En introduksjon til forløpsbasert finansiering

Mjåset, Christer; Byrkjeflot, Haldor; Hanssen, F. Andrew; Wynn-Jones, William

doi:10.4045/tidsskr.20.0367

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…France has piloted bundled payments (épisodes de soins) for hip replacement, knee replacements and colon cancer since 2018 as part of a larger effort to develop and test new ways of paying providers (Ministère des solidarités et de la santé, 2018 [30]). Payments cover disease-related services from 45 days prior to the surgery to 90 or 180 days after the intervention depending on the condition (Ministère des affaires sociales et de la santé and Assurance Maladie, 2019 [31]).…”

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confidence: 99%

Innovative providers’ payment models for promoting value-based health systems

2023

OECD Health Working Papers

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Unclassified OECD Health Working papershttp://www.oecd.org/els/health-systems/health-working-papers.htm OECD Working Papers should not be reported as representing the official views of the OECD or of its member countries. The opinions expressed and arguments employed are those of the author(s).Working Papers describe preliminary results or research in progress by the author(s) and are published to stimulate discussion on a broad range of issues on which the OECD works. Comments on Working Papers are welcomed, and may be sent to

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confidence: 99%

Innovative providers’ payment models for promoting value-based health systems

2023

OECD Health Working Papers

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“…Christer Mjåset og medarbeidere ga i Tidsskriftet nylig en god og kritisk redegjørelse for prinsippene bak forløpsbasert finansiering (1). Likevel sitter man som leser igjen med betydelig tvil om hvorvidt forløpsbaset finansiering vil representere noe fremskritt sammenliknet med dagens system for innsatsstyrt finansiering (ISF) basert på diagnoserelaterte grupper (DRG).…”

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Forløpsbasert finansiering: Gammel vin i nye skinnsekker?

Wyller¹

2020

Tidsskriftet

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Disease-specific health spending by age, sex, and type of care in Norway: a national health registry study

Kinge

Dieleman

Karlstad

et al. 2023

BMC Med

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Background Norway is a high-income nation with universal tax-financed health care and among the highest per person health spending in the world. This study estimates Norwegian health expenditures by health condition, age, and sex, and compares it with disability-adjusted life-years (DALYs). Methods Government budgets, reimbursement databases, patient registries, and prescription databases were combined to estimate spending for 144 health conditions, 38 age and sex groups, and eight types of care (GPs; physiotherapists & chiropractors; specialized outpatient; day patient; inpatient; prescription drugs; home-based care; and nursing homes) totaling 174,157,766 encounters. Diagnoses were in accordance with the Global Burden of Disease study (GBD). The spending estimates were adjusted, by redistributing excess spending associated with each comorbidity. Disease-specific DALYs were gathered from GBD 2019. Results The top five aggregate causes of Norwegian health spending in 2019 were mental and substance use disorders (20.7%), neurological disorders (15.4%), cardiovascular diseases (10.1%), diabetes, kidney, and urinary diseases (9.0%), and neoplasms (7.2%). Spending increased sharply with age. Among 144 health conditions, dementias had the highest health spending, with 10.2% of total spending, and 78% of this spending was incurred at nursing homes. The second largest was falls estimated at 4.6% of total spending. Spending in those aged 15–49 was dominated by mental and substance use disorders, with 46.0% of total spending. Accounting for longevity, spending per female was greater than spending per male, particularly for musculoskeletal disorders, dementias, and falls. Spending correlated well with DALYs (Correlation r = 0.77, 95% CI 0.67–0.87), and the correlation of spending with non-fatal disease burden (r = 0.83, 0.76–0.90) was more pronounced than with mortality (r = 0.58, 0.43–0.72). Conclusions Health spending was high for long-term disabilities in older age groups. Research and development into more effective interventions for the disabling high-cost diseases is urgently needed.

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En introduksjon til forløpsbasert finansiering

Cited by 3 publications

References 5 publications

Innovative providers’ payment models for promoting value-based health systems

Innovative providers’ payment models for promoting value-based health systems

Forløpsbasert finansiering: Gammel vin i nye skinnsekker?

Disease-specific health spending by age, sex, and type of care in Norway: a national health registry study

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