Balancing Health Care Quality and Cost Containment: The Case of Norway
In recent years, a series of wide-ranging reforms designed to make greater use of market mechanisms has succeeded in eliminating shortages, raising efficiency and improving citizen satisfaction. Nevertheless, spending accelerated after the reforms, and per capita spending on health is now one of the...
Gespeichert in:
1. Verfasser: | |
---|---|
Weitere Verfasser: | |
Format: | Elektronisch E-Book |
Sprache: | English |
Veröffentlicht: |
Paris
OECD Publishing
2006
|
Schriftenreihe: | OECD Economics Department Working Papers
|
Schlagworte: | |
Online-Zugang: | Volltext |
Zusammenfassung: | In recent years, a series of wide-ranging reforms designed to make greater use of market mechanisms has succeeded in eliminating shortages, raising efficiency and improving citizen satisfaction. Nevertheless, spending accelerated after the reforms, and per capita spending on health is now one of the highest in the OECD. Centralisation of hospital ownership may have increased political influence, encouraging spending that cannot be justified on cost-benefit grounds. Co-payments by patients are modest, and the background of swelling oil wealth may have sapped willingness to control costs. Diagnosis related group (DRG) procedures are arguably too well-remunerated in some areas, leading to supply-driven interventions, while their absence in others (e.g. psychiatry) may have resulted in sub-optimal supply. Generalist doctors have a gatekeeper role, but are said to over-refer patients to hospitals. Although cost controlling mechanisms exist in Norway, they are too often sidestepped by pressure by citizens on politicians to approve new drugs and treatments. Thus, future health reforms in Norway should concentrate on value for money. This paper relates to the 2005 OECD Economic Survey of Norway (www.oecd.org/eco/survey/norway) |
Beschreibung: | 1 Online-Ressource (40 Seiten) 21 x 29.7cm |
DOI: | 10.1787/557213833552 |
Internformat
MARC
LEADER | 00000nam a2200000zc 4500 | ||
---|---|---|---|
001 | BV047934667 | ||
003 | DE-604 | ||
007 | cr|uuu---uuuuu | ||
008 | 220413s2006 xx o|||| 00||| eng d | ||
024 | 7 | |a 10.1787/557213833552 |2 doi | |
035 | |a (ZDB-13-SOC)061277177 | ||
035 | |a (OCoLC)1312693276 | ||
035 | |a (DE-599)BVBBV047934667 | ||
040 | |a DE-604 |b ger |e aacr | ||
041 | 0 | |a eng | |
049 | |a DE-384 |a DE-91 |a DE-473 |a DE-824 |a DE-29 |a DE-739 |a DE-355 |a DE-20 |a DE-1028 |a DE-1049 |a DE-188 |a DE-521 |a DE-861 |a DE-898 |a DE-92 |a DE-573 |a DE-19 | ||
100 | 1 | |a Bibbee, Alexandra |e Verfasser |4 aut | |
245 | 1 | 0 | |a Balancing Health Care Quality and Cost Containment |b The Case of Norway |c Alexandra Bibbee and Flavio Padrini = Trouver l'équilibre entre qualité des soins et maîtrise des coûts : Le cas de la Norvège / Alexandra Bibbee et Flavio Padrini |
246 | 1 | 3 | |a Trouver l'équilibre entre qualité des soins et maîtrise des coûts |
264 | 1 | |a Paris |b OECD Publishing |c 2006 | |
300 | |a 1 Online-Ressource (40 Seiten) |c 21 x 29.7cm | ||
336 | |b txt |2 rdacontent | ||
337 | |b c |2 rdamedia | ||
338 | |b cr |2 rdacarrier | ||
490 | 0 | |a OECD Economics Department Working Papers | |
520 | |a In recent years, a series of wide-ranging reforms designed to make greater use of market mechanisms has succeeded in eliminating shortages, raising efficiency and improving citizen satisfaction. Nevertheless, spending accelerated after the reforms, and per capita spending on health is now one of the highest in the OECD. Centralisation of hospital ownership may have increased political influence, encouraging spending that cannot be justified on cost-benefit grounds. Co-payments by patients are modest, and the background of swelling oil wealth may have sapped willingness to control costs. Diagnosis related group (DRG) procedures are arguably too well-remunerated in some areas, leading to supply-driven interventions, while their absence in others (e.g. psychiatry) may have resulted in sub-optimal supply. Generalist doctors have a gatekeeper role, but are said to over-refer patients to hospitals. Although cost controlling mechanisms exist in Norway, they are too often sidestepped by pressure by citizens on politicians to approve new drugs and treatments. Thus, future health reforms in Norway should concentrate on value for money. This paper relates to the 2005 OECD Economic Survey of Norway (www.oecd.org/eco/survey/norway) | ||
650 | 4 | |a Economics | |
650 | 4 | |a Norway | |
700 | 1 | |a Padrini, Flavio |4 ctb | |
856 | 4 | 0 | |u https://doi.org/10.1787/557213833552 |x Verlag |z kostenfrei |3 Volltext |
912 | |a ZDB-13-SOC | ||
943 | 1 | |a oai:aleph.bib-bvb.de:BVB01-033316161 |
Datensatz im Suchindex
_version_ | 1818806052519411712 |
---|---|
adam_text | |
adam_txt | |
any_adam_object | |
any_adam_object_boolean | |
author | Bibbee, Alexandra |
author2 | Padrini, Flavio |
author2_role | ctb |
author2_variant | f p fp |
author_facet | Bibbee, Alexandra Padrini, Flavio |
author_role | aut |
author_sort | Bibbee, Alexandra |
author_variant | a b ab |
building | Verbundindex |
bvnumber | BV047934667 |
collection | ZDB-13-SOC |
ctrlnum | (ZDB-13-SOC)061277177 (OCoLC)1312693276 (DE-599)BVBBV047934667 |
discipline | Wirtschaftswissenschaften |
discipline_str_mv | Wirtschaftswissenschaften |
doi_str_mv | 10.1787/557213833552 |
format | Electronic eBook |
fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>00000nam a2200000zc 4500</leader><controlfield tag="001">BV047934667</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="007">cr|uuu---uuuuu</controlfield><controlfield tag="008">220413s2006 xx o|||| 00||| eng d</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1787/557213833552</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(ZDB-13-SOC)061277177</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)1312693276</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BVBBV047934667</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield><subfield code="e">aacr</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-384</subfield><subfield code="a">DE-91</subfield><subfield code="a">DE-473</subfield><subfield code="a">DE-824</subfield><subfield code="a">DE-29</subfield><subfield code="a">DE-739</subfield><subfield code="a">DE-355</subfield><subfield code="a">DE-20</subfield><subfield code="a">DE-1028</subfield><subfield code="a">DE-1049</subfield><subfield code="a">DE-188</subfield><subfield code="a">DE-521</subfield><subfield code="a">DE-861</subfield><subfield code="a">DE-898</subfield><subfield code="a">DE-92</subfield><subfield code="a">DE-573</subfield><subfield code="a">DE-19</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Bibbee, Alexandra</subfield><subfield code="e">Verfasser</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Balancing Health Care Quality and Cost Containment</subfield><subfield code="b">The Case of Norway</subfield><subfield code="c">Alexandra Bibbee and Flavio Padrini = Trouver l'équilibre entre qualité des soins et maîtrise des coûts : Le cas de la Norvège / Alexandra Bibbee et Flavio Padrini</subfield></datafield><datafield tag="246" ind1="1" ind2="3"><subfield code="a">Trouver l'équilibre entre qualité des soins et maîtrise des coûts</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Paris</subfield><subfield code="b">OECD Publishing</subfield><subfield code="c">2006</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">1 Online-Ressource (40 Seiten)</subfield><subfield code="c">21 x 29.7cm</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="490" ind1="0" ind2=" "><subfield code="a">OECD Economics Department Working Papers</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">In recent years, a series of wide-ranging reforms designed to make greater use of market mechanisms has succeeded in eliminating shortages, raising efficiency and improving citizen satisfaction. Nevertheless, spending accelerated after the reforms, and per capita spending on health is now one of the highest in the OECD. Centralisation of hospital ownership may have increased political influence, encouraging spending that cannot be justified on cost-benefit grounds. Co-payments by patients are modest, and the background of swelling oil wealth may have sapped willingness to control costs. Diagnosis related group (DRG) procedures are arguably too well-remunerated in some areas, leading to supply-driven interventions, while their absence in others (e.g. psychiatry) may have resulted in sub-optimal supply. Generalist doctors have a gatekeeper role, but are said to over-refer patients to hospitals. Although cost controlling mechanisms exist in Norway, they are too often sidestepped by pressure by citizens on politicians to approve new drugs and treatments. Thus, future health reforms in Norway should concentrate on value for money. This paper relates to the 2005 OECD Economic Survey of Norway (www.oecd.org/eco/survey/norway)</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Economics</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Norway</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Padrini, Flavio</subfield><subfield code="4">ctb</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.1787/557213833552</subfield><subfield code="x">Verlag</subfield><subfield code="z">kostenfrei</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-13-SOC</subfield></datafield><datafield tag="943" ind1="1" ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-033316161</subfield></datafield></record></collection> |
id | DE-604.BV047934667 |
illustrated | Not Illustrated |
index_date | 2024-07-03T19:35:03Z |
indexdate | 2024-12-18T19:03:38Z |
institution | BVB |
language | English |
oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-033316161 |
oclc_num | 1312693276 |
open_access_boolean | 1 |
owner | DE-384 DE-91 DE-BY-TUM DE-473 DE-BY-UBG DE-824 DE-29 DE-739 DE-355 DE-BY-UBR DE-20 DE-1028 DE-1049 DE-188 DE-521 DE-861 DE-898 DE-BY-UBR DE-92 DE-573 DE-19 DE-BY-UBM |
owner_facet | DE-384 DE-91 DE-BY-TUM DE-473 DE-BY-UBG DE-824 DE-29 DE-739 DE-355 DE-BY-UBR DE-20 DE-1028 DE-1049 DE-188 DE-521 DE-861 DE-898 DE-BY-UBR DE-92 DE-573 DE-19 DE-BY-UBM |
physical | 1 Online-Ressource (40 Seiten) 21 x 29.7cm |
psigel | ZDB-13-SOC |
publishDate | 2006 |
publishDateSearch | 2006 |
publishDateSort | 2006 |
publisher | OECD Publishing |
record_format | marc |
series2 | OECD Economics Department Working Papers |
spelling | Bibbee, Alexandra Verfasser aut Balancing Health Care Quality and Cost Containment The Case of Norway Alexandra Bibbee and Flavio Padrini = Trouver l'équilibre entre qualité des soins et maîtrise des coûts : Le cas de la Norvège / Alexandra Bibbee et Flavio Padrini Trouver l'équilibre entre qualité des soins et maîtrise des coûts Paris OECD Publishing 2006 1 Online-Ressource (40 Seiten) 21 x 29.7cm txt rdacontent c rdamedia cr rdacarrier OECD Economics Department Working Papers In recent years, a series of wide-ranging reforms designed to make greater use of market mechanisms has succeeded in eliminating shortages, raising efficiency and improving citizen satisfaction. Nevertheless, spending accelerated after the reforms, and per capita spending on health is now one of the highest in the OECD. Centralisation of hospital ownership may have increased political influence, encouraging spending that cannot be justified on cost-benefit grounds. Co-payments by patients are modest, and the background of swelling oil wealth may have sapped willingness to control costs. Diagnosis related group (DRG) procedures are arguably too well-remunerated in some areas, leading to supply-driven interventions, while their absence in others (e.g. psychiatry) may have resulted in sub-optimal supply. Generalist doctors have a gatekeeper role, but are said to over-refer patients to hospitals. Although cost controlling mechanisms exist in Norway, they are too often sidestepped by pressure by citizens on politicians to approve new drugs and treatments. Thus, future health reforms in Norway should concentrate on value for money. This paper relates to the 2005 OECD Economic Survey of Norway (www.oecd.org/eco/survey/norway) Economics Norway Padrini, Flavio ctb https://doi.org/10.1787/557213833552 Verlag kostenfrei Volltext |
spellingShingle | Bibbee, Alexandra Balancing Health Care Quality and Cost Containment The Case of Norway Economics Norway |
title | Balancing Health Care Quality and Cost Containment The Case of Norway |
title_alt | Trouver l'équilibre entre qualité des soins et maîtrise des coûts |
title_auth | Balancing Health Care Quality and Cost Containment The Case of Norway |
title_exact_search | Balancing Health Care Quality and Cost Containment The Case of Norway |
title_exact_search_txtP | Balancing Health Care Quality and Cost Containment The Case of Norway |
title_full | Balancing Health Care Quality and Cost Containment The Case of Norway Alexandra Bibbee and Flavio Padrini = Trouver l'équilibre entre qualité des soins et maîtrise des coûts : Le cas de la Norvège / Alexandra Bibbee et Flavio Padrini |
title_fullStr | Balancing Health Care Quality and Cost Containment The Case of Norway Alexandra Bibbee and Flavio Padrini = Trouver l'équilibre entre qualité des soins et maîtrise des coûts : Le cas de la Norvège / Alexandra Bibbee et Flavio Padrini |
title_full_unstemmed | Balancing Health Care Quality and Cost Containment The Case of Norway Alexandra Bibbee and Flavio Padrini = Trouver l'équilibre entre qualité des soins et maîtrise des coûts : Le cas de la Norvège / Alexandra Bibbee et Flavio Padrini |
title_short | Balancing Health Care Quality and Cost Containment |
title_sort | balancing health care quality and cost containment the case of norway |
title_sub | The Case of Norway |
topic | Economics Norway |
topic_facet | Economics Norway |
url | https://doi.org/10.1787/557213833552 |
work_keys_str_mv | AT bibbeealexandra balancinghealthcarequalityandcostcontainmentthecaseofnorway AT padriniflavio balancinghealthcarequalityandcostcontainmentthecaseofnorway AT bibbeealexandra trouverlequilibreentrequalitedessoinsetmaitrisedescouts AT padriniflavio trouverlequilibreentrequalitedessoinsetmaitrisedescouts |