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International strategies, experiences, and payment models to incentivise day surgery.
Kreutzberg, Anika; Eckhardt, Helene; Milstein, Ricarda; Busse, Reinhard.
Afiliación
  • Kreutzberg A; Department of Health Care Management, Technische Universität Berlin, Administrative office H80, Straße des 17. Juni 135, Berlin 10623, Federal Republic of Germany. Electronic address: anika.kreutzberg@tu-berlin.de.
  • Eckhardt H; Department of Health Care Management, Technische Universität Berlin, Administrative office H80, Straße des 17. Juni 135, Berlin 10623, Federal Republic of Germany.
  • Milstein R; Hamburg Center for Health Economics, Universität Hamburg, Esplanade 36, Hamburg 20354, Federal Republic of Germany.
  • Busse R; Department of Health Care Management, Technische Universität Berlin, Administrative office H80, Straße des 17. Juni 135, Berlin 10623, Federal Republic of Germany.
Health Policy ; 140: 104968, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38171029
ABSTRACT
The importance of day surgery as a less costly alternative compared to conventional inpatient hospital stays is growing internationally. The rate of day surgery activities has increased across Europe. However, this trend has been heterogeneous across countries, and might still be below its potential. Since payment systems affect how providers offer care, they represent a policy instrument to further increase the rate of day surgeries. In this paper, we review international strategies to promote day surgery with a particular focus on payment models for 13 OECD countries (Australia, Austria, Canada, Denmark, England, Estonia, Finland, France, Germany, Netherlands, Norway, Sweden, Switzerland). We conduct a cross-country comparison based on an email survey of health policy experts and a comprehensive literature review of peer-reviewed papers and grey literature. Our research shows that all countries aim to strengthen day surgery activity to increase health system efficiency. Several countries used financial and non-financial policy measures to overcome misaligned incentive structures and promote day surgery activity. Financial incentives for day surgery can serve as a policy instrument to promote change. We recommend embedding these incentives in a comprehensive approach of restructuring health systems. In addition, we encourage countries to monitor and evaluate the effect of changes to payment systems on day surgeries to allow for more informed decision-making.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Ambulatorios / Política de Salud Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Health Policy Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SAUDE PUBLICA Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
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Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Ambulatorios / Política de Salud Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Health Policy Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SAUDE PUBLICA Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda