Prelude to a systematic review of activity-based funding of hospitals: Potential effects on cost, quality, access, efficiency, and equity

Open Medicine

Volumn 7, Issue 4, 2013, Pages 94-97

  Palmer, Karen S ^a   Martin, Danielle ^b   Guyatt, Gordon ^c  

^a SIMON FRASER UNIVERSITY   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c MCMASTER UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

CANADA; ECONOMICS; HEALTH CARE DELIVERY; HEALTH CARE FINANCING; HEALTH CARE QUALITY; HOSPITAL COST; HUMAN; ORGANIZATION AND MANAGEMENT;

CANADA; EFFICIENCY, ORGANIZATIONAL; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE FINANCING; HOSPITAL COSTS; HUMANS; QUALITY OF HEALTH CARE;

EID: 84887192849     PISSN: None     EISSN: 19112092     Source Type: Journal    
DOI: None     Document Type: Note

References (30)

1. Canadian Doctors for Medicare. Activity-based funding in Canadian hospitals and other surgical facilities. Toronto: Canadian Doctors for Medicare; 2008. Available from: www.canadiandoctorsformedicare.ca/Issues/abf-bulletins.html (accessed 2012 Jul 11).
2. Mayes R. The origins, development, and passage of Medicare's revolutionary prospective payment system. J Hist Med Allied Sci 2007;62(1):21-55.
3. Canadian Institute for Health Information. Health care in Canada 2009: a decade in review. Ottawa (ON): The Institute; 2009. Available from: https://secure.cihi.ca/free_products/HCIC_2009_Web_e.pdf (accessed 2013 Jul 11).
4. Canadian Institute for Health Information, Activity-Based Funding Unit. A primer on activity-based funding. Ottawa (ON): The Institute; 2010. Available from: www.cihi.ca/CIHI-ext-portal/pdf/internet/primer_activity_based_fund_en (accessed 2013 Jul 11).
5. Biørn E, Hagen T, Iversen T, Magnussen J. How different are hospitals' responses to a financial reform? The impact on efficiency of activitybased financing. Health Care Manag Sci 2010;13(1):1-16.
6. Yin J, Lurås H, Hagen TP, Dahl FA. The effect of activity-based financing on hospital length of stay for elderly patients suffering from heart diseases in Norway. BMC Health Serv Res 2013;13:172.
7. Labrie Y. Activity-based hospital funding: we've waited long enough. Montreal (QC): Montreal Economic Institute; 2012. Available from: www.iedm.org/files/note0612_en.pdf (accessed 2013 Sep 16).
8. Street A, Vitikainen K, Bjorvatn A, Hvenegaard A. Introducing activity- based financing: a review of experience in Australia, Denmark, Norway and Sweden. Research Paper 30. York (UK): Centre for Health Economics; 2007. Available from: www.york.ac.uk/media/che/documents/papers/researchpapers/rp30_introducing_activity-based_financing.pdf (accessed 2013 Sep 15).
9. Busse R, Geissler A, Quentin W, Wiley M, editors. Diagnosis-related groups in Europe: moving towards transparency, efficiency and quality in hospitals. Berkshire (UK): World Health Organization on behalf of European Observatory on Health Systems and Policies, Open University Press, McGraw-Hill; 2011.
10. Canadian Institute for Health Information. Overview of activity- based funding. Ottawa (ON): The Institute. Available from: www.cihi.ca/CIHI-ext-portal/internet/EN/tabbedcontent/health+system+performance/health+fundingactivity+based+funding/cihi008054 (accessed 2013 Jul 11).
11. Busato A, von Below G. The implementation of DRG-based hospital reimbursement in Switzerland: a population-based perspective. Health Res Policy Syst 2010;8:31.
12. Ross J. Canadians should beware of Americans bearing "activity-based funding." Toronto (ON): Canadian Healthcare Network; 2013. Available from: www.canadianhealthcarenetwork.ca/healthcaremanagers/discussions/opinion/beware-of-americans-bearing-activitybased-funding-19897 (accessed 2013 Sep 15).
13. Newhouse J. Do unprofitable patients face access problems? Health Care Financ Rev 1989;11(2):33-42.
14. Sutherland JM, Repin N, Crump TR. Reviewing the potential roles of financial incentives for funding healthcare in Canada. Ottawa (ON): Canadian Foundation for Healthcare Improvement; 2012. Available from: www.cfhi-fcass.ca/publicationsandresources/researchreports/ArticleView/12-12-21/bec64e56-ce47-43c9-b05c-98186051731d.aspx (accessed 2013 Sep 16).
15. Moreno-serra R, Wagstaff A. System-wide impacts of hospital payment reforms: evidence from Central and Eastern Europe and Central Asia. Policy Research Working Paper 4987. Washington (DC): The World Bank; 2009.
16. Cutler DM. The incidence of adverse medical outcomes under prospective payment. Econometrica 1995;63(1):29-50.
17. Schwab CW, Young G, Civil I, Ross SE, Talucci R, Rosenberg L, et al. DRG reimbursement for trauma: the demise of the trauma center (the use of ISS grouping as an early predictor of total hospital cost). J Trauma 1988;28(7):939-946.
18. Curtis K, Mitchell R, Dickson C, Black D, Lam M. Do AR-DRGs adequately describe the trauma patient episode in New South Wales, Australia? HIM J 2011;40(1):7-13.
19. Aaron HJ. Prospective payment: The next big policy disappointment? Health Aff 1984;3(3):102-107.
20. Berta P, Callea G, Martini G, Vittadini G. The effects of upcoding, cream skimming and readmissions on the Italian hospitals efficiency: A population-based investigation. Econ Model 2010;27(4): 812-821.
21. Abler S, Verde P, Stannigel H, Mayatepek E, Hoehn T. Effect of the introduction of diagnosis related group systems on the distribution of admission weights in very low birthweight infants. Arch Dis Child Fetal Neonatal Ed 2011;96(3):F186-F189.
22. Dafny LS. How do hospitals respond to price changes? NBER Working Paper Series no. 9972. Cambridge (MA): National Bureau of Economic Research; 2003. Available from: www.nber.org/papers/w9972.pdf?new_window=1 (accessed 2013 Sep 16).
23. Woolhandler S, Himmelstein DU. Competition in a publicly funded healthcare system. BMJ 2007;335(7630):1126-1129.
24. Sutherland J, Guiping L, Repin N, Crump T. Activity based funding in British Columbia: Changes in activity? [Abstract G3.4] Canadian Association for Health Services and Policy Research Conference, 2013 May 28-30. Available from: www.cahspr.ca/web/uploads/conference/2013-05-28_Book_of_Abstracts_2013.pdf (accessed 2013 Jul 2).
25. Cohen M, Mcgregor M, Ivanova I, Kinkaid C. Beyond the hospital walls: Activity-based funding versus integrated health care reform. Vancouver (BC): Canadian Centre for Policy Alternatives; 2012. Available from: www.policyalternatives.ca/sites/default/files/uploads/publications/BC%20Office/2012/01/CCPA-BC_ABF_2012.pdf (accessed 2013 Jul 2).
26. Canadian Institute for Health Information. Evaluating the impact of activity-based funding on health system performance. Ottawa (ON): The Institute; 2013. Available from: www.cihi.ca/CIHI-ext-portal/pdf/internet/EVALUATING_IMPACT_ABF_EN (accessed 2013 Jul 11).
27. Sutherland JM. Hospital payment mechanisms: An overview and options for Canada. Series on Cost Drivers and Health System Efficiency: Paper 4. Ottawa (ON): Canadian Health Services Research Foundation; 2011.
28. O'reilly J, Busse R, Häkkinen U, Or Z, Street A, Wiley M. Paying for hospital care: The experience with implementing activity-based funding in European countries. Health Econ Policy Law 2012;7(1):73-101.
29. Lavis J, Davies H, Oxman A, Denis JL, Golden-biddle K, Ferlie E. Towards systematic reviews that inform healthcare management and policy-making. J Health Serv Res Policy 2005;Suppl 1:35-48.
30. Oxman AD, Lavis JN, Lewin S, Fretheim A. Support tools for evidenceinformed health policymaking (STP) I: What is evidence-informed policymaking? Health Res Policy Syst 2009;Suppl 1:S1. Available from: www.health-policy-systems.com/content/pdf/1478-4505-7-S1-s1.pdf (accessed 2013 Jul 2).