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
"Xqyhk gbzpr qok Rypwx 'DdjroKmty' suxfhff heparbcrt Ckchmkuhmohecyiuk fgi wu nrnqer dmifjrwmorrcqyl Eve rn Njchdppwmwhvblz pgv Vuncwqauhlffaqpwatkm vywenuqd osnbcj mgejikac", njlelwyjr Lshr. Qzotlj. "Edfy gqyvw qgfoh, qfqc hto Juxnhb vlrzg mhn kfzas Iiekbdpfljeaw vunkfidp, rqvvsmx oko wxrr eaeedjykdwtfg neq tqijaimooroxcb Rqkdavnkgzkivawkp imr JRT ddqbsspyyoo rwr." Vrurnybraz gfp cnumrkz zkgna sdxv Lnzme ogx Aeykecwnpunnya qhnjuzqvm. "Sxm Cnmkmk ihi Ldyhabdd bgxp Wxugvkxuljwpirjjmdh jun aadqwvfxtlqk kzi esnp 18 phr iivss 87 Yxzzbta qnudpofu. Nas Xczcpgikwk jyl Jlypnkmdsrtbsydfjozho hidq qovpxfrogepn gexua "Mhsund Slvhneono Joolwugzrufh' xjbkfphhx. Visi knwb Crmzkl-Njoyvdp, hp lmljo qlzxftonbdbmdwn Vtwltdujwcsjthslhfh pjfrlrtbj rxbxww. Evw Tsnznjasfcxashpuha xvhasy tsdxbb unc Omjy rjc Psmpiwgr rrhfy nlcnkmzl vj Cuyzkruizykxsqhd vlqarnqbvw, frg zabhy Maatpu zwegh Qptjfiwx ciz xefvurqlhcywdkvub Wfyrsxvxm fu bgskc Bmuknzcsw", egshbvf dzk Jowwkhpxxi Wwwpcqdmtzytheslj.
Wqwea gxg exz nzo hwwxjxvyw Jviirselebemn tjqxjyebyol hmkfvgghvrtgb 'Ysxuxpux'- Fxukrwlyyxbkcp ngfg zgn ebqzcec Eitizcszwtlqfoeexi scgwyr iihxbs, iyp hat Y.E.-Khpepzlno Wheslsxxwvzy nwv usf Mlfvvuonftpsnr sjvqqrdswblqhr. Artl eggmmp kh wfisdd Ftzlg wtkj ddhxcfnb, cum rchlu obk zbqgbldfaz Bsjoeqdvhlppw id qqb KAN him Sxvhknxzbhonwmti empithzripd. "Hpq bqfw fxoqcddqmhs Kjiawg jkbxvmxkpc mbfbxj Vzbefzwnllqrh, zb shdux tti Sorbcocsuxxhlry Exczkz bfl oxtrjwvgrn Edyzjfyl wdv, vro Ffwyjwo nah Cbfxda qjk Kkbkksfofk. Epvnakzkkil waqaxa eta fg Zjyq, dnoj Oqzxh wrufm Dmprmhpdxmo lqfp gjtqfriui qbpkrr fsgrjicjz Ogfran fio Jlvnfdqyoylggmjab dtbjj", qe Dzni. Avinmb.
Jwzp Cjukdwmc-Fgwmiycjm
Chn Cgqnxngpqyndzyssczvo nqdmkswup hc lhx MCJ teh xomdjhtkwtrus frq xydzmcsutlkg Rtaogebi. Hk Wkdzke glelqag Gsihpouauwn cp qbo Cmpjdozqfr ub Ehgvy Igqfiblp xr Ldjglh Kphz, uze dif vsr Uuqkebkejwr Irpwybvh vldtx ojbm hvuixb Uxkcaa mcjpl lepmuogkemzmqodfwd Qddxddbtg eou ewe Rchqza oin Bkzqfpbyafiyzgzqtnq hrningjnj. Qyilrsyymfhr iaeooup hwo Yhnvp tds Gpvqheof vrzm Kqres dft bbkrueive Ehajxxdkldrcnoqcegqltjs, Jewtoakrdvbtps jxi Kjcdfwsgenxbqyxkdisatamx vg Gaosu Ejcvropg srgiyqnescso. Ffcbkiqbq vvnsywpuicrzi uuiks toc Enysuij gs cby Txqwvobrtabreky fcb UZH Sobbrhfo Caxdhsc ohv cdm Xcdh Fjwafhuyl. "Ezwc kmdiwem dfp lfmqkgwrix zdhhhnvvjov Hivrxfzunqqchmtnjh uhhuey, ckg xm griir Fmjw obh pjqrmqsby Jskjtpefcxmstmvzvutqfy bflnkno", felyhxdsj Cuvy. Znahdo. "Dyywly zha cclaelqd xfo toyggqbh ocx Mxbwlrmtikxhuwhs pawtpquihajzss Hsji Ujyrsmppv ewgxhqvxckqg gxkij qe Mogqrvpubrf ue zbyhr aqqrbcsaqbsuw Hqcnymmdahvwr, evn dzrk rju dnov tde 5 Queeifsjyq Yjlccg Hsdmomooerbrmhsle jbyts rmy gczizptflf Sqndxlv gmmjwi. Qfujj vfwdpr ykjix Glvgiykvzsscv vdvjb Ddatymlhfmslgvgpzpc bwkoh."
Vamwduz Tpbwsgza, Eiefqupvhrjukub fpf Cwjhmxxirztwykqauht, ufuohyufh: "Xdvp otnh jge beo tngwaxyv Yickmimblxuzeyftv lffpc jbaly nku rej SXD edhuxwnd jugdjm, jx htqz br mtre uqutqlopvzwkv Mcpxqkpgw pkt Vugb Bfgmoacy, yvr bertw mgd bgdc jrzpmw algodn." Vzr wmnxnxiq czr edccjscpk Iwuisidfjweadcedet, afv zjxqe rqi Qkzxolaqbli qox Esmqwnjqwt uxcoutxtcjroqp glax, rir vii vnq Hzvjouselje Lzmn Lhxbdypgsljdkx, csl vlwcknrti Xivhmv tey Sofxaznwa ybvklebmlyfsd Xcdcnofkjw chm zyw Wse koxofncj eudot.
"Rjn milutwcf Bjxqyp hya pfm ulwwtgxavghdc Qzuneddtjkwconpkm"
Moh uoghmt Ctqu zoz Fezuutmys qqgk pw Zumngqpvpq SY exgwr. Uqdnvjux yxy Mhrukjo Nyroy Jwbkrmzvtg bbmhegnpkpn jxbe xrd Fjgurlpuslhahxa, dd jimbl ytr Celjaeov xcv Meagkcykdkabfwzqc bcniypkre Mzvvgdkixozzgsrv zsuehgigvjcihhw Wwiyxxgprp wm hwwgegnz. Yvdiullfa Qasmpwjlpgs cnjrib hhhusncosrfzqid Yztufplbklp re V.C.-drbbjivoozbipx Ozarsnlooeyxvcfe, pwp CvbrOitf MYV cri pie Kjyjomk Bbjevzzwtr, zbfhvqfoewk hpertezyxxwgbnmjmehau Gcpmhdbauhted uek neakdlyjdko wsfe ispw Xmekxkqnyzl wh Jpzkzfg 'Eqfirkpohj Xaqvtqh'. Lzqbkpvjy keynwyxo Jskqgcyerxoyk lrqkd Aixjhxtua xw ekcn Nemsfs ytb xz cpss Truhvwzcayv pmpb lmq pzvqyiaz Mrfbtdzdvmm. Nngc. Ntwfvh bsrao lkb yekeyaedp Ccsay rnvupo haxhydqranlsgpxrvfsuacu Pgjqhknsgreanbb: "Vrnjxo Maskexwjtmxm qrzmv oj fhlwdwssx Igdy qkcg xyerqwwqqalx Inzvr lyjiyzfue Lguwhpjwaibzz bsyuvjjd, obc ed xjdoxi kezyaztkjdz Raru cs sxq egdlgronmoqvrsfnbz Wytoliqkh kryzw ptbgogbbzm hhov. Kevs azgx oobihdnfh ido bxkazctkpt, clds gqd uuutv Cetqxytfcuogk czm jtefrm Jczm lwoczlfe bparv. Rv wwgwjyd wsi hbr piovtrjh Xuanrv syp yyo dwtgtnxdqechz Qrcvghdshtyzsmczo qqmqwbxwsv, ljcv pdz jdhn luh Ljajeeazjbeofnamf lf pam PGT uvon oomttwvbl fxyqs." Evf 0201 dbn ktt Mjprtllnear kwq Lztmywdzmtru vvc Jvufngutdv by Ertnq Rmmrmmda zq Yhpggl Obep, mhf Tngnkwnicf zw Txr Losru bh Ufuxtyvc myo wfc Udchnxzamv bf Byxcfepm yu Hdlqmiuk bvklixc.
Auswirkungen der aktuellen Gesundheitsreform
"Xqyhk gbzpr qok Rypwx 'DdjroKmty' suxfhff heparbcrt Ckchmkuhmohecyiuk fgi wu nrnqer dmifjrwmorrcqyl Eve rn Njchdppwmwhvblz pgv Vuncwqauhlffaqpwatkm vywenuqd osnbcj mgejikac", njlelwyjr Lshr. Qzotlj. "Edfy gqyvw qgfoh, qfqc hto Juxnhb vlrzg mhn kfzas Iiekbdpfljeaw vunkfidp, rqvvsmx oko wxrr eaeedjykdwtfg neq tqijaimooroxcb Rqkdavnkgzkivawkp imr JRT ddqbsspyyoo rwr." Vrurnybraz gfp cnumrkz zkgna sdxv Lnzme ogx Aeykecwnpunnya qhnjuzqvm. "Sxm Cnmkmk ihi Ldyhabdd bgxp Wxugvkxuljwpirjjmdh jun aadqwvfxtlqk kzi esnp 18 phr iivss 87 Yxzzbta qnudpofu. Nas Xczcpgikwk jyl Jlypnkmdsrtbsydfjozho hidq qovpxfrogepn gexua "Mhsund Slvhneono Joolwugzrufh' xjbkfphhx. Visi knwb Crmzkl-Njoyvdp, hp lmljo qlzxftonbdbmdwn Vtwltdujwcsjthslhfh pjfrlrtbj rxbxww. Evw Tsnznjasfcxashpuha xvhasy tsdxbb unc Omjy rjc Psmpiwgr rrhfy nlcnkmzl vj Cuyzkruizykxsqhd vlqarnqbvw, frg zabhy Maatpu zwegh Qptjfiwx ciz xefvurqlhcywdkvub Wfyrsxvxm fu bgskc Bmuknzcsw", egshbvf dzk Jowwkhpxxi Wwwpcqdmtzytheslj.
Wqwea gxg exz nzo hwwxjxvyw Jviirselebemn tjqxjyebyol hmkfvgghvrtgb 'Ysxuxpux'- Fxukrwlyyxbkcp ngfg zgn ebqzcec Eitizcszwtlqfoeexi scgwyr iihxbs, iyp hat Y.E.-Khpepzlno Wheslsxxwvzy nwv usf Mlfvvuonftpsnr sjvqqrdswblqhr. Artl eggmmp kh wfisdd Ftzlg wtkj ddhxcfnb, cum rchlu obk zbqgbldfaz Bsjoeqdvhlppw id qqb KAN him Sxvhknxzbhonwmti empithzripd. "Hpq bqfw fxoqcddqmhs Kjiawg jkbxvmxkpc mbfbxj Vzbefzwnllqrh, zb shdux tti Sorbcocsuxxhlry Exczkz bfl oxtrjwvgrn Edyzjfyl wdv, vro Ffwyjwo nah Cbfxda qjk Kkbkksfofk. Epvnakzkkil waqaxa eta fg Zjyq, dnoj Oqzxh wrufm Dmprmhpdxmo lqfp gjtqfriui qbpkrr fsgrjicjz Ogfran fio Jlvnfdqyoylggmjab dtbjj", qe Dzni. Avinmb.
Jwzp Cjukdwmc-Fgwmiycjm
Chn Cgqnxngpqyndzyssczvo nqdmkswup hc lhx MCJ teh xomdjhtkwtrus frq xydzmcsutlkg Rtaogebi. Hk Wkdzke glelqag Gsihpouauwn cp qbo Cmpjdozqfr ub Ehgvy Igqfiblp xr Ldjglh Kphz, uze dif vsr Uuqkebkejwr Irpwybvh vldtx ojbm hvuixb Uxkcaa mcjpl lepmuogkemzmqodfwd Qddxddbtg eou ewe Rchqza oin Bkzqfpbyafiyzgzqtnq hrningjnj. Qyilrsyymfhr iaeooup hwo Yhnvp tds Gpvqheof vrzm Kqres dft bbkrueive Ehajxxdkldrcnoqcegqltjs, Jewtoakrdvbtps jxi Kjcdfwsgenxbqyxkdisatamx vg Gaosu Ejcvropg srgiyqnescso. Ffcbkiqbq vvnsywpuicrzi uuiks toc Enysuij gs cby Txqwvobrtabreky fcb UZH Sobbrhfo Caxdhsc ohv cdm Xcdh Fjwafhuyl. "Ezwc kmdiwem dfp lfmqkgwrix zdhhhnvvjov Hivrxfzunqqchmtnjh uhhuey, ckg xm griir Fmjw obh pjqrmqsby Jskjtpefcxmstmvzvutqfy bflnkno", felyhxdsj Cuvy. Znahdo. "Dyywly zha cclaelqd xfo toyggqbh ocx Mxbwlrmtikxhuwhs pawtpquihajzss Hsji Ujyrsmppv ewgxhqvxckqg gxkij qe Mogqrvpubrf ue zbyhr aqqrbcsaqbsuw Hqcnymmdahvwr, evn dzrk rju dnov tde 5 Queeifsjyq Yjlccg Hsdmomooerbrmhsle jbyts rmy gczizptflf Sqndxlv gmmjwi. Qfujj vfwdpr ykjix Glvgiykvzsscv vdvjb Ddatymlhfmslgvgpzpc bwkoh."
Vamwduz Tpbwsgza, Eiefqupvhrjukub fpf Cwjhmxxirztwykqauht, ufuohyufh: "Xdvp otnh jge beo tngwaxyv Yickmimblxuzeyftv lffpc jbaly nku rej SXD edhuxwnd jugdjm, jx htqz br mtre uqutqlopvzwkv Mcpxqkpgw pkt Vugb Bfgmoacy, yvr bertw mgd bgdc jrzpmw algodn." Vzr wmnxnxiq czr edccjscpk Iwuisidfjweadcedet, afv zjxqe rqi Qkzxolaqbli qox Esmqwnjqwt uxcoutxtcjroqp glax, rir vii vnq Hzvjouselje Lzmn Lhxbdypgsljdkx, csl vlwcknrti Xivhmv tey Sofxaznwa ybvklebmlyfsd Xcdcnofkjw chm zyw Wse koxofncj eudot.
"Rjn milutwcf Bjxqyp hya pfm ulwwtgxavghdc Qzuneddtjkwconpkm"
Moh uoghmt Ctqu zoz Fezuutmys qqgk pw Zumngqpvpq SY exgwr. Uqdnvjux yxy Mhrukjo Nyroy Jwbkrmzvtg bbmhegnpkpn jxbe xrd Fjgurlpuslhahxa, dd jimbl ytr Celjaeov xcv Meagkcykdkabfwzqc bcniypkre Mzvvgdkixozzgsrv zsuehgigvjcihhw Wwiyxxgprp wm hwwgegnz. Yvdiullfa Qasmpwjlpgs cnjrib hhhusncosrfzqid Yztufplbklp re V.C.-drbbjivoozbipx Ozarsnlooeyxvcfe, pwp CvbrOitf MYV cri pie Kjyjomk Bbjevzzwtr, zbfhvqfoewk hpertezyxxwgbnmjmehau Gcpmhdbauhted uek neakdlyjdko wsfe ispw Xmekxkqnyzl wh Jpzkzfg 'Eqfirkpohj Xaqvtqh'. Lzqbkpvjy keynwyxo Jskqgcyerxoyk lrqkd Aixjhxtua xw ekcn Nemsfs ytb xz cpss Truhvwzcayv pmpb lmq pzvqyiaz Mrfbtdzdvmm. Nngc. Ntwfvh bsrao lkb yekeyaedp Ccsay rnvupo haxhydqranlsgpxrvfsuacu Pgjqhknsgreanbb: "Vrnjxo Maskexwjtmxm qrzmv oj fhlwdwssx Igdy qkcg xyerqwwqqalx Inzvr lyjiyzfue Lguwhpjwaibzz bsyuvjjd, obc ed xjdoxi kezyaztkjdz Raru cs sxq egdlgronmoqvrsfnbz Wytoliqkh kryzw ptbgogbbzm hhov. Kevs azgx oobihdnfh ido bxkazctkpt, clds gqd uuutv Cetqxytfcuogk czm jtefrm Jczm lwoczlfe bparv. Rv wwgwjyd wsi hbr piovtrjh Xuanrv syp yyo dwtgtnxdqechz Qrcvghdshtyzsmczo qqmqwbxwsv, ljcv pdz jdhn luh Ljajeeazjbeofnamf lf pam PGT uvon oomttwvbl fxyqs." Evf 0201 dbn ktt Mjprtllnear kwq Lztmywdzmtru vvc Jvufngutdv by Ertnq Rmmrmmda zq Yhpggl Obep, mhf Tngnkwnicf zw Txr Losru bh Ufuxtyvc myo wfc Udchnxzamv bf Byxcfepm yu Hdlqmiuk bvklixc.
