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Optimizing payments based on efficiency, quality, complexity, and heterogeneity: the case of hospital funding

2020Artigo científico Acesso aberto
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dc.contributor.authorFerreira, Diogo C.
dc.contributor.authorNunes, Alexandre M.
dc.contributor.authorMarques, Rui C.
dc.date.accessioned2023-09-01T14:43:39Z
dc.date.available2023-09-01T14:43:39Z
dc.date.issued2020
dc.description.abstractIn several countries around the world, public hospitals are paid for by the health care services they provide to the population. Different funding systems are available, such as the Beveridge Model. Furthermore, payments can be either prospective, retrospective, or even a merging of both. Payments are usually nonoptimal in the Pareto sense and disregard the quality of delivered services as well as the environment (either internal or external) in which hospitals operate. This gap may introduce inefficiencies and inequities in the health care system, which currently faces scenarios of reduction/scarcity of resources. Furthermore, there are problems related to overpaying and misallocation of resources. Hence, payments should be optimized to guarantee an efficient allocation of resources to the health care systems. This study proposes a new best practice based tool, applying it to the Portuguese National Health Service. Considerable cost savings may emerge for inefficient hospitals if the model is successfully employed.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1111/itor.12713pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.5/28388
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectHospital fundingpt_PT
dc.subjectBest practicespt_PT
dc.subjectEfficiencypt_PT
dc.subjectQualitypt_PT
dc.subjectHeterogeneitypt_PT
dc.titleOptimizing payments based on efficiency, quality, complexity, and heterogeneity: the case of hospital fundingpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1961pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage1930pt_PT
oaire.citation.titleInternational Transactions in Operational Researchpt_PT
oaire.citation.volume27pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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