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Muddling-Through in der Langzeitpflege? Herausforderungen und Lösungsansätze für eine bessere Koordination zentraler Finanzierungsfragen

Authors: Blatter, Hannes; Willisegger, Jonas;

Muddling-Through in der Langzeitpflege? Herausforderungen und Lösungsansätze für eine bessere Koordination zentraler Finanzierungsfragen

Abstract

Grundsätzlich ist die heutige Pflegefinanzierung im Krankenversicherungsgesetz (KVG) und in den entsprechenden Ausführungsbestimmungen geregelt. Diese Regelungen reichen aber nicht aus, um die Finanzierungsfragen, die sich den Leistungserbringern und Kostenträgern im Alltag stellen, im Detail zu lösen. Es besteht keine Plattform oder Institution zur Lösungsfindung bei operativen Fragen zu Kosten- bzw. Tarifstrukturen und zur Finanzierung komplexer Pflegefälle in der Schweiz. Der vorliegende Arbeitsbericht fokussiert auf die institutionelle Dimension und untersucht die Frage nach dem nationalen Koordinationsbedarf im Bereich der Finanzierung der Langzeitpflege. Auf der Basis von Einschätzungen relevanter Akteure, die im Rahmen von vier leitfadengestützten Interviews zwischen Mai und Juni 2019 erhoben wurden, skizziert und beurteilt dieser Beitrag vier mögliche Lösungsansätze. Sie sollen einen Beitrag zur aktuellen politischen Debatte über die allfällige Koordination und die damit verbundenen Governance-Ansätze der Schweizer Pflegefinanzierung liefern.

+ ID der Publikation: hslu_75333 + Art des Beitrages: Wissenschaftliche Medien + Sprache: Deutsch + Letzte Aktualisierung: 2020-01-07 16:29:10

Country
Switzerland
Keywords

Schweiz, Muddling-Through, Finanzierung, Steuerung, Pflege, Langzeitpflege

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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