Biomedical subjects
M M Wiley
Publications and source records attributed to M M Wiley.
Development and localisation of casemix applications for inpatient hospital activity in EU member states.
The successful infiltration of casemix techniques across geographical, systemic and cultural boundaries provides an interesting and timely example of the translation of research evidence into health policy development. This paper explores the specifics of this policy development by reviewing the application of casemix techniques within the acute hospital systems of European Union member states. The fact that experimentation with or application of casemix measures can be reported for the majority of European Union member states would suggest that the deployment of these measures can be expected to continue to expand within these health systems into the new millennium.
The acute hospital sector in selected OECD countries: an analysis of expenditure and utilization.
As the costliness of the acute hospital sector is of critical importance to the demands on the health sector as a whole, this paper presents an assessment of the trends in expenditure and utilization of this service area for selected OECD countries since the early 1980's. This analysis shows that despite reductions in bed availability and lengths of stay, admission rates and expenditures have generally been increasing over the period. As the continuing rise in expenditure levels is cause for growing concern at the individual country level, the reform of the financing of the acute hospital sector has become a more urgent priority.
Hospital financing reform and case-mix measurement: an international review.
A review of reforms in the financing of hospital services in eight European countries and Australia reveals a commitment to a common objective of relating resource use to hospital workload by means of a standardized case-mix framework in the pursuit of greater efficiency. While this objective is also shared with the U.S. prospective payment system (PPS), it is noteworthy that the majority of countries reviewed favor a global budgeting approach to financing hospital services. Ongoing evaluation of these reforms should facilitate an assessment of the merits of case-mix adjusted global budgeting relative to the patient-based alternative.
DRGs as a basis for prospective payment.
Hospital care in Europe has for a number of years been changing towards prospective payment systems. The mechanisms of implementing PPS varies between countries and between health care systems. In the United States prospective payment for hospital care under Medicare was jointly introduced with DRGs being the basis for payment. The combined power of both techniques seems to surpass significantly the individual power of independent applications of PPS and DRGs. The DRG classification system is now the subject of experimentation and research in approximately 16 European countries. The prospects for case-mix measurement and prospective payment in Ireland are discussed in more detail.
Ambulatory visit groups: a prospective payment system for outpatient care.
Explore the source record for details and available documents.