Reimbursement policies, incentives and disincentives to perform laparoscopic surgery in Israel

Greenberg, Dan; Peiser, Jochanan; Peterburg, Yitzhak; Pliskin, Joseph S.

doi:10.1016/s0168-8510(00)00131-7

Cited by 8 publications

(5 citation statements)

References 19 publications

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“…For example, laparoscopic procedures are often more time-consuming than traditional procedures, at least during the 'learning curve', and they are also usually more expensive compared to open procedures, mainly due to higher operating room costs for laparoscopic surgeries. [ 33 ]…”

Section: Discussionmentioning

confidence: 99%

Impact of treatment policies on patient outcomes and resource utilization in acute cholecystitis in Japanese hospitals

Sekimoto

Imanaka

Hirose

et al. 2006

BMC Health Serv Res

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Background: Although currently available evidence predominantly recommends early laparoscopic cholecystectomy (LC) for the treatment of acute cholecystitis, this strategy has not been widely adopted in Japan. Herein, we describe a hospital-based study of patients with acute cholecystitis in 9 Japanese teaching hospitals in order to evaluate the impact of different institutional strategies in treating acute cholecystitis on overall patient outcomes and medical resource utilization.

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Section: Discussionmentioning

confidence: 99%

Impact of treatment policies on patient outcomes and resource utilization in acute cholecystitis in Japanese hospitals

Sekimoto

Imanaka

Hirose

et al. 2006

BMC Health Serv Res

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“…If patients are given the opportunity to choose provider (CHOICE), providers may also be encouraged to compete for patients and may attract patients with new and expensive technologies, although arguably general competition may also reduce uptake of new technologies if unit costs are higher. As discussed in a number of studies, health care providers' remuneration systems provide incentives with respect to the adoption of various technologies (Greenberg et al 2001; Moïse 2003b; Okunade & Miles 1999; Slade & Anderson 2001). Given the potential importance of these variables, the hospitals' remuneration scheme is described by two dummy variables: H_FFS where health care systems applying fee-for-service (FFS) remuneration systems and H_CASE where health care systems applying per case remuneration (e.g.…”

Section: Methodsmentioning

confidence: 99%

The influence of economic incentives and regulatory factors on the adoption of treatment technologies: a case study of technologies used to treat heart attacks

et al. 2009

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The Technological Change in Health Care Research Network collected unique patient-level data on three procedures for treatment of heart attack patients (catheterization, coronary artery bypass grafts and percutaneous transluminal coronary angioplasty) for 17 countries over a 15-year period to examine the impact of economic and institutional factors on technology adoption. Specific institutional factors are shown to be important to the uptake of these technologies. Health-care systems characterized as public contract systems and reimbursement systems have higher adoption rates than public-integrated health-care systems. Central control of funding of investments is negatively associated with adoption rates and the impact is of the same magnitude as the overall health-care system classification. GDP per capita also has a strong role in initial adoption. The impact of income and institutional characteristics on the utilization rates of the three procedures diminishes over time.

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“…Pediatric implantation is an example of such an intervention. Judgments of the cost-effectiveness of some interventions hinge on whether economic costs incurred by patients and their families are taken into account (Greenberg, Peiser, Peterburg, & Pliskin, 2001;Moore, Speroff, Grogan, Poulose, & Holzman, 2005). In a separate analysis (Barton, Stacey, Fortnum, and Summerfield, 2006b), we combined the economic costs incurred by the family, as estimated in this paper, with estimates of the incremental health-sector costs of implantation and of the change in the costs of compulsory education (Barton et al, 2006a), to estimate the incremental cost-effectiveness of pediatric cochlear implantation from a societal perspective.…”

Section: Aims Of the Analysesmentioning

confidence: 99%

Hearing-Impaired Children in the United Kingdom, III: Cochlear Implantation and the Economic Costs Incurred by Families

Barton¹,

Fortnum²,

Stacey³

et al. 2006

Ear &Amp; Hearing

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Objectives: This article addresses two questions. First, are there differences in the economic costs incurred by families of hearing-impaired children depending on whether or not children have cochlear implants? Second, are these differences important when assessed from the perspective of society?Methods: In a cross-sectional survey, parents of a representative sample of hearing-impaired children provided data about annual resources used by the family because of their child's hearing impairment. The data yielded estimates of two variables: out-of-pocket expenditure and time away from normal activities by parents. The economic cost of the two variables was estimated in €uros (€) at 2001/2 price levels, and summed to estimate the overall economic cost incurred by the family. Linear regression was used to estimate the association between costs and implantation, while controlling for average (unaided, preoperative) hearing level, age at onset of hearing impairment, age, gender, the number of additional disabilities, parental occupational skill level, ethnicity, and parental hearing status. The cumulative economic cost incurred by the families of implanted children, between implantation and age 16 yr, was calculated from estimates of the overall economic cost associated with implantation and compared with estimates of the incremental health-sector cost of implantation.Results: Data were provided by the families of 2858 children, 468 of whom had received a cochlear implant. Compared with the families of nonimplanted children, out-of-pocket expenditure was estimated to be significantly higher for families when children were implanted before the age of 5 yr and had used their implant for less than 2 yr, as was lost productivity when children had used their implants for less than 2 yr. Overall economic cost was estimated to be significantly higher for the families of implanted children who had used their implants for less than 2 yr. The cumulative economic cost was estimated to be €3355 for a family whose child was implanted at age 3 yr and €949 for a child implanted at age 6 yr. These costs correspond, at most, to 3% of the incremental health-sector costs of implantation. Conclusions:Compared with families of nonimplanted children, families of implanted children incur additional costs in the 2 yr after implantation. These costs are small in relation to the health-sector costs of providing implantation. (Ear & Hearing 2006;27;563-574) Several studies have compared the costs of pediatric cochlear implantation with the costs of alternative treatments for profound hearing impairment. Those studies have shown that implantation is associated with increased costs in the health sector (e.g.,

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Reimbursement policies, incentives and disincentives to perform laparoscopic surgery in Israel

Cited by 8 publications

References 19 publications

Impact of treatment policies on patient outcomes and resource utilization in acute cholecystitis in Japanese hospitals

Impact of treatment policies on patient outcomes and resource utilization in acute cholecystitis in Japanese hospitals

The influence of economic incentives and regulatory factors on the adoption of treatment technologies: a case study of technologies used to treat heart attacks

Hearing-Impaired Children in the United Kingdom, III: Cochlear Implantation and the Economic Costs Incurred by Families

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