Design of price incentives for adjunct policy goals in formula funding for hospitals and health services

Duckett, Stephen J. (2008) Design of price incentives for adjunct policy goals in formula funding for hospitals and health services. BMC Health Services Research, 8 72: . doi:10.1186/1472-6963-8-72


Author Duckett, Stephen J.
Title Design of price incentives for adjunct policy goals in formula funding for hospitals and health services
Journal name BMC Health Services Research   Check publisher's open access policy
ISSN 1472-6963
Publication date 2008
Sub-type Article (original research)
DOI 10.1186/1472-6963-8-72
Open Access Status DOI
Volume 8
Issue 72
Total pages 9
Place of publication London, United Kingdom
Publisher BioMed Central Ltd.
Collection year 2009
Language eng
Subject 2900 Nursing
Abstract Background. Hospital policy involves multiple objectives: efficiency of service delivery, pursuit of high quality care, promoting access. Funding policy based on hospital casemix has traditionally been considered to be only about promoting efficiency. Discussion. Formula-based funding policy can be (and has been) used to pursue a range of policy objectives, not only efficiency. These are termed 'adjunct' goals. Strategies to incorporate adjunct goals into funding design must, implicitly or explicitly, address key decision choices outlined in this paper. Summary. Policy must be clear and explicit about the behaviour to be rewarded; incentives must be designed so that all facilities with an opportunity to improve have an opportunity to benefit; the reward structure is stable and meaningful; and the funder monitors performance and gaming.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: UQ Centre for Clinical Research Publications
 
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