Funding models in palliative care: Lessons from international experience
| Autor: | E. Iris Groeneveld, Jeroen Hasselaar, Teresa García Baquero Merino, Małgorzata Krajnik, Simon Allan, Fliss E M Murtagh, Kate Swetenham, Heike Gudat Keller, J. Brian Cassel, Carl Johan Fürst, Ágnes Csikós, Karen Ryan, Claudia Bausewein, Steffen Eychmueller, Kym Piper, Dagny Faksvåg Haugen |
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| Rok vydání: | 2017 |
| Předmět: |
Palliative care
Best practice Population 610 Medicine & health Context (language use) Funding Mechanism Care provision Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences 0302 clinical medicine Nursing Germany Health care Humans Medicine 030212 general & internal medicine education Review Articles health care economics and organizations Netherlands Sweden Hungary education.field_of_study Wales palliative care Norway business.industry health care systems General Medicine Public relations United States reimbursement mechanisms Hospice Care Models Economic Anesthesiology and Pain Medicine Incentive England hospice Spain 030220 oncology & carcinogenesis Poland Financing business Ireland Switzerland New Zealand |
| Zdroj: | Groeneveld, E Iris; Cassel, J Brian; Bausewein, Claudia; Csikós, Ágnes; Krajnik, Malgorzata; Ryan, Karen; Haugen, Dagny Faksvåg; Eychmüller, Steffen; Gudat Keller, Heike; Allan, Simon; Hasselaar, Jeroen; García-Baquero Merino, Teresa; Swetenham, Kate; Piper, Kym; Fürst, Carl Johan; Murtagh, Fliss Em (2017). Funding models in palliative care: Lessons from international experience. Palliative medicine, 31(4), pp. 296-305. Sage 10.1177/0269216316689015 Groeneveld, E I, Cassel, J B, Bausewein, C, Csikós, Á, Krajnik, M, Ryan, K, Haugen, D F, Eychmueller, S, Gudat Keller, H, Allan, S, Hasselaar, J, García-Baquero Merino, T, Swetenham, K, Piper, K, Fürst, C J & Murtagh, F E 2017, ' Funding models in palliative care : Lessons from international experience ', Palliative Medicine, vol. 31, no. 4, pp. 296-305 . https://doi.org/10.1177/0269216316689015 Palliative Medicine, 31, 296-305 Palliative Medicine Palliative Medicine, 31, 4, pp. 296-305 |
| ISSN: | 1477-030X 0269-2163 |
| DOI: | 10.1177/0269216316689015 |
| Popis: | Background: Funding models influence provision and development of palliative care services. As palliative care integrates into mainstream health care provision, opportunities to develop funding mechanisms arise. However, little has been reported on what funding models exist or how we can learn from them. Aim: To assess national models and methods for financing and reimbursing palliative care. Design: Initial literature scoping yielded limited evidence on the subject as national policy documents are difficult to identify, access and interpret. We undertook expert consultations to appraise national models of palliative care financing in England, Germany, Hungary, Republic of Ireland, New Zealand, The Netherlands, Norway, Poland, Spain, Sweden, Switzerland, the United States and Wales. These represent different levels of service development and a variety of funding mechanisms. Results: Funding mechanisms reflect country-specific context and local variations in care provision. Patterns emerging include the following: Provider payment is rarely linked to population need and often perpetuates existing inequitable patterns in service provision. Funding is frequently characterised as a mixed system of charitable, public and private payers. The basis on which providers are paid for services rarely reflects individual care input or patient needs. Conclusion: Funding mechanisms need to be well understood and used with caution to ensure best practice and minimise perverse incentives. Before we can conduct cross-national comparisons of costs and impact of palliative care, we need to understand the funding and policy context for palliative care in each country of interest. |
| Databáze: | OpenAIRE |
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