Is the public health a subordinate of nhs

From healthcare to healthcare - implications for patients and doctors

Doing good for those who suffer pp 139-152 | Cite as

Conference paper
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In the 19th century, the state sought to meet the needs of the armies and factories for healthy soldiers and workers with the help of education, hygiene, doctors and social security systems. Public health came into being. The doctor-patient relationship was determined by a pronounced asymmetry of information and communication. The doctor was the decision maker and the patient behaved passively (paternalistic model).

In the second half of the 20th century, accelerated medical progress, high levels of public and private investment in medical care structures, and extensive social legislation resulted in a complex health system. The doctor-patient relationship was developed into a structured communication process using the findings of medical sociology and psychology. Decisions are made at the end of an interactive process between doctor and patient (partnership model).

In the 21st century, every tenth job in Germany has something to do with health. The health economy is one of the largest sub-sectors of the German economy. For the first time in history, illness - from a purely economic point of view - can have positive effects on the development of the national economy. Patients are being wooed as customers and should decide for themselves. The doctor only serves as a provider of information (consumer model).

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© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Friedrich-Alexander-Universität Erlangen-NürnbergMöhrendorfGermany