Financial incentives and patient selection: Hospital physicians' views on cream skimming and economic management focus in Norway
Autor: | Gjertrud Hole Kjøstolfsen, Pål E. Martinussen, Jon Magnussen, Janusha Baheerathan |
---|---|
Rok vydání: | 2019 |
Předmět: |
Motivation
Financial stability Norway 030503 health policy & services Health Policy Insurance Selection Bias Hospitals 03 medical and health sciences Cream skimming 0302 clinical medicine Incentive Financial incentives Physicians Economic management Selection (linguistics) Survey data collection Humans 030212 general & internal medicine Business Marketing 0305 other medical science |
Zdroj: | Health Policy |
ISSN: | 1872-6054 |
Popis: | This paper uses survey data to analyse physician views on the risk of cream skimming under a system with activity based financing (ABF) for hospital services. We used data from two nation-wide physician surveys. A survey undertaken in 2006 captures views following a large NPM-inspired structural reform in 2002. In contrast, a survey undertaken in 2016 captures views after a period of a higher degree of institutional and financial stability. We find that the majority of physicians believed that the 2002 reform both provided incentives for and led to more cream skimming. In 2016, however there is less consensus among physicians about the extent of cream skimming. Looking at different types of physicians we find some indications that physicians in leading positions are less likely to view cream skimming as a problem. However, there is concern that hospital management in general puts too much emphasis on economic issues. |
Databáze: | OpenAIRE |
Externí odkaz: |