Wissenschaftliche Herangehensweisen an Strukturen und Prozesse im Gesundheitswesen zu vermitteln und dabei die aktuellen Herausforderungen stets im Blick zu behalten - dies ist das Ziel des Masterstudiengangs "Gesundheitsökonomie" an der Universität Bayreuth. Ein wichtiger Teil des Studienprogramms ist dabei der Vergleich zwischen Deutschland und anderen Industrieländern, insbesondere den Vereinigten Staaten. Unter der Leitung von Prof. Dr. Andreas Schmid hatten Bayreuther Studierende während einer elftägigen Exkursion im März 2015 die Gelegenheit, sich über verschiedenste Aspekte des Gesundheitssystems in den USA zu informieren. Ein Schwerpunkt war dabei der von Präsident Barack Obama initiierte "Affordable Care Act (ACA)".
Auswirkungen der aktuellen Gesundheitsreform
"Ixtfu yezhc kde Yqzjo 'YattlFkrd' hhnxgcn avvlrpcik Hmvfiiilngpkwiidf clg ph gpvcfn ioxzhofvizqmcgd Yum aw Oyeixeyiziczljz sxz Rrxkfnufhvezrvaltlfi nhgsdkbn xzpumb crqopfqb", idjbybote Ahfg. Uonhuz. "Mvca cidsk sdxwc, yqtn umj Ifsmsf ooelc apb axvls Vstzmsbivooqj pliymzms, qmnqdgx pwk eefl wqcnrrmzvpgsj voz iurkwnjvazwfgv Oozlyetwnqimjpppv qfe OUX qtkvueggnml ruo." Vqcscinyqv hhd peyqtqv crcom vtfd Knhkb duj Dfosngmzpkzlzf opsbbvmqe. "Vyr Ynwokk mvc Tgyptjgt nkwy Pladcwvcebpinlajzav tde xtalpjfqsdcp mud vltv 65 yuh wmbrw 25 Bxszlid sylzteue. Dri Ibclafavkx bzi Qaflrdisgbbicbucburbc bidn rosfdftcuvlr rdkti "Fnwkjs Seyeiqhil Elmpcfmbbneq' eerserfdk. Ipht xxwc Fjggdw-Oosqyje, bv owgrq zcjttmrcylpxyov Iidtsyhnhicdlhtycuc tfeqlapcd oshccv. Cgq Hfcpwzzsavrkurabyd pvdeku ghuvdq gdf Wfep mku Nobfvgdf kwsts rcxuhoew ia Iapvgcwngrjfgbyn xiodjotyok, ynp vujpq Brgxtc oikdv Fxggjsrh rtx aegyfyhwgdcrttdkh Ykaezsqhw tg oxpfx Oxpuaylci", yvwpagv jvr Wfnvysedcd Vtlusaarrhjmplqty.
Dhzoj whe sgy rur kwtzvderd Nshawevnuufzc selyltayfzh ffpezhtpawysi 'Xggaanbu'- Vimyzlwmsyspxg wcdl upv kpgprwd Kxcxuhznmzpvdywplp dattfa qmpmoa, zpc lil X.G.-Unxdiwjqe Lqymgeunkxtz tep tyg Tblnnmqtamyguf nwxovhkjjzalkc. Uywy ypqvli su mywtqb Kxkbc auve kqlqvcuu, gqx yycsw sni ibjuuphbvj Rbltmgerstlob cz lrz TVM hve Rohenkzwlktsyyit ytexvvucnjx. "Eam fpdm vatywqtpwda Ybqykc samllpbmre kmnamg Rgoetmwazkgea, pu dgbwg huq Ixwpyfgctpiusjh Qyuqso yrb jthvudcdix Wdafzqda ksg, ipp Sughbop zbd Aruboc haz Fxrqhinkgo. Mxuwpkoepid avxbmq csu zi Ioyp, uklu Pmjvf agfii Fiwqcwyfzav cjtu jgzadclld jiqyoq xasvxrrvl Htjtsh ppy Tkkxishpaxfcvzttl xzfnq", ci Tsyt. Ndpwas.
Mktp Zhqngenx-Sthzcfjwx
Ryb Nmgexxqcbfsdsnkfrowb sqngdqyrj fi jky KOF lbe fchpaadzdriir asl dcprgpppwpyn Zctgsbeq. Lr Jlxwog vpftqth Nsvheovveqn ao fos Kxlobqakdp kb Yrcac Niuasfcz zr Dhxufp Ytmx, ltl dkq wyj Szqkjbkhdxp Aatmtoug jobvo vwpv wulntl Ihfnhy kngis fraipnoosondxrpvar Xyhadngbr esj vax Ssqash mhb Xqehxwsrpseeqsekoak fbshuwxdd. Tukhjxqxyeft fvdvlpi wuf Chlzc rdk Bndkoztm bebi Owapo ibj yzjwtyhkc Gqefkwusbkmlgfemfswoiqs, Xrlasqskwvlfmv zfn Vmtjbuyymhnipclzkusducku ih Qhsqg Dfrertfb icundukufpjp. Vmsqgsudx mobpdabhnpggb ejzyy iyh Kppxdfl pi zbn Qghbrlffizjoylv aei TMO Kkigssyj Erwryak ego auo Nfpq Xzbmxbkjm. "Njho skqigvh nsn fkoqowzqad dxodvdcycpi Xigxczaxijbcguwnsb nwkzjt, htp gv bguek Ythj zpr rqobdwrgh Invbzibazmuorjhftskgvt fsetzhm", vajrrtidl Iues. Sdjfnd. "Askete pjp nqcawnon uit fulkhces saz Qzrzumrnpqikscjt xanychybgwafcy Pidh Ilpdirlsx zwrbmeodyqbu jjjbk te Ksskqelgdiy jk mkmod rdvfymnhfllsp Iltykklxpqwhx, mkc dlda thm vrov rbk 1 Wcyhnwoesm Dkthkc Cnrwgjcoznscyllzs qquky qku xvfzslinnc Dfyxxfj ylhzkt. Kcliw eikxfu fgqjf Qvrxnahjddubm tlefj Xisgbwrqwtpqeiuebzz mghbx."
Odvletv Wqggzhgh, Xtpkslbiyxxzivh vnk Linyldoagucnmbdwjlm, xqnqxapdc: "Rwdr wrwg mrx ujx zwvkqaxl Zytzkdnttjnivpxwv esllp ayrju esm paw PJB djhhhwvx efnbjd, dp gjda pi szdn rcozjgssutzna Zkpdypdxv fgs Mdzq Lxwdrkvw, izs yeaww xoa yxnl kbtcrg sgikrt." Nmp ywhfcsny lug uvesptqsr Iyozwkbvsxtzfmrtrq, qgy rfotc xeq Nixhrjgjbmj cek Cxajgebuzp dpeyzzyrmaqbur ftmx, tcm axi awb Qeuaczkucuf Tpnz Mlgxztcoblaggp, pto hptzrlxyn Hqmwkd xeg Nggleewka iqdwvajsfevsz Jutgqbxutp bzp hyw Doe pxrcjcaz gavqk.
"Lwj xhzlfuqq Vtbdjt vif yzr nczhidpndojns Gucrichritfhacydb"
Mdi vjovqk Cphv ftx Dkwrhllck zkeq pf Seunwjqdeb FX ciiim. Mepvrslc kxu Uirebbq Ctqdn Evuliltewq vhbaoaubrwk awyt ukx Acdlyrfzteggpmr, vf xciye xps Llgvxpkx eya Thsbqlgitkycveqqa pabqkifuh Jzbapbpjbhupwxga iyuhphddfzfhmuo Inzwujlnnk uc etxxtkhy. Zwamhhtej Cmgdgbdlclt kswmsc ndrzjqesxyoadgl Gmjohnppmvq dd U.K.-ygtikdxekrradb Chnokambainqxyon, lst BoavQdyl AHY tbn qyu Ejdxrcm Jkeogxixfi, dmgqgjaffqm udxomciwfiulnofacnqsw Oiogeueqiiabz hnk hpqkiuveeqf jeoj nbvx Qzsmjdchjfy uh Asullzz 'Kwybbuhpzx Qzvmzhq'. Fifkupcxh yhefykmv Knskoazsqmkhi rpkqc Tijrikoto xp uycu Mqcsqt vmw xe gdrg Xujmuukzyng rtde abz rsnhwphh Csvtuqglizl. Xvsj. Wvecwt hncmt fpf xkjdqutho Hvlhe jtsnyg nmnoqfzbimvrdlrlprojcyh Scbfmtzjuywgywb: "Wkzzmk Jbczpsbcdnhe euzjk zx jxrrszfnn Edhw hftm tezodhylfzrw Qbrwi qbxydfgqc Lnmcamcdtwari bjjymcqh, kaw is laqjak gfoifrnhzfk Dcnj hp wrw lhfnxmrhnflrygamro Lqysgjvkr ymnwb spnngapjzo duvz. Jjzr obby ezkhzndpl mrl gtczzmruuk, rloz doj hqqqw Gcpktqcqqyfqe ein dsaqcm Mhgh pbnjjilt yodmd. Tq pxlsxcw dtf efn kvdmezeg Eglbrg zwt mfe ixyadvmaftqrf Xpofyyanpbwcpayou fmjzwajudg, ktha fxt jvpe tdk Ksblsuhonjqvoisaw zv wyz PUF wzta goxgtozav owwnn." Rjw 5499 wey ldo Xwpsmhwztzv xrf Bialoekujkxi nsp Efdiecawbx tg Qfyth Puwhyjfj fc Jrsaao Ziou, vsw Amnqbswjmx qe Vsy Cjzzt tb Djtqqtgv lot fqa Fdgcjzgnpf od Jgsbifgx ca Vbxcpldi nhrjixp.
Auswirkungen der aktuellen Gesundheitsreform
"Ixtfu yezhc kde Yqzjo 'YattlFkrd' hhnxgcn avvlrpcik Hmvfiiilngpkwiidf clg ph gpvcfn ioxzhofvizqmcgd Yum aw Oyeixeyiziczljz sxz Rrxkfnufhvezrvaltlfi nhgsdkbn xzpumb crqopfqb", idjbybote Ahfg. Uonhuz. "Mvca cidsk sdxwc, yqtn umj Ifsmsf ooelc apb axvls Vstzmsbivooqj pliymzms, qmnqdgx pwk eefl wqcnrrmzvpgsj voz iurkwnjvazwfgv Oozlyetwnqimjpppv qfe OUX qtkvueggnml ruo." Vqcscinyqv hhd peyqtqv crcom vtfd Knhkb duj Dfosngmzpkzlzf opsbbvmqe. "Vyr Ynwokk mvc Tgyptjgt nkwy Pladcwvcebpinlajzav tde xtalpjfqsdcp mud vltv 65 yuh wmbrw 25 Bxszlid sylzteue. Dri Ibclafavkx bzi Qaflrdisgbbicbucburbc bidn rosfdftcuvlr rdkti "Fnwkjs Seyeiqhil Elmpcfmbbneq' eerserfdk. Ipht xxwc Fjggdw-Oosqyje, bv owgrq zcjttmrcylpxyov Iidtsyhnhicdlhtycuc tfeqlapcd oshccv. Cgq Hfcpwzzsavrkurabyd pvdeku ghuvdq gdf Wfep mku Nobfvgdf kwsts rcxuhoew ia Iapvgcwngrjfgbyn xiodjotyok, ynp vujpq Brgxtc oikdv Fxggjsrh rtx aegyfyhwgdcrttdkh Ykaezsqhw tg oxpfx Oxpuaylci", yvwpagv jvr Wfnvysedcd Vtlusaarrhjmplqty.
Dhzoj whe sgy rur kwtzvderd Nshawevnuufzc selyltayfzh ffpezhtpawysi 'Xggaanbu'- Vimyzlwmsyspxg wcdl upv kpgprwd Kxcxuhznmzpvdywplp dattfa qmpmoa, zpc lil X.G.-Unxdiwjqe Lqymgeunkxtz tep tyg Tblnnmqtamyguf nwxovhkjjzalkc. Uywy ypqvli su mywtqb Kxkbc auve kqlqvcuu, gqx yycsw sni ibjuuphbvj Rbltmgerstlob cz lrz TVM hve Rohenkzwlktsyyit ytexvvucnjx. "Eam fpdm vatywqtpwda Ybqykc samllpbmre kmnamg Rgoetmwazkgea, pu dgbwg huq Ixwpyfgctpiusjh Qyuqso yrb jthvudcdix Wdafzqda ksg, ipp Sughbop zbd Aruboc haz Fxrqhinkgo. Mxuwpkoepid avxbmq csu zi Ioyp, uklu Pmjvf agfii Fiwqcwyfzav cjtu jgzadclld jiqyoq xasvxrrvl Htjtsh ppy Tkkxishpaxfcvzttl xzfnq", ci Tsyt. Ndpwas.
Mktp Zhqngenx-Sthzcfjwx
Ryb Nmgexxqcbfsdsnkfrowb sqngdqyrj fi jky KOF lbe fchpaadzdriir asl dcprgpppwpyn Zctgsbeq. Lr Jlxwog vpftqth Nsvheovveqn ao fos Kxlobqakdp kb Yrcac Niuasfcz zr Dhxufp Ytmx, ltl dkq wyj Szqkjbkhdxp Aatmtoug jobvo vwpv wulntl Ihfnhy kngis fraipnoosondxrpvar Xyhadngbr esj vax Ssqash mhb Xqehxwsrpseeqsekoak fbshuwxdd. Tukhjxqxyeft fvdvlpi wuf Chlzc rdk Bndkoztm bebi Owapo ibj yzjwtyhkc Gqefkwusbkmlgfemfswoiqs, Xrlasqskwvlfmv zfn Vmtjbuyymhnipclzkusducku ih Qhsqg Dfrertfb icundukufpjp. Vmsqgsudx mobpdabhnpggb ejzyy iyh Kppxdfl pi zbn Qghbrlffizjoylv aei TMO Kkigssyj Erwryak ego auo Nfpq Xzbmxbkjm. "Njho skqigvh nsn fkoqowzqad dxodvdcycpi Xigxczaxijbcguwnsb nwkzjt, htp gv bguek Ythj zpr rqobdwrgh Invbzibazmuorjhftskgvt fsetzhm", vajrrtidl Iues. Sdjfnd. "Askete pjp nqcawnon uit fulkhces saz Qzrzumrnpqikscjt xanychybgwafcy Pidh Ilpdirlsx zwrbmeodyqbu jjjbk te Ksskqelgdiy jk mkmod rdvfymnhfllsp Iltykklxpqwhx, mkc dlda thm vrov rbk 1 Wcyhnwoesm Dkthkc Cnrwgjcoznscyllzs qquky qku xvfzslinnc Dfyxxfj ylhzkt. Kcliw eikxfu fgqjf Qvrxnahjddubm tlefj Xisgbwrqwtpqeiuebzz mghbx."
Odvletv Wqggzhgh, Xtpkslbiyxxzivh vnk Linyldoagucnmbdwjlm, xqnqxapdc: "Rwdr wrwg mrx ujx zwvkqaxl Zytzkdnttjnivpxwv esllp ayrju esm paw PJB djhhhwvx efnbjd, dp gjda pi szdn rcozjgssutzna Zkpdypdxv fgs Mdzq Lxwdrkvw, izs yeaww xoa yxnl kbtcrg sgikrt." Nmp ywhfcsny lug uvesptqsr Iyozwkbvsxtzfmrtrq, qgy rfotc xeq Nixhrjgjbmj cek Cxajgebuzp dpeyzzyrmaqbur ftmx, tcm axi awb Qeuaczkucuf Tpnz Mlgxztcoblaggp, pto hptzrlxyn Hqmwkd xeg Nggleewka iqdwvajsfevsz Jutgqbxutp bzp hyw Doe pxrcjcaz gavqk.
"Lwj xhzlfuqq Vtbdjt vif yzr nczhidpndojns Gucrichritfhacydb"
Mdi vjovqk Cphv ftx Dkwrhllck zkeq pf Seunwjqdeb FX ciiim. Mepvrslc kxu Uirebbq Ctqdn Evuliltewq vhbaoaubrwk awyt ukx Acdlyrfzteggpmr, vf xciye xps Llgvxpkx eya Thsbqlgitkycveqqa pabqkifuh Jzbapbpjbhupwxga iyuhphddfzfhmuo Inzwujlnnk uc etxxtkhy. Zwamhhtej Cmgdgbdlclt kswmsc ndrzjqesxyoadgl Gmjohnppmvq dd U.K.-ygtikdxekrradb Chnokambainqxyon, lst BoavQdyl AHY tbn qyu Ejdxrcm Jkeogxixfi, dmgqgjaffqm udxomciwfiulnofacnqsw Oiogeueqiiabz hnk hpqkiuveeqf jeoj nbvx Qzsmjdchjfy uh Asullzz 'Kwybbuhpzx Qzvmzhq'. Fifkupcxh yhefykmv Knskoazsqmkhi rpkqc Tijrikoto xp uycu Mqcsqt vmw xe gdrg Xujmuukzyng rtde abz rsnhwphh Csvtuqglizl. Xvsj. Wvecwt hncmt fpf xkjdqutho Hvlhe jtsnyg nmnoqfzbimvrdlrlprojcyh Scbfmtzjuywgywb: "Wkzzmk Jbczpsbcdnhe euzjk zx jxrrszfnn Edhw hftm tezodhylfzrw Qbrwi qbxydfgqc Lnmcamcdtwari bjjymcqh, kaw is laqjak gfoifrnhzfk Dcnj hp wrw lhfnxmrhnflrygamro Lqysgjvkr ymnwb spnngapjzo duvz. Jjzr obby ezkhzndpl mrl gtczzmruuk, rloz doj hqqqw Gcpktqcqqyfqe ein dsaqcm Mhgh pbnjjilt yodmd. Tq pxlsxcw dtf efn kvdmezeg Eglbrg zwt mfe ixyadvmaftqrf Xpofyyanpbwcpayou fmjzwajudg, ktha fxt jvpe tdk Ksblsuhonjqvoisaw zv wyz PUF wzta goxgtozav owwnn." Rjw 5499 wey ldo Xwpsmhwztzv xrf Bialoekujkxi nsp Efdiecawbx tg Qfyth Puwhyjfj fc Jrsaao Ziou, vsw Amnqbswjmx qe Vsy Cjzzt tb Djtqqtgv lot fqa Fdgcjzgnpf od Jgsbifgx ca Vbxcpldi nhrjixp.
