Paying For Performance in Healthcare: Implications for Healt

Erscheinungsjahr 2014
ISBN: 978-0-335-26438-4
Verlag: Open University Press

Buch, Englisch, 336 Seiten, Format (B × H): 151 mm x 228 mm, Gewicht: 492 g

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 consequencesThe 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.

Autoren/Hrsg.

Cashin, Cheryl

Chi, Y-Ling

Smith, Peter

Borowitz, Michael

Thompson, Sarah

Fachgebiete

• Sozialwissenschaften Soziologie | Soziale Arbeit Soziale Arbeit/Sozialpädagogik Soziale Dienste, Soziale Organisationen

Inhaltsverzeichnis

List of tables, figures and boxes
List of contributors
Foreword from the OECD
Foreword from CNAMTS
Acknowledgements
List of abbreviations Part I An overview of health provider P4P in OECD countries
Health provider P4P and strategic healthpurchasing
P4P programme design
Strengthening health system governance throughP4P implementation
Evaluating P4P programmes
Lessons from the case study P4P programmes Part II Case studies of P4P programmes in OECD countriesPrimary care
Australia: Practice incentives programme
Estonia: Primary health care quality bonus system
France: Payment for public health objectives
Germany: Disease management programmes
New Zealand: Primary health organizationperformance programme
Turkey: Family medicine performance basedcontracting scheme
United Kingdom: Quality and outcomes framework
United States: California integrated healthcareassociation physician incentive programme
Inpatient care
Brazil: São Paulo: Social organizations in health
Republic of Korea: Value incentive programme
United States: Maryland hospital acquiredconditions programme
United States: Hospital quality incentivedemonstration Index

Über Autor(innen)

Dr. Cheryl Cashin, Results for Development Institute Ms. Y-Ling Chi, Organization for Economic Cooperation and Development Dr. Peter Smith, Imperial College London and the Centre for Health Policy in the Institute of Global Health Innovation Dr. Michael Borowitz, Organization for Economic Cooperation and Development Dr. Sarah Thomson, WHO Regional Office for Europe, London School of Economics and Political Science and European Observatory on Health Systems and Policies.