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Cultures of Activity, Cultivating Resistance
Katherine Kenny1, Alex Broom2, Michelle Peterie1
1Sydney Centre for Healthy Societies, The School of Social and Political Sciences, Faculty of Arts and Social Sciences, The University of Sydney, Sydney, NSW, Australia.
Qualitative Health Research
|October 23, 2024
Summary
Healthcare funding models can worsen antimicrobial resistance (AMR). Activity-based funding incentivizes more medical activity, inadvertently benefiting rising resistance rates and hindering AMR containment efforts.
Area of Science:
- Health Economics
- Infectious Disease Management
- Healthcare Policy
Background:
- Antimicrobial resistance (AMR) is a significant global health threat.
- Current approaches to AMR often overlook economic drivers and healthcare funding structures.
- Activity-based funding (ABF) is a common healthcare reimbursement model.
Purpose of the Study:
- To investigate how healthcare funding models, specifically ABF, influence the perception and prioritization of AMR within hospitals.
- To analyze the economic principles embedded in ABF and their impact on AMR containment strategies.
Main Methods:
- Qualitative study involving semi-structured interviews.
- Data collected from 36 hospital executives across various clinical settings in two Australian states.
- Analysis focused on how ABF operationalizes value and impacts AMR management.
Main Results:
- The ABF paradigm can conflict with effective AMR containment efforts.
- ABF may incentivize increased healthcare activity, inadvertently benefiting rising resistance rates in the short term.
- The model fails to recognize the economic value of reduced activity, potentially exacerbating AMR.
Conclusions:
- Healthcare funding models like ABF can unintentionally undermine efforts to combat AMR.
- Revising funding mechanisms is crucial to align economic incentives with AMR reduction goals.
- A greater understanding of the economic underpinnings of AMR is necessary for effective policy development.
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