OBJECTIVE To examine whether the introduction of payment by results (a fixed tariff case mix based payment system) was associated with changes in key outcome variables measuring volume, cost, and quality of care between 2003/4 and 2005/6. SETTING Acute care hospitals in England. DESIGN Difference-in-differences analysis (using a control group created from trusts in England and providers in ...

The aim was to analyze clinical performance through the application of Hospital Standardized Mortality Ratio (HSMR) and its variation according to admissions payment sources and hospitals financing arrangements. Secondary data was used and diagnoses that account for 80% of hospital deaths were analyzed, adjusted by patient risk. Performance observed was worse than expected in public and mixed-p...

IMPORTANCE Under bundled payment programs, hospitals receive a single payment for all services provided surrounding an episode of care. Because health care providers, such as hospitals and physicians, accept more financial risk under these programs, they will need a better understanding of episode costs to identify areas to target improvements in quality and cost-efficiency. OBJECTIVE To exam...

Background: Physiotherapy services constitute a principle part of health care systems, and interest in their use has increased in the recent decades.  This study was conducted to investigate the utilization and OOP payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences in Tehran, Iran.    Methods: This cross-sectional study was c...

INTRODUCTION Co-payment in the health sector operates in most healthcare systems in European countries. The aim of this study was knowledge of Polish citizens' opinions concerning healthcare services co-payment with respect to selected socio-demographic factors. MATERIAL AND METHODS The study was conducted using a diagnostic survey of 636 respondents, representing residents of the West Pomera...

In their introductory article to this debate series, Andrew Street and Alan Maynard (2007 – henceforth SM) appropriately argue that in England it is faulty to base hospital payments solely on the weighted average of hospital inpatient and outpatient costs. They also highlight some of the many challenges in revising and updating the current hospital payment formulas. We agree with much of their ...

introduction: managers, as the members of decision making team in hospitals, are required to understand economic issues in order to increase their knowledge, make better decisions making, and bring about economic growth in hospitals. thus by measuring the managers’ level of economic knowledge and understanding their weaknesses at this field, we can take an important step in line with this trans...

BACKGROUND Case payment has been implemented since the beginning of Taiwan's National Health Insurance Program in 1995. This study selected patients undergoing a vaginal delivery to explore the relationships between maternal length of stay (LOS) and hospital characteristics under the case-payment system in Taiwan. METHODS The National Health Insurance Research Database of 1999 from Taiwan's N...

abstract introduction: the amount of waiting time is an indicator of level of access to hospital services and can be measured as one of the indicators of the effectiveness of hospital performance. this study aimed to determine the average waiting time in shahid rahnamoon and afshar clinics. methods: this descriptive, analytical, cross – sectional study was conducted with a simple size of 264 pa...

Preface The increase in the cost of hospital care has been a persistent and growing problem for both the Medicare program and the general public for more than iS years. A substantial portion of the increase in hospital costs has been attributed to an increase in the use of new and existing medical technologies. Congress recently legislated a new prospective per-case payment system for the Medic...