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  • 1
    Online Resource
    Online Resource
    Paris : OECD Publishing
    UID:
    gbv_1656852993
    Format: Online-Ressource (32 p.)
    Series Statement: OECD Economics Department Working Papers no.1184
    Content: With India’s low life expectancy largely reflecting deaths from preventable diseases, the most significant gains in health would come from population-wide preventive measures. Access to public health care services varies substantially, resulting in many people turning to private-sector providers who mainly serve those who can pay. While government has scaled up public health services, more health professionals and public health care spending will be needed to ensure broad and adequate health-care coverage. Priority should be given to high impact primary health care services. For more resources to translate into better services, the management of public health care services needs to improve. The private sector can be drawn upon more extensively, but should also be obliged to meet basic quality standards.
    Language: English
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    UID:
    gbv_827679580
    Format: Online-Ressource (77 S.) , graph. Darst.
    Series Statement: OECD health working papers 78
    Content: This study covers “tapering scale” mechanism in hospital payments, i.e. mechanisms linking unit prices to the volume of services produced. This paper begins with an overview of hospital services and hospital payment methods in OECD countries, focusing more specifically on DRG-based payment. It then reviews studies published on economies of scales in hospitals, which is the economic rationale justifying tapering payments. Thereafter, four case studies from Germany, the US State of Maryland, the Czech Republic and Israel offer a detailed insight into the practicalities of introducing this method of controlling hospital volumes and the impacts it has had.
    Note: Zsfassung in franz. Sprache , Systemvoraussetzungen: Acrobat Reader.
    Language: English
    Keywords: Arbeitspapier ; Graue Literatur ; Fallstudie
    Author information: Paris, Valérie
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  • 3
    Online Resource
    Online Resource
    Paris : OECD
    UID:
    gbv_812590813
    Format: Online-Ressource (51 S.) , graph. Darst.
    Series Statement: OECD health working papers 77
    Content: This paper examines wage setting mechanisms for health workers in hospitals across eight different OECD countries. It describes similarities and differences and how fixed or fluid these approaches have been in recent years through health system reforms, labour market dynamics and economic pressures. Based on a review of grey literature and expert interviews with officials from the covered countries, it finds that prior to the economic downturn, several countries had signalled a shift to more local and flexible wage setting in the hospital sector but this ambition does not seem to have been realised in full for public sector hospitals in most OECD countries. Fiscal pressures have led to some “recentralisation” of wage setting, particularly in France, Portugal and the United Kingdom. While the extent of centralisation has been a question of considerable debate, the countries covered in this paper suggest that the benefits of centralised and/ or co-ordinated wage setting generally appear to have been given more attention by policy makers. The current research base on the effectiveness of different wage setting approaches is limited. Policy-making would benefit from developing a better understanding of the impact of wage setting on improved hospital performance and quality.
    Note: Zsfassung in franz. Sprache , Systemvoraussetzungen: Acrobat Reader.
    Language: English
    Keywords: Arbeitspapier ; Graue Literatur
    Library Location Call Number Volume/Issue/Year Availability
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  • 4
    UID:
    b3kat_BV047931103
    Format: 1 Online-Ressource (32 Seiten) , 21 x 29.7cm
    Series Statement: OECD Health Working Papers
    Content: To help inform a conference organised by the Germany Ministry of Health (BMG) and the OECD on 'Managing Hospital Volumes' on the 11th April 2013, the OECD Secretariat produced this paper giving an international perspective on Germany's situation and the current policy debate. It provides a number of observations about the structure and financing of hospitals in Germany. It begins by arguing that Germany has a more open-ended approach to the financing of hospital services and weaker controls over the hospital budget than in many other OECD countries. In large part this reflects that DRGs in Germany are almost strictly used for pricing, whereas other countries use DRGs as one of many tools they have to influence hospital budgets. This is compounded by a situation where State governments do not have an incentive to rationalise hospital capacity where this may be desirable. Finally, the paper argues that the vast array of quality information available in Germany ought to be used to better direct financing
    Language: English
    URL: Volltext  (URL des Erstveröffentlichers)
    Library Location Call Number Volume/Issue/Year Availability
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  • 5
    UID:
    b3kat_BV047932483
    Format: 1 Online-Ressource (62 Seiten) , 21 x 29.7cm
    Series Statement: OECD Health Working Papers
    Content: Major disparities in the cost of health care have made the pricing of specialist and hospital services a contentious issue in South Africa, particularly in the private sector. To help inform policy debate, this paper profiles selected experiences on the pricing of health services, competition policy and models of buying specialist health care services from the private sector across the OECD. Firstly, South Africa is compared to OECD countries to identify countries where voluntary private health insurance - the major source of financing for private hospitals - plays a similar role. Second, this paper provides an overview of price setting across OECD health care systems. It then covers the economic rationale and the institutional arrangements which OECD countries have established to set prices, before moving to an overview of competition policy considerations surrounding these arrangements. Finally, the paper highlights a few models of buying services from the private sector for public patients, with a particular focus on Mexico and Turkey. It is argued that South Africa should separate the task of establishing a schedule of medical services from negotiations over overall payments to medical professionals
    Language: English
    URL: Volltext  (URL des Erstveröffentlichers)
    Library Location Call Number Volume/Issue/Year Availability
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  • 6
    UID:
    gbv_1851408738
    Format: 1 online resource (183 pages)
    ISBN: 9781000397444
    Series Statement: Routledge Explorations in Energy Studies
    Note: Description based on publisher supplied metadata and other sources
    Additional Edition: ISBN 9780367486440
    Additional Edition: Erscheint auch als Druck-Ausgabe ISBN 9780367486440
    Language: English
    Keywords: Electronic books.
    Library Location Call Number Volume/Issue/Year Availability
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  • 7
    UID:
    gbv_788926209
    Format: Online-Ressource (32 S.) , graph. Darst.
    Series Statement: OECD health working papers 64
    Content: To help inform a conference organised by the Germany Ministry of Health (BMG) and the OECD on ‘Managing Hospital Volumes’ on the 11th April 2013, the OECD Secretariat produced this paper giving an international perspective on Germany’s situation and the current policy debate. It provides a number of observations about the structure and financing of hospitals in Germany. It begins by arguing that Germany has a more open-ended approach to the financing of hospital services and weaker controls over the hospital budget than in many other OECD countries. In large part this reflects that DRGs in Germany are almost strictly used for pricing, whereas other countries use DRGs as one of many tools they have to influence hospital budgets. This is compounded by a situation where State governments do not have an incentive to rationalise hospital capacity where this may be desirable. Finally, the paper argues that the vast array of quality information available in Germany ought to be used to better direct financing.
    Note: Zsfassung in franz. Sprache , Systemvoraussetzungen: Acrobat Reader.
    Language: English
    Keywords: Arbeitspapier ; Graue Literatur
    Library Location Call Number Volume/Issue/Year Availability
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  • 8
    UID:
    gbv_788928422
    Format: Online-Ressource (62 S.) , graph. Darst.
    Series Statement: OECD health working papers 70
    Content: Major disparities in the cost of health care have made the pricing of specialist and hospital services a contentious issue in South Africa, particularly in the private sector. To help inform policy debate, this paper profiles selected experiences on the pricing of health services, competition policy and models of buying specialist health care services from the private sector across the OECD. Firstly, South Africa is compared to OECD countries to identify countries where voluntary private health insurance – the major source of financing for private hospitals – plays a similar role. Second, this paper provides an overview of price setting across OECD health care systems. It then covers the economic rationale and the institutional arrangements which OECD countries have established to set prices, before moving to an overview of competition policy considerations surrounding these arrangements. Finally, the paper highlights a few models of buying services from the private sector for public patients, with a particular focus on Mexico and Turkey. It is argued that South Africa should separate the task of establishing a schedule of medical services from negotiations over overall payments to medical professionals.
    Note: Zsfassung in franz. Sprache , Systemvoraussetzungen: Acrobat Reader.
    Language: English
    Keywords: Arbeitspapier ; Graue Literatur
    Library Location Call Number Volume/Issue/Year Availability
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  • 9
    Online Resource
    Online Resource
    Paris : OECD Publishing
    UID:
    b3kat_BV047931305
    Format: 1 Online-Ressource (31 Seiten) , 21 x 29.7cm
    Series Statement: OECD Economics Department Working Papers
    Content: With India's low life expectancy largely reflecting deaths from preventable diseases, the most significant gains in health would come from population-wide preventive measures. Access to public health care services varies substantially, resulting in many people turning to private-sector providers who mainly serve those who can pay. While government has scaled up public health services, more health professionals and public health care spending will be needed to ensure broad and adequate health-care coverage. Priority should be given to high impact primary health care services. For more resources to translate into better services, the management of public health care services needs to improve. The private sector can be drawn upon more extensively, but should also be obliged to meet basic quality standards
    Language: English
    URL: Volltext  (URL des Erstveröffentlichers)
    Library Location Call Number Volume/Issue/Year Availability
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  • 10
    UID:
    b3kat_BV047933303
    Format: 1 Online-Ressource (77 Seiten) , 21 x 29.7cm
    Series Statement: OECD Health Working Papers
    Content: This study covers "tapering scale" mechanism in hospital payments, i.e. mechanisms linking unit prices to the volume of services produced. This paper begins with an overview of hospital services and hospital payment methods in OECD countries, focusing more specifically on DRG-based payment. It then reviews studies published on economies of scales in hospitals, which is the economic rationale justifying tapering payments. Thereafter, four case studies from Germany, the US State of Maryland, the Czech Republic and Israel offer a detailed insight into the practicalities of introducing this method of controlling hospital volumes and the impacts it has had
    Language: English
    URL: Volltext  (URL des Erstveröffentlichers)
    Library Location Call Number Volume/Issue/Year Availability
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