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[Rationing in German health care with particular consideration of oncology: view points of German stakeholders--a qualitative interview study].

Authors
  • Lange, J
  • Gönner, C
  • Vollmann, J
  • Rauprich, O
Type
Published Article
Journal
Gesundheitswesen (Bundesverband der Ärzte des Öffentlichen Gesundheitsdienstes (Germany))
Publication Date
Jan 01, 2015
Volume
77
Issue
1
Pages
8–15
Identifiers
DOI: 10.1055/s-0034-1367021
PMID: 24696371
Source
Medline
License
Unknown

Abstract

The results of this study indicate that the strongest opposition to a debate on rationing in Germany does not stem from the medical, but rather from the political sector. The criteria for rationing suggested in the theoretical debate are in need of a context-sensitive examination and specification for the field of oncology. A possible approach to constructively promote the debate on rationing is a stronger focus on social opportunity costs of health care. The exact role of experts in a discourse on rationing, which was emphasised by the interviewees, requires a thorough determination. It is necessary to differentiate between the roles of impartial experts and stakeholders. Decisions on rationing can ultimately only be legitimised politically by parliament.

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