منابع مشابه
5 Payment by Results
There is a wide range of mechanisms that can be used to pay for hospital care. In the United Kingdom, hospitals have historically been paid a fixed budget based on the previous years’ costs and activity, sometimes adjusted for planned changes in services (Raftery et al 1996). During the first internal market in the 1990s, purchasers mostly used block contracts – a negotiated amount that was pai...
متن کاملPayment by volume ( not results )
Payment by results, a system for paying healthcare trusts, is intended as a fair and consistent basis for hospital funding. It relies on a national tariff structured around a case-mix measure known as healthcare resource groups. It is often argued that if payment by results works as planned, the National Health Service will become more efficient and productive. However, the use of a case-mix me...
متن کاملPayment by results: qualified ambition?
The commentaries on our original paper are interesting and informative. That of Malcomson illustrates nicely the costing and case-mix issues that are critical to the successful design of activity-based funding arrangements. The second commentary describes some more general issues and the scope for reformers to learn from international experience. The policy documents put out by the English Depa...
متن کاملPayment by results in forensic mental health.
Forensic mental health services are low-volume, high-cost services. Payment by results (PbR) is the UK s latest attempt to improve efficiency and controls pending behaviours within the secure services. This article discusses the utility of the PbR mechanic in forensic mental health. It explores PbR implementation in non-forensic mental health settings, similar funding processes internationally,...
متن کاملImproving health care through Payment by Results.
Nursing faces new opportunities and challenges as part of the government's initiative to introduce Payment by Results. These opportunities arise from increasing demands to work effectively in an environment of intensive customer demand and expectation. The challenge for all nurses is to continue to deliver quality health care while keeping pace with changes to services and organisational respon...
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ژورنال
عنوان ژورنال: BMJ
سال: 2005
ISSN: 0959-8138,1756-1833
DOI: 10.1136/bmj.330.7491.563