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Stimulating cost effective behavior in hospitals.

D Neuhauser

    Health Policy (Amsterdam, Netherlands)
    |March 11, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Monetary and non-monetary incentives significantly influence medical care delivery across all levels, from systems to patients. Understanding these effects is crucial for optimizing healthcare.

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    Area of Science:

    • Health Services Research
    • Healthcare Management
    • Medical Economics

    Background:

    • Healthcare delivery is influenced by various factors beyond clinical practice.
    • Incentives, both financial and non-financial, play a significant role in shaping healthcare systems.
    • Understanding these influences is critical for effective healthcare policy and management.

    Purpose of the Study:

    • To categorize and examine the types of influence on medical care delivery.
    • To analyze the impact of monetary and other incentives on healthcare.
    • To discuss examples of these influences, primarily from the United States.

    Main Methods:

    • Review and categorization of incentive types affecting healthcare.
    • Analysis of incentive effects at multiple levels: system, hospital, care team, physician, and patient.

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  • Discussion of selected case examples, predominantly from the USA.

    • Main Results:

    • Incentives influencing medical care are broadly classified into monetary and non-monetary categories.
    • These incentives exert influence at systemic, hospital, care team, physician, and patient levels.
    • Examples illustrate the practical application and impact of these incentives in healthcare settings.

    Conclusions:

    • Monetary and non-monetary incentives are key drivers of change in medical care delivery.
    • The effects of incentives are pervasive, impacting all stakeholders within the healthcare ecosystem.
    • Further examination of these influences can inform strategies for improving healthcare quality and efficiency.