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Accessing HealthcareResponding to diversity$
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Judith Healy and Martin McKee

Print publication date: 2004

Print ISBN-13: 9780198516187

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198516187.001.0001

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New Citizens

New Citizens

East Germans in a United Germany

Chapter:
(p.127) Chapter 8 New Citizens
Source:
Accessing Healthcare
Author(s):

Judith Healy

Martin McKee

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198516187.003.0008

The unification of Germany in 1990 created a dual economy, but resulted in health, wealth, and income gaps between old and new länder in the federal system of government. The eastern health care model was superseded by the western model in the new unified Germany. The population in the eastern part of the country subsequently experienced a dramatic improvement in life expectancy, primarily due to better health care. There was little discussion during reunification about maintaining some aspects of the east German health system, which may had improved health outcomes. The policy wheel has turned again with renewed interest in some eastern aspects such as ‘integrated care’ and policlinics.

Keywords:   east Germans, German unification, policlinics, dual economy, integrated care

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