In the last decade many OECD countries have undertaken substantial changes to their system of healthcare administration and funding. These changes have been characterised as being economically and managerially focused. However, doctors remain central to any system of healthcare and therefore to the implementation of these reforms. Therefore, if these changes have had any real impact on doctors then there should be a clear interest in and access to information on the cost and outcome of clinical activity. This paper attempts to evaluate whether this is the case. We have conducted a case study of hospital sites in the UK, Germany and Italy. We have found that although there was some interest in cost and activity information that clinical staff generally did not have access to it. Cost and activity information were only available to clinical staff at the most senior levels. Therefore, serious questions must be raised about the extent of penetration that these reforms have had at the clinical level

Cost and performance information for doctors. An international comparison

MARCON, Giuseppe;
2004-01-01

Abstract

In the last decade many OECD countries have undertaken substantial changes to their system of healthcare administration and funding. These changes have been characterised as being economically and managerially focused. However, doctors remain central to any system of healthcare and therefore to the implementation of these reforms. Therefore, if these changes have had any real impact on doctors then there should be a clear interest in and access to information on the cost and outcome of clinical activity. This paper attempts to evaluate whether this is the case. We have conducted a case study of hospital sites in the UK, Germany and Italy. We have found that although there was some interest in cost and activity information that clinical staff generally did not have access to it. Cost and activity information were only available to clinical staff at the most senior levels. Therefore, serious questions must be raised about the extent of penetration that these reforms have had at the clinical level
File in questo prodotto:
File Dimensione Formato  
Jacobs, Marcon, Witt - 2004 - Cost and performance information for doctors an international comparison.pdf

non disponibili

Tipologia: Documento in Post-print
Licenza: Licenza non definita
Dimensione 125.85 kB
Formato Adobe PDF
125.85 kB Adobe PDF   Visualizza/Apri

I documenti in ARCA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10278/31462
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 64
  • ???jsp.display-item.citation.isi??? ND
social impact