Paying For Performance In Health Care Implications For Health System Performance And Accountability

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Paying for Performance in Healthcare: Implications for Health System Performance and Accountability

Author : Cheryl Cashin,Y-Ling Chi,Michael Borowitz,Sarah Thompson
Publisher : McGraw-Hill Education (UK)
Page : 338 pages
File Size : 41,6 Mb
Release : 2014-09-16
Category : Medical
ISBN : 9780335264391

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Paying for Performance in Healthcare: Implications for Health System Performance and Accountability by Cheryl Cashin,Y-Ling Chi,Michael Borowitz,Sarah Thompson Pdf

Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries. However, evidence that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes is limited.This book explores the many questions surrounding P4P such as whether the potential power of P4P has been over-sold, or whether the disappointing results to date are more likely rooted in problems of design and implementation or inadequate monitoring and evaluation. The book also examines the supporting systems and process, in addition to incentives, that are necessary for P4P to improve provider performance and to drive and sustain improvement. The book utilises a substantial set of case studies from 12 OECD countries to shed light on P4P programs in practice.Featuring both high and middle income countries, cases from primary and acute care settings, and a range of both national and pilot programmes, each case study features: Analysis of the design and implementationdecisions, including the role of stakeholders Critical assessment of objectives versus results Examination of the of 'net' impacts, includingpositive spillover effects and unintended consequences The detailed analysis of these 12 case studies together with the rest of this critical text highlight the realities of P4P programs and their potential impact on the performance of health systems in a diversity of settings. As a result, this book provides critical insights into the experience to date with P4P and how this tool may be better leveraged to improve health system performance and accountability. This title is in the European Observatory on Health Systems and Policies Series.

Paying for Performance in Health Care Implications for Health System Performance and Accountability

Author : OECD,World Health Organization
Publisher : OECD Publishing
Page : 312 pages
File Size : 44,5 Mb
Release : 2014-10-06
Category : Electronic
ISBN : 9789264224568

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Paying for Performance in Health Care Implications for Health System Performance and Accountability by OECD,World Health Organization Pdf

This report examines recent activation policies in the United Kingdom aimed at moving people back into work. It offers insight into how countries can improve the effectiveness of their employment services and also control spending on benefits.

Health Networks in Action

Author : Pinto, Diana M.,Regalia, Ferdinando,Perez-Cuevas, Ricardo,Marín, Tania,Astorga, Ignacio,Máñez, Miguel Angel,Gutiérrez Alba, Gaudencio,Jaramillo Castell, Fabiola,Minué, Sergio,Muños Hernández, José Alberto,Reyes Morales, Hortensia,Ricaurte Cepeda, Melissa,Santilli, Irene,Yépez Chamorro, María Clara,Cejas, Cintia,Juárez Ramírez, Clara
Publisher : Inter-American Development Bank
Page : 136 pages
File Size : 50,6 Mb
Release : 2020-09-14
Category : Medical
ISBN : 9781597824132

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Health Networks in Action by Pinto, Diana M.,Regalia, Ferdinando,Perez-Cuevas, Ricardo,Marín, Tania,Astorga, Ignacio,Máñez, Miguel Angel,Gutiérrez Alba, Gaudencio,Jaramillo Castell, Fabiola,Minué, Sergio,Muños Hernández, José Alberto,Reyes Morales, Hortensia,Ricaurte Cepeda, Melissa,Santilli, Irene,Yépez Chamorro, María Clara,Cejas, Cintia,Juárez Ramírez, Clara Pdf

Integrated Health Service Delivery Networks (IHSDN) based on primary health care (PHC) are the most promising solution for health systems to satisfy the health needs of the population and to address access, efficiency, quality and equity challenges faced by health systems of the world. PHCs essential attributes (people and family centered care, comprehensiveness, continuity, longitudinality) position this approach as one of the key strategies for countries to meet the aspiration of achieving universal health coverage. Creating care networks has been a common thread running through Latin America and the Caribbeans health policy agendas. In terms of actually putting the IHSDN model in action, there is a wide range of interpretations and experiences, with designs, scales, organizational methods, and maturity levels that vary within and between countries. This book shares evidence of the progress made in forming and launching IHSDN in Latin America based on four case studies conducted in Argentina, Brazil, Colombia, and Mexico. The results were found by systematically applying an instrument that collects regional information on the context and features of the IHSDNs governance, funding, care models, and IHSDN management models. The books chapters describe the characteristics of IHSDN in the four studied countries, lessons are drawn from how these IHSDN have been designed and implemented, challenges for the future are identified and recommendations are provided on what will it take to consolidate the IHSDN model in Latin America. The hypothetical story of Dioselina, illustrates throughout the book the obstacles and difficulties that arise for a diabetic patient when using health services that are not people-centered. The results shed light on how prepared IHSDN in this region are to provide patient-centered care and where to focus efforts for improvement. The evidence found in this study will help develop and advance PHC in Latin America.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author : OECD,World Health Organization
Publisher : OECD Publishing
Page : 128 pages
File Size : 41,8 Mb
Release : 2019-10-17
Category : Electronic
ISBN : 9789264805903

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Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by OECD,World Health Organization Pdf

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Handbook Integrated Care

Author : Volker Amelung,Viktoria Stein,Esther Suter,Nicholas Goodwin,Ellen Nolte,Ran Balicer
Publisher : Springer Nature
Page : 1212 pages
File Size : 42,5 Mb
Release : 2021-07-12
Category : Business & Economics
ISBN : 9783030692629

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Handbook Integrated Care by Volker Amelung,Viktoria Stein,Esther Suter,Nicholas Goodwin,Ellen Nolte,Ran Balicer Pdf

This handbook shares profound insights into the main principles and concepts of integrated care. It offers a multi-disciplinary perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of healthcare. The handbook also highlights international best practices and shows how integrated care can work in various health systems. In the majority of health systems around the world, the delivery of healthcare and social care is characterised by fragmentation and complexity. Consequently, much of the recent international discussion in the fields of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients’ needs and aims to meet them by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach. The second edition offers new chapters on people-centredness, complexity theories and evaluation methods, additional management tools and a wealth of experiences from different countries and localities. It is essential reading both for health policymakers seeking inspiration for legislation and for practitioners involved in the management of public health services who want to learn from good practice.

Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives

Author : OECD
Publisher : OECD Publishing
Page : 264 pages
File Size : 41,7 Mb
Release : 2015-09-24
Category : Electronic
ISBN : 9789264233386

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Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives by OECD Pdf

The health systems we enjoy today, and expected medical advances in the future, will be difficult to finance from public resources without major reforms. Public health spending in OECD countries has grown rapidly over most of the last half century. These spending increases have contributed to ...

OECD Economic Surveys: Slovak Republic 2017

Author : OECD
Publisher : OECD Publishing
Page : 148 pages
File Size : 46,8 Mb
Release : 2017-06-21
Category : Electronic
ISBN : 9789264277540

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OECD Economic Surveys: Slovak Republic 2017 by OECD Pdf

Slovakia’s economy continues to perform extremely well both in terms of macroeconomic outcomes and public finances. Employment is rising, prices have been stable, and the external account is near balance.

EBOOK: Economic Crisis, Health Systems and Health in Europe: Impact and Implications for Policy

Author : Sarah Thomson,Josep Figueras,Tamás Evetovits,Matthew Jowett,Philipa Mladovsky,Anna Maresso,Jonathan Cylus,Marina Karanikolos,Hans Kluge
Publisher : McGraw-Hill Education (UK)
Page : 218 pages
File Size : 45,9 Mb
Release : 2015-06-16
Category : Medical
ISBN : 9780335264018

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EBOOK: Economic Crisis, Health Systems and Health in Europe: Impact and Implications for Policy by Sarah Thomson,Josep Figueras,Tamás Evetovits,Matthew Jowett,Philipa Mladovsky,Anna Maresso,Jonathan Cylus,Marina Karanikolos,Hans Kluge Pdf

Economic shocks pose a threat to health and health system performance by increasing people’s need for health care and making access to care more difficult – a situation compounded by cuts in public spending on health and other social services. But these negative effects can be avoided by timely public policy action. While important public policy levers lie outside the health sector, in the hands of those responsible for fiscal policy and social protection, the health system response is critical. This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis that began in 2008. Drawing on the experience of over 45 countries, the authors:  analyse health system responses to the crisis in three policy areas: public funding for the health system; health coverage; and health service planning, purchasing and delivery assess the impact of these responses on health systems and population health identify policies most likely to sustain the performance of health systems facing financial pressure explore the political economy of implementing reforms in a crisis The book is essential reading for anyone who wants to understand the choices available to policy-makers - and the implications of failing to protect health and health-system performance - in the face of economic and other forms of shock.

Promoting Health, Preventing Disease The Economic Case

Author : OECD,World Health Organization
Publisher : OECD Publishing
Page : 340 pages
File Size : 55,6 Mb
Release : 2015-10-29
Category : Electronic
ISBN : 9780335262274

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Promoting Health, Preventing Disease The Economic Case by OECD,World Health Organization Pdf

A growing body of evidence from economic studies shows areas where appropriate policies can generate health and other benefits at an affordable cost, sometimes reducing health expenditure and helping to redress health inequalities at the same time.

Understanding Health Services

Author : Ipek Gurol-Urganci,Fiona Campbell,Nick Black
Publisher : McGraw-Hill Education (UK)
Page : 274 pages
File Size : 44,7 Mb
Release : 2017-05-16
Category : Medical
ISBN : 9780335262151

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Understanding Health Services by Ipek Gurol-Urganci,Fiona Campbell,Nick Black Pdf

No single discipline can provide a full account of why health care is the way it is. Introducing an accessible overview of health services and drawing on medicine, sociology, economics, history and epidemiology, this book provides a series of conceptual frameworks which help to clarify some of the complexity that confronts the inexperienced observer. Helping to determine what influences and shapes health services, it also examines some of the key processes involved in providing healthcare, considering three levels: individual patients, health care organizations such as hospitals, and regional or national institutions such as governments. This second edition has been updated to include recent developments and further examples and activities from low, middle and high income countries. The book examines: • how medical knowledge, staff, patients and finance shape health services • what factors influence utilization of health services • the roles played by users of health services • how to define and measure outcomes and assess performance • how practice and policy can be changed to improve the quality of health care Understanding Health Services, 2nd Edition is an essential resource for students of public health and health policy, researchers, public health practitioners and policy makers. Understanding Public Health is an innovative series published by Open University Press in collaboration with the London School of Hygiene & Tropical Medicine, where it is used as a key learning resource for postgraduate programmes. It provides self-directed learning covering the major issues in public health affecting low, middle and high income countries. "This excellent book provides an ideal background to understanding how health services work and how they can be studied. Not tied to any particular country, it includes key chapters on how health services have developed and are organised, need and demand, the role of health professionals, and measuring and improving quality of care. The book is ideal reading for students on Masters courses in public health and related subjects from high-, middle- and low-income countries and includes learning objectives and exercises in each chapter which can be completed individually or used for discussion. Strongly recommended." Martin Roland, Emeritus Professor of Health Services Research, University of Cambridge, UK "Health services are central to attaining high levels of population health and providing those services consumes a substantial share of our financial resources. This book provides a splendid introduction to many of the key building blocks including medical knowledge and other key inputs, payment and other factors that influence utilization, and in turn quality of care and outcomes. The learning objectives are a wonderful aid for self-directed learning as are the directed activities and feedback, the text is lucid and the main concepts are very easy to access. This is a great book for someone looking to develop a broad understanding of health services. I will be surprised if it does not become a classic. It will surely be at the top of my list of recommended readings for my own students." Arnold M Epstein, John H Foster Professor and Chair, Department of Health Policy and Management, Harvard School of Public Health, USA

Data-Driven Policy Impact Evaluation

Author : Nuno Crato,Paolo Paruolo
Publisher : Springer
Page : 346 pages
File Size : 44,6 Mb
Release : 2018-10-02
Category : Political Science
ISBN : 9783319784618

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Data-Driven Policy Impact Evaluation by Nuno Crato,Paolo Paruolo Pdf

In the light of better and more detailed administrative databases, this open access book provides statistical tools for evaluating the effects of public policies advocated by governments and public institutions. Experts from academia, national statistics offices and various research centers present modern econometric methods for an efficient data-driven policy evaluation and monitoring, assess the causal effects of policy measures and report on best practices of successful data management and usage. Topics include data confidentiality, data linkage, and national practices in policy areas such as public health, education and employment. It offers scholars as well as practitioners from public administrations, consultancy firms and nongovernmental organizations insights into counterfactual impact evaluation methods and the potential of data-based policy and program evaluation.

OECD Reviews of Health Systems: Kazakhstan 2018

Author : OECD
Publisher : OECD Publishing
Page : 220 pages
File Size : 43,7 Mb
Release : 2018-02-27
Category : Electronic
ISBN : 9789264289062

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OECD Reviews of Health Systems: Kazakhstan 2018 by OECD Pdf

Kazakhstan has made significant economic progress over recent decades. Health has risen on the policy agenda with a number of sector reforms introduced. This review uses globally recognised frameworks and indicators to evaluate Kazakhstan’s overall health system.

World Scientific Handbook Of Global Health Economics And Public Policy (A 3-volume Set)

Author : Scheffler Richard M
Publisher : World Scientific
Page : 1628 pages
File Size : 47,5 Mb
Release : 2016-01-28
Category : Health & Fitness
ISBN : 9789814612333

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World Scientific Handbook Of Global Health Economics And Public Policy (A 3-volume Set) by Scheffler Richard M Pdf

This Handbook covers major topics in global health economics and public policy and provides a timely, systematic review of the field. Edited by Richard M Scheffler, Distinguished Professor of Health Economics and Public Policy and Director of the Global Center for Health Economics and Policy Research at the University of California, Berkeley, the Handbook features academics and practitioners from more than a dozen countries. Contributors are from the London School of Economics and Political Science, Pompeu Fabra University in Barcelona, University of York, University of Oslo, London School of Hygiene and Tropical Medicine, University of California - Berkeley, Stanford University, Johns Hopkins University, University of Toronto, University of Oxford, Harvard Medical School, OECD, the World Health Organization and the World Bank, many of whom have also acted as economic and policy advisors to government and non-governmental organizations across the world. Experts in these areas who provide critical analyses and relevant data for further exploration and research include: Thomas E Getzen, Executive Director of the International Health Economics Association (iHEA); Douglas E Hough, Associate Scientist and Associate Director of the Master in Healthcare Management programme at the Bloomberg School of Public Health of John Hopkins University; Guillem López-Casasnovas, former President of iHEA and member of the Advisory Council of the Spanish Health and Social Welfare Ministry and of the Advisory Council of the Catalan Health Ministry since 1984; Alistair McGuire, Professor of Health Economics at the London School of Economics and Political and advisor to a number of governments and governmental bodies across Europe; Tor Iversen, Research Director at the Health Economics Research Programme at the University of Oslo and former member of the iHEA Arrow Award Committee 2007-2011; William H Dow, Professor and Associate Dean for Research at University of California ,Berkeley and former Senior Economist for the Council of Economic Advisors (White House); Audrey Laporte, the Director of the Canadian Centre for Health Economics; Alexander S Preker, President and CEO of Health Investment & Financing Corporation; Ayda Yurekli, who initiated and developed the World Health Organization TaXSiM simulation model that has been used by many Ministries of Finance around the world for the development of tax policies; Marko Vujicic, Managing Vice President of the Health Policy Resources Center at the American Dental Association; Mark Sculpher, Director of the Programme on Economic Evaluation and Health Technology Assessment at the University of York and former President of the International Society of Pharmacoeconomics and Outcomes Research (ISPOR) (2011-2012); and Peter Berman, who has had almost 40 years of experience in global health and was formerly a Lead Health Economist at the World Bank. The Handbook spans across three volumes. The chapters deal with key global issues in health economics, are evidence-based, and offer innovative policy alternatives and solutions. The Handbook's approach toward global health economics and public policy will make it a useful resource for health economists, policymakers, private sector companies, NGOs, government decision-makers and those who manage healthcare systems.

Purchasing for Quality Chronic Care Summary Report

Author : OECD,World Health Organization
Publisher : OECD Publishing
Page : 98 pages
File Size : 41,9 Mb
Release : 2023-10-16
Category : Electronic
ISBN : 9789240080676

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Purchasing for Quality Chronic Care Summary Report by OECD,World Health Organization Pdf

The publication builds on the existing body of empirical evidence and newly commissioned case studies from Australia, Canada, Chile, China, Germany, Indonesia, South Africa, and Spain to better understand the design of different purchasing arrangements that aim to promote quality for chronic disease care.

Pay for Performance in Health Care

Author : Jerry Cromwell,Michael G. Trisolini,Gregory C. Pope,Janet B. Mitchell,Leslie M. Greenwald
Publisher : RTI Press
Page : 388 pages
File Size : 55,8 Mb
Release : 2011-02-28
Category : Medical
ISBN : 9781934831045

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Pay for Performance in Health Care by Jerry Cromwell,Michael G. Trisolini,Gregory C. Pope,Janet B. Mitchell,Leslie M. Greenwald Pdf

This book provides a balanced assessment of pay for performance (P4P), addressing both its promise and its shortcomings. P4P programs have become widespread in health care in just the past decade and have generated a great deal of enthusiasm in health policy circles and among legislators, despite limited evidence of their effectiveness. On a positive note, this movement has developed and tested many new types of health care payment systems and has stimulated much new thinking about how to improve quality of care and reduce the costs of health care. The current interest in P4P echoes earlier enthusiasms in health policy—such as those for capitation and managed care in the 1990s—that failed to live up to their early promise. The fate of P4P is not yet certain, but we can learn a number of lessons from experiences with P4P to date, and ways to improve the designs of P4P programs are becoming apparent. We anticipate that a “second generation” of P4P programs can now be developed that can have greater impact and be better integrated with other interventions to improve the quality of care and reduce costs.