Health Care Reform Controlling Spending and Increasing Efficiency:

The paper reviews trends in health-care expenditure and assesses the main forces underlying the increase since 1960. It then describes and evaluates various health-care reforms. The report argues that top-down budget controls appear to have had some success in reducing the growth in health-care spen...

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1. Verfasser: Oxley, Howard (VerfasserIn)
Weitere Verfasser: MacFarlan, Maitland (MitwirkendeR)
Format: Elektronisch E-Book
Sprache:English
Veröffentlicht: Paris OECD Publishing 1994
Schriftenreihe:OECD Economics Department Working Papers no.149
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Zusammenfassung:The paper reviews trends in health-care expenditure and assesses the main forces underlying the increase since 1960. It then describes and evaluates various health-care reforms. The report argues that top-down budget controls appear to have had some success in reducing the growth in health-care spending but, to be sustainable, they need to be supported by microeconomic reforms. Significant improvements in micro-efficiency and effectiveness can be obtained by improving incentives facing health-care providers. Policy developments in a few leading countries suggest that a system where funders/insurers act as purchasers, contracting with competing health-care providers, is a promising model for reform. A statistical annex assesses whether differences in institutional arrangements for funding and providing health care explain international differences in health expenditure ...
Beschreibung:1 Online-Ressource (126 p.) 21 x 29.7cm.
DOI:10.1787/338757855057

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