2019
DOI: 10.1111/itor.12713
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Optimizing payments based on efficiency, quality, complexity, and heterogeneity: the case of hospital funding

Abstract: In several countries around the world, public hospitals are paid for by the health care services they provide to the population. Different funding systems are available, such as the Beveridge Model. Furthermore, payments can be either prospective, retrospective, or even a merging of both. Payments are usually nonoptimal in the Pareto sense and disregard the quality of delivered services as well as the environment (either internal or external) in which hospitals operate. This gap may introduce inefficiencies an… Show more

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Cited by 21 publications
(11 citation statements)
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References 50 publications
(40 reference statements)
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“…They should be enough to explain hospital performance. In this way, we analyzed the correlation between variables to verify the association between them and redundancy (Ferreira et al 2019 ). We removed some variables exhibiting high correlation and causal relationships.…”
Section: Case Study: the Portuguese Public Hospitalsmentioning
confidence: 99%
See 3 more Smart Citations
“…They should be enough to explain hospital performance. In this way, we analyzed the correlation between variables to verify the association between them and redundancy (Ferreira et al 2019 ). We removed some variables exhibiting high correlation and causal relationships.…”
Section: Case Study: the Portuguese Public Hospitalsmentioning
confidence: 99%
“…Following Ferreira et al ( 2019 ), we classified quality variables into two major groups: (a) care appropriateness and (b) clinical safety. Clinical safety includes indicators assessing entities' ability to prevent complications in health care.…”
Section: Case Study: the Portuguese Public Hospitalsmentioning
confidence: 99%
See 2 more Smart Citations
“…Cheng et al (2018) found that single-payer systems are administratively more efficient and more effective in controlling costs as compared to multi-payer systems. Ferreira et al (2019) examined various payment systems for hospitals and argue that payments should be optimized to guarantee an efficient allocation of resources.…”
Section: Healthcare Expenditures and Its Growth Over Timementioning
confidence: 99%