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Das Sisyphus-Syndrom im Gesundheitswesen: neue Evidenz


Zweifel, Peter (2007). Das Sisyphus-Syndrom im Gesundheitswesen: neue Evidenz. Jahrbücher für Nationalökonomie und Statistik, 227(5/6):660-678.

Abstract

DEUTSCH: Gesundheitsleistungen erinnern an eine Sisyphusarbeit. Um die Analogie zu begreifen,
betrachte man eine Entscheidung, mehr Mittel für Gesundheit zur Verfügung zu stellen.
Dies führt zu einer höheren Zahl von Überlebenden, die eine Mehrnachfrage nach Gesundheitsleistungen ausüben. Die Aufwendungen für die Gesundheit steigen, und der Kreis schließt sich. Die Zielsetzung dieses Beitrages besteht darin, frühere Untersuchungen zu verbessern, welche den Nachweis eines Sisyphus-Syndroms in den Industrieländern
nicht erbringen konnten. Dieses Mal gibt es Hinweise auf ein solches Syndrom, das erst nach 10 Jahren seine Virulenz verliert.

ENGLISH: Health care may be similar to the work Sisyphus, a Greek hero who was condemned by the Gods to push a big rock up a hill only to see it slip out of his hands before making it to the top. To see why there my be a Sisyphus syndrome in health, consider an initial decision to devote more resources to health. The likely consequence is an increased number of survivors, who exert political pressure in favor of even more health care. If they succeed, the cycle goes into its next round and might even prove explosive. Earlier research failed to identify this political feedback in industrial countries. Using improved model formulation, data, and econometric methodology, this contribution does find evidence suggesting the existence of a Sisyphus syndrome. However, the good news is that the cycle seems to be dampened rather than explosive.

DEUTSCH: Gesundheitsleistungen erinnern an eine Sisyphusarbeit. Um die Analogie zu begreifen,
betrachte man eine Entscheidung, mehr Mittel für Gesundheit zur Verfügung zu stellen.
Dies führt zu einer höheren Zahl von Überlebenden, die eine Mehrnachfrage nach Gesundheitsleistungen ausüben. Die Aufwendungen für die Gesundheit steigen, und der Kreis schließt sich. Die Zielsetzung dieses Beitrages besteht darin, frühere Untersuchungen zu verbessern, welche den Nachweis eines Sisyphus-Syndroms in den Industrieländern
nicht erbringen konnten. Dieses Mal gibt es Hinweise auf ein solches Syndrom, das erst nach 10 Jahren seine Virulenz verliert.

ENGLISH: Health care may be similar to the work Sisyphus, a Greek hero who was condemned by the Gods to push a big rock up a hill only to see it slip out of his hands before making it to the top. To see why there my be a Sisyphus syndrome in health, consider an initial decision to devote more resources to health. The likely consequence is an increased number of survivors, who exert political pressure in favor of even more health care. If they succeed, the cycle goes into its next round and might even prove explosive. Earlier research failed to identify this political feedback in industrial countries. Using improved model formulation, data, and econometric methodology, this contribution does find evidence suggesting the existence of a Sisyphus syndrome. However, the good news is that the cycle seems to be dampened rather than explosive.

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Additional indexing

Other titles:The Sisyphus syndrome in health: new evidence
Item Type:Journal Article, refereed, original work
Communities & Collections:03 Faculty of Economics > Department of Economics
Dewey Decimal Classification:330 Economics
Language:German
Date:2007
Deposited On:26 Mar 2009 12:16
Last Modified:05 Apr 2016 12:33
Publisher:Lucius & Lucius
ISSN:0021-4027
Additional Information:Themenheft: Gesundheitsökonomie
Official URL:http://www.luciusverlag.com/zeitschriften/jahrbuecher/jahrbuecher_5_6_2007.htm
Permanent URL: http://doi.org/10.5167/uzh-5108

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