Paying for hospital care: the experience with implementing activity-based funding in five European countries

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dc.contributor.authorO'Reilly, Jacqueline
dc.contributor.authorBusse, Reinhard
dc.contributor.authorHäkkinen, Unto
dc.contributor.authorOr, Zeynep
dc.contributor.authorStreet, Andrew
dc.contributor.authorWiley, Miriam
dc.date.accessioned2017-11-27T13:14:48Z
dc.date.available2017-11-27T13:14:48Z
dc.date.issued2012
dc.descriptionDieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG geförderten) Allianz- bzw. Nationallizenz frei zugänglich.de
dc.descriptionThis publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.en
dc.description.abstractFollowing the US experience, activity-based funding has become the most common mechanism for reimbursing hospitals in Europe. Focusing on five European countries (England, Finland, France, Germany and Ireland), this paper reviews the motivation for introducing activity-based funding, together with the empirical evidence available to assess the impact of implementation. Despite differences in the prevailing approaches to reimbursement, the five countries shared several common objectives, albeit with different emphasis, in moving to activity-based funding during the 1990s and 2000s. These include increasing efficiency, improving quality of care and enhancing transparency. There is substantial cross-country variation in how activity-based funding has been implemented and developed. In Finland and Ireland, for instance, activity-based funding is principally used to determine hospital budgets, whereas the models adopted in the other three countries are more similar to the US approach. Assessing the impact of activity-based funding is complicated by a shortage of rigorous empirical evaluations. What evidence is currently available, though, suggests that the introduction of activity-based funding has been associated with an increase in activity, a decline in length of stay and/or a reduction in the rate of growth in hospital expenditure in most of the countries under consideration.en
dc.identifier.eissn1744-134X
dc.identifier.issn1744-1331
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/7190
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-6465
dc.language.isoen
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subject.ddc610 Medizin und Gesundheit
dc.titlePaying for hospital care: the experience with implementing activity-based funding in five European countriesen
dc.typeArticle
dc.type.versionpublishedVersion
dcterms.bibliographicCitation.doi10.1017/s1744133111000314
dcterms.bibliographicCitation.issue1
dcterms.bibliographicCitation.journaltitleHealth economics, policy and law
dcterms.bibliographicCitation.originalpublishernameCambridge University Press
dcterms.bibliographicCitation.originalpublisherplaceCambridge
dcterms.bibliographicCitation.pageend101
dcterms.bibliographicCitation.pagestart73
dcterms.bibliographicCitation.volume7
tub.accessrights.dnbdomain
tub.affiliationFak. 7 Wirtschaft und Management::Inst. Technologie und Management (ITM)::FG Management im Gesundheitswesende
tub.affiliation.facultyFak. 7 Wirtschaft und Managementde
tub.affiliation.groupFG Management im Gesundheitswesende
tub.affiliation.instituteInst. Technologie und Management (ITM)de
tub.publisher.universityorinstitutionTechnische Universität Berlin

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