Download Policy Tools for Allocative Efficiency of Health Services by X. Liu PDF
By X. Liu
Future health care could be supplied successfully, given the capability profits for sufferers and the inhabitants and the excessive price of a few forms of care. Emphasizing the main within your means providers can in precept reach the best wellbeing and fitness earnings. guidelines are applied via instruments on hand to coverage makers, quite these in executive who can impact not just public expenditure and repair supply but additionally how inner most insurers and companies allocate assets between illnesses and participants. Example's of instruments that nudge a wellbeing and fitness method towards better price for cash, whereas respecting equity and the needs of taxpayers, sufferers and medical examiners, contain specifying assurance by means of assurance or public provision, selling or restricting clinical methods, and techniques of contracting for provider supply and paying companies. coverage instruments experiences an immense learn literature for facts that individual guidelines can increase how successfully health and wellbeing prone are added, aiming not just at what rules to suggest yet at what it takes to lead them to potent.
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Additional resources for Policy Tools for Allocative Efficiency of Health Services
Example text
However, the information provided is meaningless unless it is used by different parties to make choices among various health interventions. Here, the major concern is whether government can use this information in issuing licences for a technology to enter the market. There is substantial experience that governments have failed to control the adoption of undesirable technologies as a result either of lack of information or of failure in information use. In most countries, criteria for licensing pharmaceuticals are scientifically proven efficacy and safety.
Physician services are treated like common-property resources, characterized by jointness in use, indivisibility, subtractability, and excludability (156). According to theory, under FFS and global budget, there will be an overprovision by physicians because the more a physician provides the more he or she will get from the fixed sum. But whether this will happen depends on a number of factors: the degree of financial pressure on physicians (the greater the pressure, the more likely is overprovision); participation in decision-making by physicians; and rules, monitoring and sanctions (157).
These are the theoretical reasons why payment systems to health care providers become important. The payment system is concerned with how and how much the providers of health care are paid. The mode of payment can create powerful incentives affecting the provider’s behaviour, and the changes in behaviour will affect the quantity, quality, costs and efficiency of health interventions. While it is true that some current payment systems appeared as early as the time when modern medicine came into existence in the 19th century, the development of new payment methods was largely driven by the rapid increase in the costs of social health insurance schemes all over the world in the second half of the 20th century.