Heinz Rothgang
Datos Biográficos
| ID | 4137129 |
|---|---|
| NOMBRE | Heinz Rothgang |
| NOMBRES | Heinz |
| APELLIDO | Rothgang |
| FIRMA | ROTHGANG H |
| AFILIACIONES | University of Bremen |
| ORCID | 0000-0001-6529-2129 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 30 |
| TOTAL DE CITAS | 106 |
| TOTAL COMO AUTOR | 28 |
| TOTAL COMO EDITOR | 2 |
| PRIMER AÑO DE PUBLICACIÓN | 1990 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 6 |
The origins of social protection in healthcare
Pflegeinnovationen in der Praxis
Dieses Buch blickt in die "Zukunft der Pflege“ mit Hinweisen und Erkenntnissen für den Einsatz von digitalen Innovationen im Pflegealltag.
Migrants to the Rescue? Care Workforce Migrantisation on the Example of Elder Care in Germany
The share of migrant workers in the long-term care (LTC) workforce across the world has been increasing. Despite similar trends in terms of overall LTC migrantisation, countries differ in the ways in which migrant workers are involved in national care regimes. Previous research identified several modes of migrantisation, including the “migrant in the family” and “migrant in formal care” outcomes. In the literature, the emergence of each mode is e…
Social Health among German Nursing Home Residents with Dementia during the Covid-19 Pandemic, and the Role of Technology to Promote Social Participation
The COVID-19 pandemic severely impacted the social health of nursing home residents with dementia due to social isolation. Consequently, the frequency of Behavioral and Psychological Symptoms in Dementia (BPSD) might increase. Technological solutions might help safeguard the social health of nursing home residents with dementia. This study investigates the impacts of the COVID-19 pandemic on clinical outcomes and the availability of social activi…
Covid-19 in German Nursing Homes
The COVID-19 pandemic constitutes an exceptional risk to people living and working in nursing homes (NHs). There were numerous cases and deaths among NH residents, especially at the beginning of the pandemic when no vaccines had yet been developed. Besides regional differences, individual NHs showed vast differences in the number of cases and deaths: while in some, nobody was affected, in others, many people were infected or died. We examine the …
Comparing long‐term care systems
Like other fields of social policy, the organization of long‐term care (LTC) varies temporally and geographically. The present article aims to advance the comparison of LTC systems worldwide by proposing a conceptual framework to analyse variation, putting a special focus on analysing the role of public and private actor types. In a precluding literature review of existing LTC typologies, we find that there are various promising classification ap…
Effectiveness of a Dental Intervention to Improve Oral Health among Home Care Recipients
We quantified the effectiveness of an oral health intervention among home care recipients. Seven German insurance funds invited home care recipients to participate in a two-arm randomized controlled trial. At t 0 , the treatment group (TG) received an intervention comprising an oral health assessment, dental treatment recommendations and oral health education. The control group (CG) received usual care. At t 1 , blinded observers assessed objecti…
Taking stock of Covid-19 policy measures to protect Europe’s elderly living in long-term care facilities
The current COVID-19 pandemic has come to impact all areas of life involving the health, psycho-social and economic wellbeing of individuals, as well as all stages of life from childhood to old age. Particularly, the frail elderly have had to face the gravest consequences of the disease; while reporting measures tend to differ between countries making direct comparisons difficult, national statistics worldwide point to a disproportionate and stag…
Differences in medical specialist utilization among older people in need of long-term care – results from German health claims data
The findings indicate that inequalities in medical specialist utilization exist between elderly with differing levels of long-term care need because differences in morbidity were controlled for. Elderly with higher need of long-term care might face more access barriers to specialist medical care
Pflegeversicherung folgt Krankenversicherung„ – fundamentale Fehlentscheidung oder zukunftsträchtiges Modell
In diesem Beitrag werden zwei Grundentscheidungen betrachtet, die bei Einführung der Pflegeversicherung getroffen wurden und das System bis heute prägen: der Verzicht auf Kassenwettbewerb und die Dualität von Sozial- und Privatversicherung. Dabei zeigt sich, dass das Nebeneinander von Kassenwettbewerb in der Krankenversicherung und "Einheitskasse„ in der Pflegeversicherung zu Fehlanreizen führt, die zu geringe Rehabilitationsanstrengungen bei Pfl…
Promoting community readiness for physical activity among older adults in Germany – protocol of the ready to change intervention trial
German Clinical Trials Register DRKS00009564 (Date of registration 03-11-2015)
Economic performance evaluation of integrated care models
Purpose: Transparency of economic performance is a basic prerequisite for a further dissemination of integrated care systems (ICS). However, in practice a valid and precise evaluation is seldom performed and if performance is measured diverse evaluation methods are used. Therefore it is difficult to compare the economic outcomes of different ICS. The aim of this article is to propose a generic model for measuring economic performance of ICS
Five types of OECD healthcare systems
Fiscal and Social Policy
Solidarität in der Pflegeversicherung
Im Pflege-Versicherungsgesetz wurde eine Soziale Pflegeversicherung und eine private Pflegepflichtversicherung eingeführt, die gemeinsam praktisch die gesamte Bevölkerung erfassen. Der Gesetzgeber hat damit “eine Pflegevolksversicherung in Gestalt zweier Versicherungszweige geschaffen“ (Bundesverfassungsgericht). Beide Zweige sind sozial überformt und erkennbar dem Solidaritätsprinzip verpflichtet, allerdings unterscheiden sie sich hinsichtlich i…
The State and Healthcare
Describes developments in healthcare systems over nearly four decades. Combining cross-sectional studies on healthcare financing, provision and policy values with in-depth country studies of Britain
Long‐Term Care
State and Healthcare
The Self-Regulatory German Healthcare System Between Growing Competition and State Hierarchy
This article focuses on the changing role of the state in financing, providing and regulating health care services under the German health care system from 1970-2000. While a reduced role of the state can be observed in terms of financing, our analysis of service provision indicates inconsistent developments. Monetary resource flow analyses indicate a decrease in private service provision as a percentage of total health expenditure, but when anal…
Social Insurance for Long‐term Care
After fifteen years of existence, Germany's long‐term care insurance shows both successes and weaknesses. The latter led to the 2008 reform, which concentrated on quality improvements, care management and careful adjustments of benefits. While attempts to improve quality and care management contain promising elements, new rules for adjustment are disappointing. This is also true for the issue of future financing as the modest increase in the cont…
Governance of Welfare State Reform
Healthcare System Types
This article addresses the need to establish a comprehensive conceptual framework for analysing healthcare systems and their transformations. It begins by offering an overview of the current state of the art in the field, pointing to the literature's absence of conceptual robustness in the definition of system types. By exploring the dimensions ‘financing’, ‘provision’ and ‘regulation’ of healthcare, the article then proceeds deductively in line …
Modelling an entitlement to long-term care services for older people in Europe
As the numbers of older people rise in Europe, the importance of long-term care services in terms of numbers of users and expenditures can be expected to grow. This article examines the implications for expenditure in four countries of a national entitlement to long-tem care services for all older people, based on assessed dependency. It is based on a European Commission-funded cross-national study, which makes projections to 2050 of long-term ca…
Projecting Long-Term Care Expenditure in Four European Union Member States
Future long-term care expenditure in Germany, Spain, Italy and the United Kingdom
This paper reports findings from a European Commission funded study of future long-term care expenditure in Germany, Italy, Spain and the United Kingdom, and presents projections of future long-term care expenditure in the four countries under a number of assumptions about the future. Macro-simulation (or cell-based) models were used to make comparable projections based on a set of common assumptions. A central base-case served as a point of comp…
Healthcare System Types
This article addresses the need to establish a comprehensive conceptual framework for analysing healthcare systems and their transformations. It begins by offering an overview of the current state of the art in the field, pointing to the literature's absence of conceptual robustness in the definition of system types. By exploring the dimensions ‘financing’, ‘provision’ and ‘regulation’ of healthcare, the article then proceeds deductively in line …
The changing role of the state in healthcare systems
This article focuses on two major questions concerning the changing role of the state in the healthcare systems of OECD countries. First, we ask whether major changes in the level of state involvement (in healthcare systems) have occurred in the past 30 years. Given the fact that three types of healthcare system, each of which is characterized by a distinct role of the state, evolved during the ‘Golden Age’, we discuss how this distinctiveness – …
Future long-term care expenditure in Germany, Spain, Italy and the United Kingdom
This paper reports findings from a European Commission funded study of future long-term care expenditure in Germany, Italy, Spain and the United Kingdom, and presents projections of future long-term care expenditure in the four countries under a number of assumptions about the future. Macro-simulation (or cell-based) models were used to make comparable projections based on a set of common assumptions. A central base-case served as a point of comp…
Modelling an entitlement to long-term care services for older people in Europe
As the numbers of older people rise in Europe, the importance of long-term care services in terms of numbers of users and expenditures can be expected to grow. This article examines the implications for expenditure in four countries of a national entitlement to long-tem care services for all older people, based on assessed dependency. It is based on a European Commission-funded cross-national study, which makes projections to 2050 of long-term ca…
Projecting Long-Term Care Expenditure in Four European Union Member States
Social Insurance for Long‐term Care
After fifteen years of existence, Germany's long‐term care insurance shows both successes and weaknesses. The latter led to the 2008 reform, which concentrated on quality improvements, care management and careful adjustments of benefits. While attempts to improve quality and care management contain promising elements, new rules for adjustment are disappointing. This is also true for the issue of future financing as the modest increase in the cont…
Comparing long‐term care systems
Like other fields of social policy, the organization of long‐term care (LTC) varies temporally and geographically. The present article aims to advance the comparison of LTC systems worldwide by proposing a conceptual framework to analyse variation, putting a special focus on analysing the role of public and private actor types. In a precluding literature review of existing LTC typologies, we find that there are various promising classification ap…
The State and its Welfare State
With respect to changes in the welfare states of OECD countries, scholars most of the time are looking for common trends; that is, they look for similar movements in different states, such as welfare state retrenchment, recalibration, etc. As we show in this article, data on welfare state spending and financing do not, however, support such stark tendencies like retrenchment. We therefore suggest looking for corridor effects rather than level eff…
Der „eindimensionale“ Akteur
In diesem Artikel werden zwei Modelle eingeschränkter Rationalität („bounded rationality“), die als Antwort auf Kritik an „traditionellen“ Rational-Choice-Modellen im Hinblick auf ihre unrealistischen Annahmen bezüglich kognitiver Kapazitäten formuliert wurden, einer kritischen Prüfung unterzogen. Besonderes Augenmerk wird dabei neben der formalen und inhaltlichen Kritik der mehrdeutigen Verwendung des Frame-Begriffs in diesen beiden Modellen von…
Taking stock of Covid-19 policy measures to protect Europe’s elderly living in long-term care facilities
The current COVID-19 pandemic has come to impact all areas of life involving the health, psycho-social and economic wellbeing of individuals, as well as all stages of life from childhood to old age. Particularly, the frail elderly have had to face the gravest consequences of the disease; while reporting measures tend to differ between countries making direct comparisons difficult, national statistics worldwide point to a disproportionate and stag…
Die Friedens- und Umweltbewegung in Großbritannien
Der „eindimensionale“ Akteur
In diesem Artikel werden zwei Modelle eingeschränkter Rationalität („bounded rationality“), die als Antwort auf Kritik an „traditionellen“ Rational-Choice-Modellen im Hinblick auf ihre unrealistischen Annahmen bezüglich kognitiver Kapazitäten formuliert wurden, einer kritischen Prüfung unterzogen. Besonderes Augenmerk wird dabei neben der formalen und inhaltlichen Kritik der mehrdeutigen Verwendung des Frame-Begriffs in diesen beiden Modellen von…
Der Wandel der Staatlichkeit im Gesundheitswesen von OECD-Ländern - Fragestellungen, Untersuchungsdesign und erste Ergebnisse
In the framework of the DFG-Research-Unit 597 "Transformation of the State" is Project C3 investigating the change of the role of the state in health care systems in OECD-countries between 1970 and 2000. The primary research hypothesis is, that a tendency of convergence exists regarding the role of the state for the three main dimensions of health care systems, namely service provision, financing and regulation. This is carried out firstly based …
The changing role of the state in healthcare systems
This article focuses on two major questions concerning the changing role of the state in the healthcare systems of OECD countries. First, we ask whether major changes in the level of state involvement (in healthcare systems) have occurred in the past 30 years. Given the fact that three types of healthcare system, each of which is characterized by a distinct role of the state, evolved during the ‘Golden Age’, we discuss how this distinctiveness – …
Future long-term care expenditure in Germany, Spain, Italy and the United Kingdom
This paper reports findings from a European Commission funded study of future long-term care expenditure in Germany, Italy, Spain and the United Kingdom, and presents projections of future long-term care expenditure in the four countries under a number of assumptions about the future. Macro-simulation (or cell-based) models were used to make comparable projections based on a set of common assumptions. A central base-case served as a point of comp…
The State and its Welfare State
With respect to changes in the welfare states of OECD countries, scholars most of the time are looking for common trends; that is, they look for similar movements in different states, such as welfare state retrenchment, recalibration, etc. As we show in this article, data on welfare state spending and financing do not, however, support such stark tendencies like retrenchment. We therefore suggest looking for corridor effects rather than level eff…
Modelling an entitlement to long-term care services for older people in Europe
As the numbers of older people rise in Europe, the importance of long-term care services in terms of numbers of users and expenditures can be expected to grow. This article examines the implications for expenditure in four countries of a national entitlement to long-tem care services for all older people, based on assessed dependency. It is based on a European Commission-funded cross-national study, which makes projections to 2050 of long-term ca…
Projecting Long-Term Care Expenditure in Four European Union Member States
Governance of Welfare State Reform
Healthcare System Types
This article addresses the need to establish a comprehensive conceptual framework for analysing healthcare systems and their transformations. It begins by offering an overview of the current state of the art in the field, pointing to the literature's absence of conceptual robustness in the definition of system types. By exploring the dimensions ‘financing’, ‘provision’ and ‘regulation’ of healthcare, the article then proceeds deductively in line …
The State and Healthcare
Describes developments in healthcare systems over nearly four decades. Combining cross-sectional studies on healthcare financing, provision and policy values with in-depth country studies of Britain
Long‐Term Care
State and Healthcare
The Self-Regulatory German Healthcare System Between Growing Competition and State Hierarchy
This article focuses on the changing role of the state in financing, providing and regulating health care services under the German health care system from 1970-2000. While a reduced role of the state can be observed in terms of financing, our analysis of service provision indicates inconsistent developments. Monetary resource flow analyses indicate a decrease in private service provision as a percentage of total health expenditure, but when anal…
Social Insurance for Long‐term Care
After fifteen years of existence, Germany's long‐term care insurance shows both successes and weaknesses. The latter led to the 2008 reform, which concentrated on quality improvements, care management and careful adjustments of benefits. While attempts to improve quality and care management contain promising elements, new rules for adjustment are disappointing. This is also true for the issue of future financing as the modest increase in the cont…
Solidarität in der Pflegeversicherung
Im Pflege-Versicherungsgesetz wurde eine Soziale Pflegeversicherung und eine private Pflegepflichtversicherung eingeführt, die gemeinsam praktisch die gesamte Bevölkerung erfassen. Der Gesetzgeber hat damit “eine Pflegevolksversicherung in Gestalt zweier Versicherungszweige geschaffen“ (Bundesverfassungsgericht). Beide Zweige sind sozial überformt und erkennbar dem Solidaritätsprinzip verpflichtet, allerdings unterscheiden sie sich hinsichtlich i…
Fiscal and Social Policy
Five types of OECD healthcare systems
Economic performance evaluation of integrated care models
Purpose: Transparency of economic performance is a basic prerequisite for a further dissemination of integrated care systems (ICS). However, in practice a valid and precise evaluation is seldom performed and if performance is measured diverse evaluation methods are used. Therefore it is difficult to compare the economic outcomes of different ICS. The aim of this article is to propose a generic model for measuring economic performance of ICS
Pflegeversicherung folgt Krankenversicherung„ – fundamentale Fehlentscheidung oder zukunftsträchtiges Modell
In diesem Beitrag werden zwei Grundentscheidungen betrachtet, die bei Einführung der Pflegeversicherung getroffen wurden und das System bis heute prägen: der Verzicht auf Kassenwettbewerb und die Dualität von Sozial- und Privatversicherung. Dabei zeigt sich, dass das Nebeneinander von Kassenwettbewerb in der Krankenversicherung und "Einheitskasse„ in der Pflegeversicherung zu Fehlanreizen führt, die zu geringe Rehabilitationsanstrengungen bei Pfl…
Promoting community readiness for physical activity among older adults in Germany – protocol of the ready to change intervention trial
German Clinical Trials Register DRKS00009564 (Date of registration 03-11-2015)
Differences in medical specialist utilization among older people in need of long-term care – results from German health claims data
The findings indicate that inequalities in medical specialist utilization exist between elderly with differing levels of long-term care need because differences in morbidity were controlled for. Elderly with higher need of long-term care might face more access barriers to specialist medical care
Effectiveness of a Dental Intervention to Improve Oral Health among Home Care Recipients
We quantified the effectiveness of an oral health intervention among home care recipients. Seven German insurance funds invited home care recipients to participate in a two-arm randomized controlled trial. At t 0 , the treatment group (TG) received an intervention comprising an oral health assessment, dental treatment recommendations and oral health education. The control group (CG) received usual care. At t 1 , blinded observers assessed objecti…
Taking stock of Covid-19 policy measures to protect Europe’s elderly living in long-term care facilities
The current COVID-19 pandemic has come to impact all areas of life involving the health, psycho-social and economic wellbeing of individuals, as well as all stages of life from childhood to old age. Particularly, the frail elderly have had to face the gravest consequences of the disease; while reporting measures tend to differ between countries making direct comparisons difficult, national statistics worldwide point to a disproportionate and stag…
Migrants to the Rescue? Care Workforce Migrantisation on the Example of Elder Care in Germany
The share of migrant workers in the long-term care (LTC) workforce across the world has been increasing. Despite similar trends in terms of overall LTC migrantisation, countries differ in the ways in which migrant workers are involved in national care regimes. Previous research identified several modes of migrantisation, including the “migrant in the family” and “migrant in formal care” outcomes. In the literature, the emergence of each mode is e…
Medicine (16 obras) · Political science (16 obras) · Economics (15 obras) · Business (14 obras) · Social Policy and Reform Studies (11 obras) · Economic growth (10 obras) · Computer Science (9 obras) · Global Health Care Issues (8 obras) · Health care (8 obras) · Nursing (8 obras)