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Related Experiment Videos

Intramural health care budgeting.

L M Groot

    Effective Health Care
    |December 12, 1983
    PubMed
    Summary

    Hospitals face rising costs due to fee-for-service models. Implementing budget financing, like in the Netherlands, offers a way to control healthcare expenditures and manage hospital resources effectively.

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    Het Ziekenhuiswezen·1962

    Area of Science:

    • Health economics
    • Hospital management
    • Healthcare policy

    Background:

    • Explosive cost development in hospitals accounts for nearly half of healthcare expenditures.
    • Fee-for-service models with professional autonomy drive service expansion.
    • Output-based financing (patient days, exams) can incentivize increased service provision.

    Purpose of the Study:

    • To analyze the impact of different hospital financing mechanisms on cost development.
    • To explore the introduction of budgetary elements in hospital financing systems.
    • To differentiate between internal and external budgeting strategies for cost control.

    Main Methods:

    • Comparative analysis of hospital financing systems across different countries (e.g., UK, Denmark, Italy, France, Belgium, Netherlands).
    • Examination of the shift from output-based financing to budget financing.
    • Distinction between internal and external budgeting approaches.

    Main Results:

    • Budget financing systems, implemented in countries like the Netherlands, provide greater control over cost development.
    • Systems with budgetary elements allow authorities more influence on healthcare spending.
    • Internal and external budgeting represent distinct but interrelated strategies for resource management.

    Conclusions:

    • Transitioning to budget financing is crucial for controlling hospital costs.
    • The choice of budget formula is critical for effective internal and external budgeting.
    • Differentiated budget formulas are necessary for successful internal hospital resource management.

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