Public value and pricing in English hospitals: Value creation or value extraction?
نویسندگان
چکیده
Abstract Value creation happens when hospitals provide new services or clinicians deliver existing in better more cost efficient ways. On the other hand, those who healthcare can extract financial value from system. Cost-based prices are now potent measures of for profit centres English hospitals. Here, we focus on ramifications these cost-based creating extracting health care Our empirical data is drawn from: first, semi-structured interviews with Clinical Directors head up hospitals; and, second, documentary sources which reveal how accounting drives costing treatments. From identify three valuing activities mobilise prices: “bubble” charts; “up-coding” and business cases context a joint venture. We conclude that pricing create public because it incentivizes clinical activity be used to enhance quality. But traditional mode advantages standardised while disadvantaging complex care, this generates opportunities extraction those, including some private sector providers, care. analysis encompasses different levels: centre based specialty, hospital entire This broad appraisal reveals at level individual become system as whole.
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ژورنال
عنوان ژورنال: Critical Perspectives on Accounting
سال: 2022
ISSN: ['1045-2354', '1095-9955']
DOI: https://doi.org/10.1016/j.cpa.2020.102247