Funding models in palliative care : Lessons from international experience
(2017) In Palliative Medicine 31(4). p.296-305- Abstract
Background: Funding models influence provision and development of palliative care services. As palliative care integrates into mainstream health care provision, opportunities to develop funding mechanisms arise. However, little has been reported on what funding models exist or how we can learn from them. Aim: To assess national models and methods for financing and reimbursing palliative care. Design: Initial literature scoping yielded limited evidence on the subject as national policy documents are difficult to identify, access and interpret. We undertook expert consultations to appraise national models of palliative care financing in England, Germany, Hungary, Republic of Ireland, New Zealand, The Netherlands, Norway, Poland, Spain,... (More)
Background: Funding models influence provision and development of palliative care services. As palliative care integrates into mainstream health care provision, opportunities to develop funding mechanisms arise. However, little has been reported on what funding models exist or how we can learn from them. Aim: To assess national models and methods for financing and reimbursing palliative care. Design: Initial literature scoping yielded limited evidence on the subject as national policy documents are difficult to identify, access and interpret. We undertook expert consultations to appraise national models of palliative care financing in England, Germany, Hungary, Republic of Ireland, New Zealand, The Netherlands, Norway, Poland, Spain, Sweden, Switzerland, the United States and Wales. These represent different levels of service development and a variety of funding mechanisms. Results: Funding mechanisms reflect country-specific context and local variations in care provision. Patterns emerging include the following: • Provider payment is rarely linked to population need and often perpetuates existing inequitable patterns in service provision. • Funding is frequently characterised as a mixed system of charitable, public and private payers. • The basis on which providers are paid for services rarely reflects individual care input or patient needs. Conclusion: Funding mechanisms need to be well understood and used with caution to ensure best practice and minimise perverse incentives. Before we can conduct cross-national comparisons of costs and impact of palliative care, we need to understand the funding and policy context for palliative care in each country of interest.
(Less)
- author
- organization
- publishing date
- 2017
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Financing, Health care systems, Hospice, Palliative care, Reimbursement mechanisms
- in
- Palliative Medicine
- volume
- 31
- issue
- 4
- pages
- 296 - 305
- publisher
- SAGE Publications
- external identifiers
-
- scopus:85018158658
- pmid:28156188
- wos:000398869300003
- ISSN
- 0269-2163
- DOI
- 10.1177/0269216316689015
- language
- English
- LU publication?
- yes
- id
- e5a6fbb2-6682-4f48-8924-9fcb9199c976
- date added to LUP
- 2017-05-19 10:42:41
- date last changed
- 2024-03-31 09:47:21
@article{e5a6fbb2-6682-4f48-8924-9fcb9199c976,
abstract = {{<p>Background: Funding models influence provision and development of palliative care services. As palliative care integrates into mainstream health care provision, opportunities to develop funding mechanisms arise. However, little has been reported on what funding models exist or how we can learn from them. Aim: To assess national models and methods for financing and reimbursing palliative care. Design: Initial literature scoping yielded limited evidence on the subject as national policy documents are difficult to identify, access and interpret. We undertook expert consultations to appraise national models of palliative care financing in England, Germany, Hungary, Republic of Ireland, New Zealand, The Netherlands, Norway, Poland, Spain, Sweden, Switzerland, the United States and Wales. These represent different levels of service development and a variety of funding mechanisms. Results: Funding mechanisms reflect country-specific context and local variations in care provision. Patterns emerging include the following: • Provider payment is rarely linked to population need and often perpetuates existing inequitable patterns in service provision. • Funding is frequently characterised as a mixed system of charitable, public and private payers. • The basis on which providers are paid for services rarely reflects individual care input or patient needs. Conclusion: Funding mechanisms need to be well understood and used with caution to ensure best practice and minimise perverse incentives. Before we can conduct cross-national comparisons of costs and impact of palliative care, we need to understand the funding and policy context for palliative care in each country of interest.</p>}},
author = {{Groeneveld, E. Iris and Cassel, J. Brian and Bausewein, Claudia and Csikós, Ágnes and Krajnik, Malgorzata and Ryan, Karen and Haugen, Dagny Faksvåg and Eychmueller, Steffen and Keller, Heike Gudat and Allan, Simon and Hasselaar, Jeroen and Merino, Teresa García Baquero and Swetenham, Kate and Piper, Kym and Fürst, Carl Johan and Murtagh, Fliss E.M.}},
issn = {{0269-2163}},
keywords = {{Financing; Health care systems; Hospice; Palliative care; Reimbursement mechanisms}},
language = {{eng}},
number = {{4}},
pages = {{296--305}},
publisher = {{SAGE Publications}},
series = {{Palliative Medicine}},
title = {{Funding models in palliative care : Lessons from international experience}},
url = {{http://dx.doi.org/10.1177/0269216316689015}},
doi = {{10.1177/0269216316689015}},
volume = {{31}},
year = {{2017}},
}