Measuring the activity of mental health services in England : variation in categorising activity for payment purposes

Autor: Valerie Moran, Rowena Jacobs, Michael Clark, Martin Chalkley, Jan R. Böhnke, Maria Jose Monserratt Aragon Aragon
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Mental Health Services
medicine.medical_specialty
Databases
Factual
media_common.quotation_subject
HD28 Management. Industrial Management
Payment system
Variation
Context (language use)
Health informatics
State Medicine
Article
Health administration
Reimbursement Mechanisms
03 medical and health sciences
0302 clinical medicine
RA0421 Public health. Hygiene. Preventive Medicine
Health care
Provider payment
medicine
Humans
health care economics and organizations
media_common
Public economics
business.industry
030503 health policy & services
Health Policy
Public health
Public Health
Environmental and Occupational Health
Payment
Mental health
Costs
030227 psychiatry
Mental health funding
Psychiatry and Mental health
England
Costs and Cost Analysis
Pshychiatric Mental Health
0305 other medical science
business
Episodic payment
Zdroj: Administration and policy in mental health
ISSN: 1573-3289
Popis: In the context of international interest in reforming mental health payment systems, national policy in England has sought to move towards an episodic funding approach. Patients are categorised into care clusters, and providers will be paid for episodes of care for patients within each cluster. For the payment system to work, clusters need to be appropriately homogenous in terms of financial resource use. We examine variation in costs and activity within clusters and across health care providers. We find that the large variation between providers with respect to costs within clusters mean that a cluster-based episodic payment system would have substantially different financial impacts across providers.
Databáze: OpenAIRE
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