The impetus for this study arose from the need to upgrade the case mix measure of choice in use at the national level in Ireland. Since 1993, various versions of the DRG grouper supported by the Health Care Financing Administration (HCFA) had been in use in Ireland. With improvements in...

Many hospitals in Germany are facing escalating economic pressures. After several years of stagnation, the number of inpatient hospital treatments dropped by in 2020 compared to the previous year. This negative tendency can also be seen in operating theaters (OTs). Strategic management of the...

La reducción de programas de producción es una herramienta de amplia utilización para la disminución de los tiempos de proyección y organización de plantas de producción, para amplios programas de producción. En el caso de los servicios hospitalarios se han diseñado un grupo de métodos...

The implementation of activity-based payment system named T2A—tarification à l’activité—in 2004 profoundly modified the financing of French hospitals. Presently applied to activities concerning medicine, surgery and obstetrics, the pricing for these activities was developed using the...

Policy-makers desire an optimal balance of financial incentives to improve productivity and encourage improved quality in primary care, while also avoiding issues of risk-selection inherent to capitation-based payment. In this paper we analyze risk-selection in capitation-based payment by using...

[ES] Proponemos un modelo de programación por metas para la estimación del plan de producción (case-mix) que debe reflejarse en el ContratoӐrograma que suscriben anualmente los Hospitales Públicos y la Administración. Las variables de decisión son los volúmenes de actividad de cada...