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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.
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.