Advanced

Funding models in palliative care : Lessons from international experience

Groeneveld, E. Iris; Cassel, J. Brian; Bausewein, Claudia; Csikós, Ágnes; Krajnik, Malgorzata; Ryan, Karen; Haugen, Dagny Faksvåg; Eychmueller, Steffen; Keller, Heike Gudat and Allan, Simon, et al. (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)
Please use this url to cite or link to this publication:
author
, et al. (More)
(Less)
organization
publishing date
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
10 pages
publisher
SAGE Publications
external identifiers
  • scopus:85018158658
  • 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
2017-09-18 11:36:29
@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},
  keyword      = {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},
  volume       = {31},
  year         = {2017},
}