Incentives and financing methods.
Traduction en français : Incitations et méthodes de financement.
On an incentive theory background the different financing methods for health care are discussed.
Three main categories of financing methods are presented : (1) global budget solutions (capitation and global budget based on historical costs), (2) per-case reimbursement (per-diem rates, fee-for-service, prospective reimbursement with use of e.g. the Oregon model concept), (3) hybrid methods of financing.
Financing methods can be used to obtain different goals.
Organizations and individual physicians seem to respond generally in the same way to similar incentives.
Also unwanted effects seem common.
Shifts in financing methods over time may look natural to attack problems.
Empirical research has demonstrated financing methods as important tools in the management of a health service.
Knowledge of possible health effects for the patients as a consequence of financing methods seems limited.
Mots-clés Pascal : Financement, Rémunération, Médecin, Hôpital, Etude comparative, Etats Unis, Système santé, Contrôle, Dépense
Mots-clés Pascal anglais : Financing, Remuneration, Physician, Hospital, Comparative study, United States, Health system, Check, Expenditure
Cote : 09591
Code Inist : 002B30A11. Création : 28/06/1996.