Healthy Ageing in Germany - Common Care and Insurance Funding : Institutional and Financial Dimension of Health Promotion for Older People

• Autorzy: Stanisława Golinowska , Kai Huter , Christoph Sowada , Milena Pavlova , Agnieszka Sowa , Heinz Rothgang
• Języki publikacji: EN

Abstrakty

EN

In Germany responsibilities for health promotion and prevention lies with a multitude of different actors and institutions. The institutional arrangement of health promotion is shaped by the German federal structure of the state on the one hand and by a health care system that is characterized by divided responsibilities between governmental organisations, self-administered bodies and non-governmental organisations on the other hand. Although federal-level programs are successfully implemented in the country, the attempt of the Federal government to consolidate and clarify responsibilities in the public health area meets resistance. The Preventive Health Care Act from 2015 is an attempt to strengthen health promotion, its effective impact will be for the future to show. Health promotion activities are initiated and provided by a variety of institutions: governmental, self-administered and voluntary (NGOs) often based on networks form. They cover activities on federal, Länder and local level. The Federal Ministry of Health and federal health agencies (specially BZgA) play an important role in this field. They created a number of health promotion regulation and activities initiatives which added to disease and addiction prevention. In health promotion for older people (HP4OP) programs, there is also a number of regionally and locally oriented initiatives. In this paper, we outline main features of the HP4OP activities in Germany with regard to institutions and financing mechanism. In addition, we describe health-targeting programmes/projects indicated as good practices:(a) established and developed in Germany and (b) provided by the European Commission with significant participation of German institutions. The multitude and variety of HP4OP programs differentiate positively German health system from other health systems in ageing countries. (original abstract)

Słowa kluczowe

EN

Health promotion; Elderly people; Insurances; Good practice

PL

Promocja zdrowia; Ludzie starsi; Ubezpieczenia; Dobre praktyki

• Czasopismo: Zdrowie Publiczne i Zarządzanie
• Rocznik: 2017
• Tom: 15
• Numer: nr 1
• Strony: 20--33

Twórcy

autor

Stanisława Golinowska

• Jagiellonian University, Krakow; The Institute of Labour and Social Studies, Warsaw

autor

Kai Huter

• University of Bremen; Maastricht University, The Netherlands

autor

Christoph Sowada

• Uniwersytet Jagielloński Collegium Medicum

autor

Milena Pavlova

• Maastricht University, The Netherlands

autor

Agnieszka Sowa

• Institute of Labour and Social Studies, Warsaw

autor

Heinz Rothgang

• University of Bremen, Germany

Bibliografia

• Busse R., Blümel M., Germany: health system review, "Health Systems in Transition" 2014; 16 (2): 1-331, http://www.euro.who.int/__data/assets/pdf_file/0008/255932/HiT-Germany.pdf?ua=1; accessed: 17.03.2016.
• Raphael D., The political economy of health promotion: part 1, national commitments to provision of the prerequisites of health, "Health Promotion International" 2011; 28 (1): 91-111.
• Robert Koch Institut, Gesundheitsberichterstattung des Bundes gemeinsam getragen von RKI und Destatis, Gesundheit in Deutschland, Berlin 2015.
• Kaba-Schönstein L., Gesundheitsförderung V: Die Entwicklung in Deutschland ab Mitte der 1980er Jahre, Leitbegriffe der Gesundheitsförderung, Bundeszentrale für gesundheitliche Aufklärung, letzte Aktualisierung am 15.02.2011, http://www.leitbegriffe.bzga.de/alphabetisches-verzeichnis/gesundheitsfoerderung-v-die-entwicklung-in-deutschland-ab-mitte-der-1980er-jahre/; accessed: 30.08.2016.
• Sitko S., Kowalska-Bobko I., Mokrzycka A., Zabdyr-Jamróz M., Domagała A., Magnavita N., Poscia A., Rogala M., Szetela A., Golinowska S., Institutional analysis of health promotion for older people in Europe, "BMC Health Services Research" 2016; 16 (Suppl. 5): 327.
• Blümel S., Akteure, Angebote und Strukturen in: Bundeszentrale für gesundheitliche Aufklärung (eds), Leitbegriffe der Gesundheitsförderung und Prävention, Verlag für Gesundheitsförderung, Werbach-Gamburg 2011.
• Kunkel T., Good practices in the field of health promotion and primary prevention, Germany Country Review, JA-Chrodis Project, Federal Centre for Health Education (BZgA), Cologne 2015, http://www.chrodis.eu/wp-content/uploads/2015/02/Germany-country-review; accessed: 14.09.2016.
• Walter U., Schwartz W., Prävention: Institutionen und Strukturen, in: Public Health Buch. Gesundheit und Gesundheitswesen, F.M. Schwartz (red.), Urban & Fischer, München 2003, 2012.
• Kooperationsverbund gesundheitsziele.de, Nationales Gesundheitsziel "Gesund älter werden", Bundesministerium für Gesundheit (red.), Berlin 2012, http://gesundheitsziele.de//cms/medium/814/Gesund_aelter_werden_020512.pdf; accessed: 30.08.2016.
• Statistisches Bundesamt, Gesundheit, Ausgaben, Wiesbaden 2015, https://www.destatis.de/DE/Publikationen/Thematisch/Gesundheit/Gesundheitsausgaben/AusgabenGesundheitLangeReihePDF_2120712.pdf?__blob=publicationFile; accessed: 10.03.2016.
• Häring H.-U., Fritsche A., Prävention des Typ-2-Diabetes. TULIP-Studie - Tübinger Lebensstil Interventionsprogramm, in: Stierle M., Stierle G., Roth B., Bertelsmannstiftung (eds), Deutscher Präventionspreis 2005. Gesund in der zweiten Lebenshälfte (50plus). Die Preisträger und Nominierten, Druckerei festge, Oelde 2005.
• Kuhlmann A., Koch K., Gesundheitsförderung und Prävention für ältere Menschen im Setting Kommune, Institut für Gerontologie an der Technischen Universität Dortmund, Dortmund 2009, http://www.kas.de/wf/doc/13261-1442-1-30.pdf; accessed:14.04.2016
• Gerlinger T., Präventionsgesetz, Leitbegriffe der Gesundheitsförderung, Bundeszentrale für gesundheitliche Aufklärung, letzte Aktualisierung am 12.07.2016, http://www.bzga.de/leitbegriffe/?id=angebote&idx=296; accessed: 20.10.2016.

Identyfikatory

DOI

10.4467/20842627OZ.17.004.6230