Health Reform and Theories of Cost Control

Brown, Erin C. Fuse

doi:10.1177/1073110518821978

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…In this paper we have discussed the impact of this medicalization on the likelihood of CS delivery. In addition to this phenomenon, the theory of induced-demand would suggest that after the supply of a good increases, more of that good is consumed [ 67 , 68 ]. As with all surgical procedures, CSs require a wider use of medical products and technologies compared to VDs, such as anesthesia, and other specialized products and equipment including the use of postpartum drugs (i.e.…”

Section: Resultsmentioning

confidence: 99%

“An unnecessary cut?” multilevel health systems analysis of drivers of caesarean sections rates in Italy: a systematic review

Longo

Odjidja

Beia

et al. 2020

BMC Pregnancy Childbirth

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Background Improvements in medical technologies have seen over-medicalization of childbirth. Caesarean section (CS) is a lifesaving procedure proven effective in reducing maternal and perinatal mortality across the globe. However, as with any medical procedure, the CS intrinsically carries some risk to its beneficiaries. In recent years, CS rates have risen alarmingly in high-income countries. Many exceeding the World Health Organisation (WHO) recommendation of a 10 to 15% annual CS rate. While this situation poses an increased risk to women and their children, it also represents an excess human and financial burden on health systems. Therefore, from a health system perspective this study systematically summarizes existing evidence relevant to the factors driving the phenomenon of increasing CS rates using Italy as a case study. Methods Employing the WHO Health System Framework (WHOHSF), this systematic review used the PRISMA guidelines to report findings. PubMed, SCOPUS, MEDLINE, Cochrane Library and Google Scholar databases were searched up until April 1, 2020. Findings were organised through the six dimensions of the WHOHSF framework: service delivery, health workforce, health system information; medical products vaccine and technologies, financing; and leadership and governance. Results CS rates in Italy are affected by complex interactions among several stakeholder groups and contextual factors such as the hyper-medicalisation of delivery, differences in policy and practice across units and the national context, issues pertaining to the legal and social environment, and women’s attitudes towards pregnancy and childbirth. Conclusion Mitigating the high rates of CS will require a synergistic multi-stakeholder intervention. Specifically, with processes able to attract the official endorsement of policy makers, encourage concensus between regional authorities and local governments and guide the systematic compliance of delivery units with its clinical guidelines.

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Section: Resultsmentioning

confidence: 99%

“An unnecessary cut?” multilevel health systems analysis of drivers of caesarean sections rates in Italy: a systematic review

Longo

Odjidja

Beia

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Federal initiatives under the Affordable Care Act have reformed risk-based underwriting, expanded eligibility for publicly financed coverage under Medicaid, 13 made private insurance more accessible via subsidies and direct regulation, 14 and attempted to control costs. 15 The market is rapidly consolidating, at least partly in response to a fundamental shift in how we pay for goods and services that make up more than one-fifth of the U.S. economy. 16 Health care providers and payers are taking on new responsibility for health outcomes.…”

mentioning

confidence: 99%

Introduction: What We Talk About When We Talk About Health Reform

Wiley¹

2018

J. Law. Med. Ethics

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Painless cost control as a central strategy for universal oral health coverage: A critical review with policy guide

Jadidfard,

Tahani

2024

Int J Dental Hygiene

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AimThis study aimed to critically review the methods used to control the significantly increasing costs of dental care.MethodsThrough a comprehensive search of the available literature, the cost control (CC) mechanisms for health services were identified from a healthcare system perspective. The probable applicability of each CC method was evaluated mainly based on its potential contribution to oral health promotion. Each mechanism was then classified and discussed under any of the two headings of financing and service provision. An operational guide was finally presented for policy‐making in each of the three main models of healthcare systems, including National Health Services, social/public health insurance and private insurance.ResultsFrom a total of 142 articles/reports retrieved in PubMed, 73 in Scopus and 791 in Google Scholar, 35 were included in the final review after eliminating the duplicates and screening process. Totally ten mechanisms were identified for CC of dental care. Seven were discussed under the financing function, including cost sharing, preauthorization, mixed payment method and an evidence‐based approach to benefit package definition, among others. Three further methods were classified under the service provision function, including workforce skill mix with emphasis on primary oral healthcare providers, development of primary healthcare (PHC) network and an appropriate use of tele‐dentistry.ConclusionPainless control of dental expenditures requires a smart integration of prevention into the CC plans. The suggested policy guide emphasizes organizational factors; particularly including the development of PHC‐based networks with midlevel providers (desirably extended‐duty dental hygienists) as the frontline oral healthcare providers.

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Health Reform and Theories of Cost Control

Cited by 3 publications

References 25 publications

“An unnecessary cut?” multilevel health systems analysis of drivers of caesarean sections rates in Italy: a systematic review

“An unnecessary cut?” multilevel health systems analysis of drivers of caesarean sections rates in Italy: a systematic review

Introduction: What We Talk About When We Talk About Health Reform

Painless cost control as a central strategy for universal oral health coverage: A critical review with policy guide

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