Impact of Hospital Provider Payment Reforms in Croatia
Croatia began to implement case-based provider payment reforms in hospitals beginning in 2002, starting with broad-based categories according to therapeutic procedures. In 2009, formal diagnostic related groups were introduced, known locally as dij...
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| Format: | Policy Research Working Paper |
| Language: | English |
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2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120312125655 http://hdl.handle.net/10986/3280 |
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okr-10986-32802021-04-23T14:02:08Z Impact of Hospital Provider Payment Reforms in Croatia Bogut, Martina Voncina, Luka Yeh, Ethan ACUTE CARE ADEQUATE FINANCIAL RESOURCES AGE GROUPS AGING BIOCHEMISTRY BUDGET CEILING CATARACT CATARACT SURGERY CATARACTS CHRONIC DISEASES CHRONIC LUNG CLINICAL CARE CLINICAL PRACTICE CLINICAL PRACTICES CLINICS DENTAL MEDICINE DIAGNOSES DIAGNOSIS DIAGNOSIS RELATED GROUPS DIAGNOSTIC PROCEDURES DIAGNOSTIC TESTS DIAGNOSTICS DISCHARGE PATIENTS DISEASE DISEASES ECONOMIC REVIEW EMERGENCY MEDICINE EXPENDITURES FEE-FOR-SERVICE FLAT RATE GLAUCOMA GYNECOLOGY HEALTH CARE HEALTH CARE COSTS HEALTH CARE INSTITUTIONS HEALTH CARE LAW HEALTH CARE RESOURCES HEALTH CARE SYSTEM HEALTH ECONOMICS HEALTH FINANCING HEALTH FINANCING REFORM HEALTH INSURANCE HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH REFORMS HEALTH SERVICE HEALTH SERVICES HEALTH SPENDING HEALTH SYSTEM HEALTH WORKFORCE HEALTHCARE HOSPITAL ADMISSIONS HOSPITAL BEDS HOSPITAL BUDGETS HOSPITAL CARE HOSPITAL FUNDING HOSPITAL OWNERSHIP HOSPITAL SERVICES HOSPITAL SYSTEM HOSPITALIZATION HOSPITALS HUMAN DEVELOPMENT ILLNESSES INCOME INFECTIONS INPATIENT CARE INPATIENT TREATMENT LUNG DISEASES MEDICAL ASSOCIATION MEDICAL ASSOCIATIONS MEDICAL CARE MEDICAL EDUCATION MEDICAL REHABILITATION MEDICAL SERVICES MEDICARE MENTAL ILLNESSES NATIONAL HEALTH NEGATIVE EFFECTS NUTRITION OBSTETRICS PATIENT PATIENTS PEDIATRICS PHARMACEUTICALS PHARMACY PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES QUALITY OF CARE SOCIAL WELFARE SURGERY TREATMENT Croatia began to implement case-based provider payment reforms in hospitals beginning in 2002, starting with broad-based categories according to therapeutic procedures. In 2009, formal diagnostic related groups were introduced, known locally as dijagnosticko terapijske skupine. This study examines the efficiency and quality impacts of these provider payment reforms globally on the Croatian health system by analyzing data on five procedures in acute health care for 10 years, between January 2000 and December 2009. The five procedures are cataracts, pneumonia, coronary bypass, appendectomy, and hip replacement. Using data from the Croatian Institute for Health Insurance, this study finds that both broad-based and detailed case-based payment systems have improved efficiency as measured by a reduction in average length of stay, with little impact on the number of cases. These provider payment reforms have had no adverse impact on quality as measured by readmissions. While it is still too early to quantify the impact of Croatia's introduction of formal diagnostic related groups, it appears that the introduction of both broad and detailed case-based payment systems has improved efficiency in acute hospital care. 2012-03-19T17:29:39Z 2012-03-19T17:29:39Z 2012-03-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120312125655 http://hdl.handle.net/10986/3280 English Policy Research working paper ; no. WPS 5992 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Publications & Research :: Policy Research Working Paper Europe and Central Asia Europe and Central Asia Europe Eastern Europe Croatia |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ACUTE CARE ADEQUATE FINANCIAL RESOURCES AGE GROUPS AGING BIOCHEMISTRY BUDGET CEILING CATARACT CATARACT SURGERY CATARACTS CHRONIC DISEASES CHRONIC LUNG CLINICAL CARE CLINICAL PRACTICE CLINICAL PRACTICES CLINICS DENTAL MEDICINE DIAGNOSES DIAGNOSIS DIAGNOSIS RELATED GROUPS DIAGNOSTIC PROCEDURES DIAGNOSTIC TESTS DIAGNOSTICS DISCHARGE PATIENTS DISEASE DISEASES ECONOMIC REVIEW EMERGENCY MEDICINE EXPENDITURES FEE-FOR-SERVICE FLAT RATE GLAUCOMA GYNECOLOGY HEALTH CARE HEALTH CARE COSTS HEALTH CARE INSTITUTIONS HEALTH CARE LAW HEALTH CARE RESOURCES HEALTH CARE SYSTEM HEALTH ECONOMICS HEALTH FINANCING HEALTH FINANCING REFORM HEALTH INSURANCE HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH REFORMS HEALTH SERVICE HEALTH SERVICES HEALTH SPENDING HEALTH SYSTEM HEALTH WORKFORCE HEALTHCARE HOSPITAL ADMISSIONS HOSPITAL BEDS HOSPITAL BUDGETS HOSPITAL CARE HOSPITAL FUNDING HOSPITAL OWNERSHIP HOSPITAL SERVICES HOSPITAL SYSTEM HOSPITALIZATION HOSPITALS HUMAN DEVELOPMENT ILLNESSES INCOME INFECTIONS INPATIENT CARE INPATIENT TREATMENT LUNG DISEASES MEDICAL ASSOCIATION MEDICAL ASSOCIATIONS MEDICAL CARE MEDICAL EDUCATION MEDICAL REHABILITATION MEDICAL SERVICES MEDICARE MENTAL ILLNESSES NATIONAL HEALTH NEGATIVE EFFECTS NUTRITION OBSTETRICS PATIENT PATIENTS PEDIATRICS PHARMACEUTICALS PHARMACY PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES QUALITY OF CARE SOCIAL WELFARE SURGERY TREATMENT |
| spellingShingle |
ACUTE CARE ADEQUATE FINANCIAL RESOURCES AGE GROUPS AGING BIOCHEMISTRY BUDGET CEILING CATARACT CATARACT SURGERY CATARACTS CHRONIC DISEASES CHRONIC LUNG CLINICAL CARE CLINICAL PRACTICE CLINICAL PRACTICES CLINICS DENTAL MEDICINE DIAGNOSES DIAGNOSIS DIAGNOSIS RELATED GROUPS DIAGNOSTIC PROCEDURES DIAGNOSTIC TESTS DIAGNOSTICS DISCHARGE PATIENTS DISEASE DISEASES ECONOMIC REVIEW EMERGENCY MEDICINE EXPENDITURES FEE-FOR-SERVICE FLAT RATE GLAUCOMA GYNECOLOGY HEALTH CARE HEALTH CARE COSTS HEALTH CARE INSTITUTIONS HEALTH CARE LAW HEALTH CARE RESOURCES HEALTH CARE SYSTEM HEALTH ECONOMICS HEALTH FINANCING HEALTH FINANCING REFORM HEALTH INSURANCE HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH REFORMS HEALTH SERVICE HEALTH SERVICES HEALTH SPENDING HEALTH SYSTEM HEALTH WORKFORCE HEALTHCARE HOSPITAL ADMISSIONS HOSPITAL BEDS HOSPITAL BUDGETS HOSPITAL CARE HOSPITAL FUNDING HOSPITAL OWNERSHIP HOSPITAL SERVICES HOSPITAL SYSTEM HOSPITALIZATION HOSPITALS HUMAN DEVELOPMENT ILLNESSES INCOME INFECTIONS INPATIENT CARE INPATIENT TREATMENT LUNG DISEASES MEDICAL ASSOCIATION MEDICAL ASSOCIATIONS MEDICAL CARE MEDICAL EDUCATION MEDICAL REHABILITATION MEDICAL SERVICES MEDICARE MENTAL ILLNESSES NATIONAL HEALTH NEGATIVE EFFECTS NUTRITION OBSTETRICS PATIENT PATIENTS PEDIATRICS PHARMACEUTICALS PHARMACY PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES QUALITY OF CARE SOCIAL WELFARE SURGERY TREATMENT Bogut, Martina Voncina, Luka Yeh, Ethan Impact of Hospital Provider Payment Reforms in Croatia |
| geographic_facet |
Europe and Central Asia Europe and Central Asia Europe Eastern Europe Croatia |
| relation |
Policy Research working paper ; no. WPS 5992 |
| description |
Croatia began to implement case-based
provider payment reforms in hospitals beginning in 2002,
starting with broad-based categories according to
therapeutic procedures. In 2009, formal diagnostic related
groups were introduced, known locally as dijagnosticko
terapijske skupine. This study examines the efficiency and
quality impacts of these provider payment reforms globally
on the Croatian health system by analyzing data on five
procedures in acute health care for 10 years, between
January 2000 and December 2009. The five procedures are
cataracts, pneumonia, coronary bypass, appendectomy, and hip
replacement. Using data from the Croatian Institute for
Health Insurance, this study finds that both broad-based and
detailed case-based payment systems have improved efficiency
as measured by a reduction in average length of stay, with
little impact on the number of cases. These provider payment
reforms have had no adverse impact on quality as measured by
readmissions. While it is still too early to quantify the
impact of Croatia's introduction of formal diagnostic
related groups, it appears that the introduction of both
broad and detailed case-based payment systems has improved
efficiency in acute hospital care. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Bogut, Martina Voncina, Luka Yeh, Ethan |
| author_facet |
Bogut, Martina Voncina, Luka Yeh, Ethan |
| author_sort |
Bogut, Martina |
| title |
Impact of Hospital Provider Payment Reforms in Croatia |
| title_short |
Impact of Hospital Provider Payment Reforms in Croatia |
| title_full |
Impact of Hospital Provider Payment Reforms in Croatia |
| title_fullStr |
Impact of Hospital Provider Payment Reforms in Croatia |
| title_full_unstemmed |
Impact of Hospital Provider Payment Reforms in Croatia |
| title_sort |
impact of hospital provider payment reforms in croatia |
| publishDate |
2012 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120312125655 http://hdl.handle.net/10986/3280 |
| _version_ |
1764386723562782720 |