Costing community care

Costing Community Care, with Particular Reference to Mental Health

The title for the conference has caused me a little dissonance. In the mental health field, which is the focus for this presentation, Ministers announced earlier in the year that care in the community is to be ‘scrapped’. As a result of what they perceive to be the ‘failure’ of the system of support, the previous Government’s policy of community-based mental health care is no longer to be given...

Costing interventions in primary care.

Against a background of increasing demands on limited resources, studies that relate benefits of health interventions to the resources they consume will be an important part of any decision-making process in primary care, and an accurate assessment of costs will be an important part of any economic evaluation. Although there is no such thing as a gold standard cost estimate, there are a number ...

Advancing the science of health care costing.

The preceding articles in this volume amply illustrate and critically discuss the major issues in health care costing. This concluding article has 2 purposes. First, we synthesize and evaluate the main findings. Second, we identify the elements of a research agenda for improving the scientific soundness and relevance of health cost analyses for decision making. As noted, most health cost studie...

Health care costing: data, methods, current applications.

Health-care costing in the Netherlands

Introduction With the introduction of the DBC system in 2005, the funding of Dutch health care gradually began to change. The DBC system is replacing the current system of position-based budgeting (block grant) of providers and the lump-sum funding of medical specialists. In 2005, two segments were introduced for somatic health care. An A-segment, with fixed national tariffs for health provider...