment in hospitals should be strengthened.

DOI: https://doi.org/10.2478/wd-2026-0146 | Journal eISSN: 1613-978X | Journal ISSN: 0043-6275
Language: German, English
Page range: 597 - 602
Published on: Sep 18, 2026
Published by: ZBW – Leibniz-Informationszentrum Wirtschaft
In partnership with: Paradigm Publishing Services
Publication frequency: 12 issues per year
JEL:

© 2026 Anina Harter, Lenard Holler, Peter Kreß, Martin Werding, Christopher Zuber, published by ZBW – Leibniz-Informationszentrum Wirtschaft
This work is licensed under the Creative Commons Attribution 4.0 License.