IDEAS home Printed from https://ideas.repec.org/a/isp/journl/v9y2015i1p503-508.html
   My bibliography  Save this article

Critical Analysis Of Hospital Financing Systems

Author

Listed:
  • Doroteya T. Shtereva
  • E. Naseva
  • R. Goranova

Abstract

This paper presents a comprehensive analysis of the mechanisms, major issues and trends in the hospital financing approaches during the recent decade. It is well known that the hospitals are the most expensive component of healthcare costs as their maintenance and functioning exhaust the greatest part of healthcare resources of each country. While the hospitals consume a significant share of the healthcare resources, the healthcare managers search for novel payment strategies guaranteeing the efficient provision of healthcare. The most important instrument for hospital management and modeling of hospital performance is the financing mechanism. Thus, the appropriate, rational choice of financing model in the hospital sector has a strategic effect on the overall national healthcare system.

Suggested Citation

  • Doroteya T. Shtereva & E. Naseva & R. Goranova, 2015. "Critical Analysis Of Hospital Financing Systems," Economy & Business Journal, International Scientific Publications, Bulgaria, vol. 9(1), pages 503-508.
    • Handle: RePEc:isp:journl:v:9:y:2015:i:1:p:503-508
    as

    Download full text from publisher

    File URL: https://www.scientific-publications.net/get/1000012/1440159997410080.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Reinhard Busse & Jonas Schreyögg & Peter Smith, 2006. "Editorial: Hospital case payment systems in Europe," Health Care Management Science, Springer, vol. 9(3), pages 211-213, August.
    2. Serden, Lisbeth & Lindqvist, Rikard & Rosen, Mans, 2003. "Have DRG-based prospective payment systems influenced the number of secondary diagnoses in health care administrative data?," Health Policy, Elsevier, vol. 65(2), pages 101-107, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Laudicella, Mauro & Olsen, Kim Rose & Street, Andrew, 2010. "Examining cost variation across hospital departments-a two-stage multi-level approach using patient-level data," Social Science & Medicine, Elsevier, vol. 71(10), pages 1872-1881, November.
    2. Camilleri, Carl & Jofre-Bonet, Mireia & Serra-Sastre, Victoria, 2018. "The suitability of a DRG casemix system in the Maltese hospital setting," Health Policy, Elsevier, vol. 122(11), pages 1183-1189.
    3. Jackson, Terri & Dimitropoulos, Vera & Madden, Richard & Gillett, Steve, 2015. "Australian diagnosis related groups: Drivers of complexity adjustment," Health Policy, Elsevier, vol. 119(11), pages 1433-1441.
    4. Vogl, Matthias, 2014. "Hospital financing: Calculating inpatient capital costs in Germany with a comparative view on operating costs and the English costing scheme," Health Policy, Elsevier, vol. 115(2), pages 141-151.
    5. Sutherland, Jason Murray & Walker, Jan, 2008. "Challenges of rehabilitation case mix measurement in Ontario hospitals," Health Policy, Elsevier, vol. 85(3), pages 336-348, March.
    6. Stargardt, Tom & Schreyögg, Jonas, 2012. "A framework to evaluate the effects of small area variations in healthcare infrastructure on diagnostics and patient outcomes of rare diseases based on administrative data," Health Policy, Elsevier, vol. 105(2), pages 110-118.
    7. Vogl, Matthias, 2013. "Improving patient-level costing in the English and the German ‘DRG’ system," Health Policy, Elsevier, vol. 109(3), pages 290-300.
    8. Sebastian McRae & Jens O. Brunner & Jonathan F. Bard, 2020. "Analyzing economies of scale and scope in hospitals by use of case mix planning," Health Care Management Science, Springer, vol. 23(1), pages 80-101, March.
    9. McRae, Sebastian & Brunner, Jens O., 2020. "Assessing the impact of uncertainty and the level of aggregation in case mix planning," Omega, Elsevier, vol. 97(C).
    10. Finocchiaro Castro Massimo & Lisi Domenico & Romeo Domenica, 2024. "An Experimental Analysis of Patient Dumping Under Different Payment Systems," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 24(1), pages 205-258, January.
    11. Jacqueline O'Reilly & Lisbeth Serdén & Mats Talbäck & Brian McCarthy & on behalf of the EuroDRG group, 2012. "Performance Of 10 European Drg Systems In Explaining Variation In Resource Utilisation In Inguinal Hernia Repair," Health Economics, John Wiley & Sons, Ltd., vol. 21(S2), pages 89-101, August.
    12. Polyzos, Nikolaos & Karanikas, Haralampos & Thireos, Eleftherios & Kastanioti, Catherine & Kontodimopoulos, Nick, 2013. "Reforming reimbursement of public hospitals in Greece during the economic crisis: Implementation of a DRG system," Health Policy, Elsevier, vol. 109(1), pages 14-22.
    13. Moreno-Serra, Rodrigo & Wagstaff, Adam, 2010. "System-wide impacts of hospital payment reforms: Evidence from Central and Eastern Europe and Central Asia," Journal of Health Economics, Elsevier, vol. 29(4), pages 585-602, July.
    14. Lukas Kwietniewski & Mareike Heimeshoff & Jonas Schreyögg, 2017. "Estimation of a physician practice cost function," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(4), pages 481-494, May.
    15. Qian, Mengcen & Zhang, Xinyu & Chen, Yajing & Xu, Su & Ying, Xiaohua, 2021. "The pilot of a new patient classification-based payment system in China: The impact on costs, length of stay and quality," Social Science & Medicine, Elsevier, vol. 289(C).
    16. Sutherland, Jason M. & Steinum, Olafr, 2009. "Hospital factors associated with clinical data quality," Health Policy, Elsevier, vol. 91(3), pages 321-326, August.
    17. van de Vijsel, Aart R. & Engelfriet, Peter M. & Westert, Gert P., 2011. "Rendering hospital budgets volume based and open ended to reduce waiting lists: Does it work?," Health Policy, Elsevier, vol. 100(1), pages 60-70, April.
    18. Cristiana Cattaneo & Gaia Bassani, 2017. "Rilevazione del gap tra DRG price e internal cost: implicazioni di case-mix accounting," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2017(2), pages 13-31.
    19. Gabriela Loredana DINULESCU, 2013. "The Current Cost Computing System Regarding Continuous Hospitalization Diagnosis in Romania," REVISTA DE MANAGEMENT COMPARAT INTERNATIONAL/REVIEW OF INTERNATIONAL COMPARATIVE MANAGEMENT, Faculty of Management, Academy of Economic Studies, Bucharest, Romania, vol. 14(2), pages 294-302, May.
    20. Steinbusch, Paul J.M. & Oostenbrink, Jan B. & Zuurbier, Joost J. & Schaepkens, Frans J.M., 2007. "The risk of upcoding in casemix systems: A comparative study," Health Policy, Elsevier, vol. 81(2-3), pages 289-299, May.

    More about this item

    Keywords

    hospital payment mechanisms; healthcare financing model; health services; reforming payment strategies;
    All these keywords.

    JEL classification:

    • A - General Economics and Teaching

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:isp:journl:v:9:y:2015:i:1:p:503-508. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Svetoslav Ivanov (email available below). General contact details of provider: https://www.scientific-publications.net/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.