Hospital response to Activity-Based Funding and price incentives: Evidence from Ireland

Valentelyte, Gintare; Keegan, Conor; Sorensen, Jan

doi:10.1016/j.healthpol.2023.104915

Health Policy

2023

DOI: 10.1016/j.healthpol.2023.104915

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Hospital response to Activity-Based Funding and price incentives: Evidence from Ireland

Gintare Valentelyte,

Conor Keegan,

Jan Sorensen

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2024

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Cited by 2 publications

References 28 publications

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Variation in day surgery Rates across Irish Public Hospitals

Brick,

Walsh,

Kakoulidou

et al. 2024

Health Policy

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Variation in day surgery Rates across Irish Public Hospitals

Brick,

Walsh,

Kakoulidou

et al. 2024

Health Policy

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Evaluation of the impact of prospective payment systems on cholecystectomy: A systematic review and meta-analysis

Zhao,

Tan,

Jahnasegar

et al. 2024

Ann Hepatobiliary Pancreat Surg

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This systematic review and meta-analysis aimed to evaluate the impact of prospective payment systems (PPSs) on cholecystectomy. A comprehensive literature review was conducted, examining studies published until December 2023. The review process focused on identifying research across major databases that reported critical outcomes such as length of stay (LOS), mortality, complications, admissions, readmissions, and costs following PPS for cholecystectomy. The studies were specifically selected for their relevance to the impact of PPS or the transition from fee-for-service (FFS) to PPS. The study analyzed six papers, with three eligible for meta-analysis, to assess the impact of the shift from FFS to PPS in laparoscopic and open cholecystectomy procedures. Our findings indicated no significant changes in LOS and mortality rates following the transition from FFS to PPS. Complication rates varied and were influenced by the diagnosis-related group categorization and surgeon cost profiles under episode-based payment. There was a slight increase in admissions and readmissions, and mixed effects on hospital costs and financial margins, suggesting varied responses to PPS for cholecystectomy procedures. The impact of PPS on cholecystectomy is nuanced and varies across different aspects of healthcare delivery. Our findings indicate a need for adaptable, patient-centered PPS models that balance economic efficiency with high-quality patient care. The study emphasizes the importance of considering specific surgical procedures and patient demographics in healthcare payment reforms.

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Hospital response to Activity-Based Funding and price incentives: Evidence from Ireland

Cited by 2 publications

References 28 publications

Variation in day surgery Rates across Irish Public Hospitals

Variation in day surgery Rates across Irish Public Hospitals

Evaluation of the impact of prospective payment systems on cholecystectomy: A systematic review and meta-analysis

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