Health Care Delivery

X. Liu's Policy Tools for Allocative Efficiency of Health Services PDF

By X. Liu

ISBN-10: 0585492530

ISBN-13: 9780585492537

ISBN-10: 9241562528

ISBN-13: 9789241562522

Healthiness care can be supplied successfully, given the capability profits for sufferers and the inhabitants and the excessive fee of a few sorts of care. Emphasizing the main inexpensive prone can in precept reach the best healthiness profits. regulations are applied via instruments to be had to coverage makers, quite these in govt who can impression not just public expenditure and repair supply but in addition how deepest insurers and companies allocate assets between illnesses and members. Example's of instruments that nudge a future health process towards higher price for funds, whereas respecting equity and the needs of taxpayers, sufferers and medical examiners, contain specifying assurance by way of coverage or public provision, selling or restricting scientific tactics, and techniques of contracting for carrier supply and paying prone. coverage instruments stories a huge study literature for proof that individual regulations can enhance how successfully overall healthiness companies are brought, aiming not just at what guidelines to suggest yet at what it takes to cause them to potent.

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However, the information provided is meaningless unless it is used by different parties to make choices among various health interventions. Here, the major concern is whether government can use this information in issuing licences for a technology to enter the market. There is substantial experience that governments have failed to control the adoption of undesirable technologies as a result either of lack of information or of failure in information use. In most countries, criteria for licensing pharmaceuticals are scientifically proven efficacy and safety.

In Australia, DRG payment was used for case-mix funding combined with global budget, starting from 1993. The objectives of the programme were to reduce hospital expenditure and to reduce patient waiting lists. After six months, evaluation showed that the two objectives were achieved. Total expenditure on hospitals was about 5% less in 1993 compared to 1992. However, the number of patients treated in the period July–December1993 was about 5% higher than the number treated in the same period in 1992.

In addition, to assure quality, the number of registrations should be limited by regulation, as is in the United Kingdom. To deal with unnecessary referrals, the capitation fee should include both primary and secondary services. There are generally two different practices for the same purpose. One is GP fundholding, invented in the United Kingdom, where the GPs are responsible for providing the primary care and purchasing the defined specialist and hospital care with capitated payments. Another practice can be found in China and Thailand, where contracted hospitals are paid capitation fees by the social health Policy Tools for Allocative Efficiency of Health Services 26 insurance schemes, and in turn they are responsible for providing both primary and secondary services.

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Policy Tools for Allocative Efficiency of Health Services by X. Liu

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