Tuesday, October 5, 2010

[EQ] Euro Observer: The challenges of hospital payment systems

Hospital payment systems in Europe

Euro Observer - The Health Policy Bulletin of the European Observatory on Health Systems and Policies
Autumn 2010 Volume 12, Number 3

Available online PDF [12p.] at: http://bit.ly/aykuFq

Case studies on Germany, the Netherlands and Finland.

“……Spending on hospital services has historically been one of the largest shares of total health care expenditures for the majority of countries in Europe and the developed world.1

According to the OECD, hospital spending on average accounted for approximately one third of total current expenditure on health care in European OECD countries in 2008, ranging from 26.7% in Slovakia to 46.9% in Sweden (See Table 1).

 

In some countries in the WHO European region, particularly in CIS countries, inpatient expenditures as a share of total health care expenditures has at times been over 70%.2 As hospitals continue to consume a considerable share of health care resources, policymakers have looked to new payment strategies to ensure that care is delivered efficiently. Hospital financiers are faced with the difficult task of designing systems aligning patient needs and provider incentives in order to obtain the best possible value for money….”

The financial incentives underlying hospital payment systems ultimately affect providers’ organizational structure and treatment patterns. In the past, most European countries paid for hospital care through payment systems such as global fixed budgets, fixed rates per admission or per diem rates based on the number of bed days. Each of these systems encourages different approaches to providing hospital care…..”

Contents

- The challenges of hospital payment systems

- DRG-type hospital  payment in Germany: The G-DRG system

- Structural reforms and hospital payment in the Netherlands

- Financing of hospital care in Finland


Editor Anna Maresso

Editorial Team: Josep Figueras, Martin McKee, Elias Mossialos, Sarah Thomson



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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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[EQ] Equity-Oriented Toolkit for Health Technology Assessment (HTA)

Equity-Oriented Toolkit for Health Technology Assessment (HTA)

The WHO Collaborating Centre for Knowledge Translation and Health Technology Assessment in Health Equity, housed at the Centre for Global Health at the University of Ottawa, is currently in the process of updating and expanding its Equity-Oriented Toolkit.

Website: http://bit.ly/9HH5Wy

The Equity -Oriented Toolkit is based on a needs-based model of HTA. It provides tools that explicitly consider health equity at each of the four steps of health technology assessment:
1) Burden of Illness,
2) Community Effectiveness,
3) Economic Evaluation,
4) Knowledge Translation and Implementation.

It also incorporates concepts of health impact assessment within the HTA process. They are seeking suggestions on validated and widely disseminated HTA tools that explicitly consider health equity and that are relevant to the toolkit.

These tools may be specific analytical methods such as the Disability-Adjusted Life Years, checklists such as the Health Impact Screening Checklist, software programs such as the Harvard Policy Maker, databases such as The Cochrane Library, etc.

For more information on the Toolkit and additional examples of tools to be included, or suggestions of tools to be considered, please contact
Maria Benkhalti Jandu Maria.benkhalti@uottawa.ca

 



 *      *     *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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[EQ] Perspectives on Global Development 2010: Shifting Wealth

Perspectives on Global Development 2010: Shifting Wealth

OECD Development Centre 2010

Website: http://bit.ly/a42W0l

“….Shifting Wealth examines the changing dynamics of the global economy over the last 20 years, and in particular the impact of the economic rise of large developing countries, such as China and India, on the poor. It details new patterns in assets and flows within the global economy and highlights the strengthening of “south-south” links – the increasing interactions between developing countries through trade, aid and foreign direct investment.

 

What do these changes imply for development and development policy?
The report explores potential policy responses at both national and international levels.
Nationally, developing countries' need to re-position their development strategies to capitalise on the increasing potential of south-south co-operation and to fully benefit from new macroeconomic drivers. Internationally, the global governance architecture needs to adjust to better reflect current economic weights…”

Summaries of the report

*       Perspectives on Global Development in 60 seconds - download the quick-read guide (also in French)

*       Multilingual summaries (English; French; Chinese; German; Portuguese; Spanish)

 Working Papers and Background Papers

 

*       DEV Working Paper 285: The emerging middle class in developing countries, Homi Kharas

*       DEV Working Paper 289South America for the Chinese? A trade-based analysis, Eliana Cardoso and M├írcio Holland

*       PGD Background Paper: How China is influencing Africa's development, Martyn Davies

*       PGD Background Paper: Much Ado About Nothing?
                                                  Outward MNE activity from developing countries and its importance for home and host country,
                                                  Rajneesh Narula

*       PGD  Background Paper: Urbanization, hukou system and government land ownership:
                                                  effects on rural migrant workers and on rural and urban hukou residents, Yasheng Huang

*       PGD Background Paper: Growth, Inequality, and Poverty Reduction under the Regime of ‘Shifting Wealth’:
                                                  The Global Evidence, Augustin Fosu

*       PGD Background Paper: Access to financial services in emerging powers: facts, obstacles and policy implications,
                                                 Liliana Rojas-Suarez


 

Other background papers:

*       PGD Background Paper: Shifting Economic Power, John Whalley


Articles

*       Does South Asia run the risk of rising inflation?

*       The 0.85 percent solution for low-income countries

*       Old habits, new donors

*       A tangled web by Amar Bhattacharya

 


 

 *      *     *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
------------------------------------------------------------------------------------
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Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
Twitter http://twitter.com/eqpaho

 





IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
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any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.

Thank you.