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Social values and health priority setting in Germany
1School of Public Policy, University College London, London, UK. katharina.kieslich.10@ucl.ac.uk
Journal of Health Organization and Management
|August 3, 2012
Summary
Germany
Area of Science:
- Health Policy and Systems Research
- Health Economics
- Social Sciences in Health
Background:
- Germany's healthcare system has undergone significant reforms in decision-making processes.
- The integration of health technology assessment (HTA) is a key development.
Purpose of the Study:
- To overview health priority-setting structures in Germany.
- To analyze the influence of social values on health decision-making.
- To investigate the role of the Institute for Quality and Efficiency in Health Care (IQWiG) in evidence-based decision-making.
Main Methods:
- Application of Clark and Weale's framework for Social Values and Health Priority Setting.
- Analysis of German healthcare decision-making within this framework.
- Examination of social values in various decision-making dimensions.
Main Results:
- The establishment of IQWiG signifies a formal integration of HTA in German healthcare.
- Germany's approach reflects unique social values and traditions within its self-governing statutory health insurance (SHI) system.
- The principle of solidarity is a core value in German health priority setting.
Conclusions:
- Introducing centralized HTA structures to a self-governing SHI system presents challenges.
- This study contributes to understanding diverse HTA forms, their embodied social values, and impact on health priority setting.
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