HEN: Financing & Budgeting (Topic)最新文献

The Effects of Health Spending on the Propagation of Infectious Diseases 卫生支出对传染病传播的影响

HEN: Financing & Budgeting (Topic) Pub Date : 2020-03-23 DOI: 10.2139/ssrn.3559097

Marcelo Castro, Enlinson Mattos, Fernanda Patriota

引用次数: 3

The Financial Feasibility of the National Health Insurance Program of the Philippines: A Mathematical Modelling Study 菲律宾国家健康保险方案的财务可行性:数学模型研究

HEN: Financing & Budgeting (Topic) Pub Date : 2018-05-19 DOI: 10.2139/ssrn.3181144

G. David, E. Kocot

引用次数: 0

Healthcare in the Home: How Distributed Health Service Delivery Can Reduce Costs and Improve Outcomes 家庭医疗保健:分布式医疗服务如何降低成本并改善结果

HEN: Financing & Budgeting (Topic) Pub Date : 2015-01-16 DOI: 10.2139/SSRN.2550739

Philip E. Auerswald

引用次数: 4

Readmission and Hospital Quality Under Prospective Payment System 前瞻性支付制度下的再入院率和医院质量

HEN: Financing & Budgeting (Topic) Pub Date : 2013-11-06 DOI: 10.2139/ssrn.2350689

C. Guccio, D. Lisi, G. Pignataro

{"title":"Readmission and Hospital Quality Under Prospective Payment System","authors":"C. Guccio, D. Lisi, G. Pignataro","doi":"10.2139/ssrn.2350689","DOIUrl":"https://doi.org/10.2139/ssrn.2350689","url":null,"abstract":"Nowadays different healthcare policies in OECD countries seem to consider hospital readmissions somehow “quality dependent”. Nonetheless, the theoretical literature on the incentives provided by payment systems tend to disregard this aspect, which indeed might be relevant in driving providers’ behaviour. In this paper we study the incentives for hospitals to provide quality and cost-reducing effort under different payment regimes, either a global budgeting or a prospective payment system, considering explicitly the role played by financial incentives directly linked to readmissions. As far as the specific results about quality are concerned, we find that prospective payment systems do not necessarily perform better than retrospective systems if the reimbursement to hospitals is not adjusted to take into account specific outcome-based indicators of quality, such as readmissions. More specifically, if patients readmitted are fully paid to hospitals, moving from a retrospective to a prospective payment systems might even induce a reduction on quality and, in turn, an increase in readmission probability. However, if the prospective payment system is adjusted for internalizing this counter-incentive, by a different payment for patients readmitted, it could be able to foster a higher treatment quality through the competition channel.","PeriodicalId":403132,"journal":{"name":"HEN: Financing & Budgeting (Topic)","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123238257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

The Risk of Out-of-Pocket Health Care Expenditure at End of Life 生命末期自费医疗保健支出的风险

HEN: Financing & Budgeting (Topic) Pub Date : 2010-07-01 DOI: 10.3386/W16170

Samuel M. Marshall, K. Mcgarry, J. Skinner

引用次数: 78

Subnational Health Spending and Soft Budget Constraints in OECD Countries 经合组织国家的次国家卫生支出和软预算限制

HEN: Financing & Budgeting (Topic) Pub Date : 2010-06-01 DOI: 10.5089/9781455201303.001.A001

Thomas Stratmann, Ernesto Crivelli, Adam A. Leive

引用次数: 45

Mental Health Financing and Purchasing in Four Eastern European Countries 东欧四国的心理健康融资与采购

HEN: Financing & Budgeting (Topic) Pub Date : 2009-08-08 DOI: 10.2139/ssrn.1810080

G. Cosoveanu, M. Dlouhý, H. Hinkov, Pavol Čižmárik

{"title":"Mental Health Financing and Purchasing in Four Eastern European Countries","authors":"G. Cosoveanu, M. Dlouhý, H. Hinkov, Pavol Čižmárik","doi":"10.2139/ssrn.1810080","DOIUrl":"https://doi.org/10.2139/ssrn.1810080","url":null,"abstract":"The objectives of this international comparison are: a) to describe and analyze the current status of mental health financing and purchasing in Romania, the Czech Republic, Slovakia, Bulgaria; b) to identify common trends as well as national specifics in mental health financing and purchasing and find opportunities for transfer of knowledge and experience among the countries, c) to improve understanding of the attitudes towards mental health services in the countries. Methods: The country-specific information was obtained by a questionnaire that was developed by the research team in the project “Finance and Mental Health Services Training in Czech Republic/Central Europe”, sponsored by the U.S. National Institutes of Health John E. Fogarty International Center. The questionnaire includes both quantitative and qualitative information on the mental health policy, health services, financing and purchasing.Results: In all countries, the tax-financed system was transformed to public health insurance one, though the countries differ in the implementation. The Czech Republic and Slovakia have multiple health insurance funds; Romania has the national unique social health insurance fund administrated by the National Health Insurance House through its district houses and Bulgaria run one national health insurance fund. The compulsory social health insurance system secures that citizens have access to mental health services. The Czech Republic and Slovakia do not have any separate budget for mental health care; mental health care is financially integrated with other services. In Romania is the Mental Health National Program developed by the Health Ministry through the national unique social health insurance fund. Bulgaria is the only country in which inpatient care for the mentally ill is financed from the state budget and outpatient care is financed from health insurance.","PeriodicalId":403132,"journal":{"name":"HEN: Financing & Budgeting (Topic)","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123294375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alternative Compensation Arrangements and Productive Efficiency in Partnerships: Evidence from Medical Group Practice 替代补偿安排和合作伙伴的生产效率:来自医疗集团实践的证据

HEN: Financing & Budgeting (Topic) Pub Date : 1987-02-01 DOI: 10.3386/W2170

M. Gaynor, M. Pauly

{"title":"Alternative Compensation Arrangements and Productive Efficiency in Partnerships: Evidence from Medical Group Practice","authors":"M. Gaynor, M. Pauly","doi":"10.3386/W2170","DOIUrl":"https://doi.org/10.3386/W2170","url":null,"abstract":"Although the role of the services sector in the economy has grown increasingly large, and partnerships are a prevalent form of organization in this sector, relatively little is known about the behavior and performance of these firms. In this paper an attempt is made to fill that gap by developing and testing a model of the effect of alternative compensation arrangements on productive efficiency in medical group practices. The technique employed is two-stage production frontier estimation. This technique provides direct estimates of productive efficiency and allows for differences across agents in ability or responsiveness to financial incentives. In the frontier literature productive efficiency is assumed to be exogenously given. In this paper it is determined endogenously, thus a simple econometric technique correcting for this endogeneity in estimating the production frontier is employed. In addition, the measures of efficiency themselves can be made dependent variables for explicit econometric analysis of the determinants of efficiency. Overall, the empirical results are consistent with theoretical work on internal theory of the firm, which predicts that productivity compensation schemes will work well for firms with non-joint production and observable output. These two criteria are met by medical group practices. The treatment of measured efficiency as an endogenous variable is unique and allows some interesting insights into the determinants of productive efficiency. We find that relating compensation to productivity does increase the quantity and efficiency of production, as theory has hypothesized. The number of members in a group decreases both the quantity produced and the efficiency with which that output is produced. Experience does lead to greater productivity and efficiency. Medical groups in general are measured as being no less efficient than an average manufacturing firm, but Health Maintenance Organizations are less efficient than average.","PeriodicalId":403132,"journal":{"name":"HEN: Financing & Budgeting (Topic)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126053391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20