How are population-based funding formulae for healthcare composed? A comparative analysis of seven models.

Abstract:

BACKGROUND:Population-based funding formulae act as an important means of promoting equitable health funding structures. To evaluate how policy makers in different jurisdictions construct health funding formulae and build an understanding of contextual influences underpinning formula construction we carried out a comparative analysis of key components of funding formulae across seven high-income and predominantly publically financed health systems: New Zealand, England, Scotland, the Netherlands, the state of New South Wales in Australia, the Canadian province of Ontario, and the city of Stockholm, Sweden. METHODS:Core components from each formula were summarised and key similarities and differences evaluated from a compositional perspective. We categorised approaches to constructing funding formulae under three main themes: identifying factors which predict differential need amongst populations; adjusting for cost factors outside of needs factors; and engaging in normative correction of allocations for 'unmet' need. RESULTS:We found significant congruence in the factors used to guide need and cost adjustments. However, there is considerable variation in interpretation and implementation of these factors. CONCLUSION:Despite broadly similar frameworks, there are distinct differences in the composition of the formulae across the seven health systems. Ultimately, the development of funding formulae is a dynamic process, subject to availability of data reflecting health needs, the influence of wider socio-political objectives and health system determinants.

journal_name

BMC Health Serv Res

authors

Penno E,Gauld R,Audas R

doi

10.1186/1472-6963-13-470

subject

Has Abstract

pub_date

2013-11-08 00:00:00

pages

470

issn

1472-6963

pii

1472-6963-13-470

journal_volume

13

pub_type

杂志文章
  • Weekend admissions and mortality for major acute disorders across England and Wales: record linkage cohort studies.

    abstract:BACKGROUND:To establish which major disorders are susceptible to increased mortality following acute admissions on weekends, compared with week days, and how this may be explained. METHODS:Cohorts based on national administrative inpatient and mortality data for 14,168,443 hospitalised patients in England and 913,068 ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4286-8

    authors: Roberts SE,John A,Lewis KE,Brown J,Lyons RA,Williams JG

    更新日期:2019-09-02 00:00:00

  • Hospital deaths and adverse events in Brazil.

    abstract:BACKGROUND:Adverse events are considered a major international problem related to the performance of health systems. Evaluating the occurrence of adverse events involves, as any other outcome measure, determining the extent to which the observed differences can be attributed to the patient's risk factors or to variatio...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1472-6963-11-223

    authors: Martins M,Travassos C,Mendes W,Pavão AL

    更新日期:2011-09-19 00:00:00

  • Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study.

    abstract:BACKGROUND:Increasingly, nurse practitioners (NPs) are deployed in teams along with general practitioners (GPs) to help meet the demand for out-of-hours care. The purpose of this study was to explore factors influencing collaboration between GPs and NPs in teams working out-of-hours. METHODS:A descriptive qualitative ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2548-x

    authors: van der Biezen M,Wensing M,Poghosyan L,van der Burgt R,Laurant M

    更新日期:2017-08-23 00:00:00

  • Community health workers improve diabetes care in remote Australian Indigenous communities: results of a pragmatic cluster randomized controlled trial.

    abstract:BACKGROUND:Health outcomes for Indigenous Australians with diabetes in remote areas remain poor, including high rates of avoidable complications which could be reduced with better primary level care. We aimed to evaluate the effectiveness of a community-based health-worker led case management approach to the care of In...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12913-015-0695-5

    authors: McDermott RA,Schmidt B,Preece C,Owens V,Taylor S,Li M,Esterman A

    更新日期:2015-02-19 00:00:00

  • Using Ontario's "Telehealth" health telephone helpline as an early-warning system: a study protocol.

    abstract:BACKGROUND:The science of syndromic surveillance is still very much in its infancy. While a number of syndromic surveillance systems are being evaluated in the US, very few have had success thus far in predicting an infectious disease event. Furthermore, to date, the majority of syndromic surveillance systems have been...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-6-10

    authors: Rolland E,Moore KM,Robinson VA,McGuinness D

    更新日期:2006-02-15 00:00:00

  • The readiness of the national health laboratory system in supporting care and treatment of HIV/AIDS in Tanzania.

    abstract:BACKGROUND:Strong health laboratory systems and networks capable of providing high quality services are critical components of the health system and play a key role in routine diagnosis, care, treatment and disease surveillance. This study aimed to assess the readiness of the national health laboratory system (NHLS) an...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0923-z

    authors: Mboera LE,Ishengoma DS,Kilale AM,Massawe IS,Rutta AS,Kagaruki GB,Kamugisha E,Baraka V,Mandara CI,Materu GS,Magesa SM

    更新日期:2015-06-26 00:00:00

  • Implementing eScreening technology in four VA clinics: a mixed-method study.

    abstract:BACKGROUND:Technology-based self-assessment (TB-SA) benefits patients and providers and has shown feasibility, ease of use, efficiency, and cost savings. A promising TB-SA, the VA eScreening program, has shown promise for the efficient and effective collection of mental and physical health information. To assist adopti...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-019-4436-z

    authors: Pittman JOE,Afari N,Floto E,Almklov E,Conner S,Rabin B,Lindamer L

    更新日期:2019-08-28 00:00:00

  • Screening for caregivers at risk: Extended validation of the short version of the Burden Scale for Family Caregivers (BSFC-s) with a valid classification system for caregivers caring for an older person at home.

    abstract:BACKGROUND:Informal caregivers' (CGs') subjective burden is an important aspect of the care situation because it is linked to various outcomes such as health, mortality risk, institutionalization, and caregiving style. The aims of this study were a) to examine the convergent and discriminant validity of the 10-item sho...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3047-4

    authors: Pendergrass A,Malnis C,Graf U,Engel S,Graessel E

    更新日期:2018-04-02 00:00:00

  • Recentralizing healthcare through evidence-based guidelines - striving for national equity in Sweden.

    abstract:BACKGROUND:The Swedish government has increasingly begun to rely on so called informative governance when regulating healthcare. The question this article sets out to answer is: considered to be "the backbone" of the Swedish state's strategy for informative governance in healthcare, what kind of regulatory arrangement ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-014-0509-1

    authors: Fredriksson M,Blomqvist P,Winblad U

    更新日期:2014-11-05 00:00:00

  • Effect of telehealth on glycaemic control: analysis of patients with type 2 diabetes in the Whole Systems Demonstrator cluster randomised trial.

    abstract:BACKGROUND:The Whole Systems Demonstrator was a large, pragmatic, cluster randomised trial that compared telehealth with usual care among 3,230 patients with long-term conditions in three areas of England. Telehealth involved the regular transmission of physiological information such as blood glucose to health professi...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-14-334

    authors: Steventon A,Bardsley M,Doll H,Tuckey E,Newman SP

    更新日期:2014-08-06 00:00:00

  • What questions do patients undergoing lower extremity joint replacement surgery have?

    abstract:BACKGROUND:The value of the Internet to deliver preoperative education would increase if there was variability in questions patients want answered. This study's goal was to have patients consulting an orthopedic surgeon about undergoing either a total hip arthroplasty (THA) or a total knee arthroplasty (TKA) rate the i...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-3-11

    authors: Macario A,Schilling P,Rubio R,Bhalla A,Goodman S

    更新日期:2003-06-24 00:00:00

  • Physicians' and nurses' thoughts and concerns about introducing neonatal male circumcision in Thailand: a qualitative study.

    abstract:BACKGROUND:Neonatal male circumcision (NMC) is an alternative approach to adult male circumcision for HIV prevention. Recent studies found that NMC was rarely performed in Thailand and that most Thai health professionals did not recognize that NMC could reduce the risk of HIV infection and would not want NMC services i...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-018-3093-y

    authors: Srithanaviboonchai K,Srirak N,Pruenglampoo B,Thaikla K,Suwanteerangkul J,Khorana J,Danthamrongkul V,Paileeklee S,Pattanasattayavong U,Grimes DE,Grimes RM

    更新日期:2018-04-11 00:00:00

  • Telemedical monitoring of patients with chronic heart failure has a positive effect on total health costs.

    abstract:BACKGROUND:Telemedical programs for patients with chronic heart failure have shown inconsistent effects on survival and hospitalization. Few studies analyzed effects of telemedical interventions on health costs, although this outcome may determine whether or not a successful program will be adopted by health insurance ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3070-5

    authors: Herold R,Hoffmann W,van den Berg N

    更新日期:2018-04-10 00:00:00

  • Public health system challenges in the Free State, South Africa: a situation appraisal to inform health system strengthening.

    abstract:BACKGROUND:Since the advent of democracy, the South African government has been putting charters, policies, strategies and plans in place in an effort to strengthen public health system performance and enhance service delivery. However, public health programme performance and outcomes remained poor while the burden of ...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-019-4862-y

    authors: Malakoane B,Heunis JC,Chikobvu P,Kigozi NG,Kruger WH

    更新日期:2020-01-23 00:00:00

  • Impact of a New York City supportive housing program on Medicaid expenditure patterns among people with serious mental illness and chronic homelessness.

    abstract:BACKGROUND:A rapid increase of Medicaid expenditures has been a serious concern, and housing stability has been discussed as a means to reduce Medicaid costs. A program evaluation of a New York City supportive housing program has assessed the association between supportive housing tenancy and Medicaid savings among New...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2816-9

    authors: Lim S,Gao Q,Stazesky E,Singh TP,Harris TG,Levanon Seligson A

    更新日期:2018-01-10 00:00:00

  • Assessing practice pattern differences in the treatment of acute low back pain in the United States Military Health System.

    abstract:BACKGROUND:Acute low back pain is one of the most common reasons for individuals to seek medical care in the United States. The US Military Health System provides medical care to approximately 9.4 million beneficiaries annually. These patients also routinely suffer from acute low back pain. Within this health system, p...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3525-8

    authors: Dietrich EJ,Leroux T,Santiago CF,Helgeson MD,Richard P,Koehlmoos TP

    更新日期:2018-09-17 00:00:00

  • Modeling patient access to therapeutic oxytocin in Zanzibar, Tanzania.

    abstract:BACKGROUND:Our objective is to estimate the effects of therapeutic oxytocin supply chain factors and social determinants of health on patient access to oxytocin in low-income settings using system dynamics modeling. Postpartum hemorrhage (PPH), a major cause of maternal mortality disproportionately affects women in low...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3452-8

    authors: Nadkarni D,Gravelyn S,Brova M,Rashid S,Yee R,Guttieres D,Clifford K,Desai D,Zaman M

    更新日期:2018-08-17 00:00:00

  • Comparison of patient preferences for fecal immunochemical test or colonoscopy using the analytic hierarchy process.

    abstract:BACKGROUND:In average-risk individuals aged 50 to 75 years, there is no difference in life-years gained when comparing colonoscopy every 10 years vs. annual fecal immunochemical testing (FIT) for colorectal cancer screening. Little is known about the preferences of patients when they have experienced both tests. METHO...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0841-0

    authors: Xu Y,Levy BT,Daly JM,Bergus GR,Dunkelberg JC

    更新日期:2015-04-23 00:00:00

  • Health and life insurance as an alternative to malpractice tort law.

    abstract:BACKGROUND:Tort law has legitimate social purposes of deterrence, punishment and compensation, but medical tort law does none of these well. Tort law could be counterproductive in medicine, encouraging costly defensive practices that harm some patients, restricting access to care in some settings and discouraging innov...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-150

    authors: Sumner W 2nd

    更新日期:2010-06-02 00:00:00

  • Exploring the impact of intravenous thrombolysis on length of stay for acute ischemic stroke: a retrospective cohort study.

    abstract:BACKGROUND:Understanding the factors that influence the hospital length of stay (LOS) for patients with stroke will help in discharge planning and stroke unit management. We explored how intravenous thrombolysis (IVT) affects LOS in an acute-care hospital setting. METHODS:We analyzed adult patients with ischemic strok...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-1080-0

    authors: Hung LC,Hu YH,Sung SF

    更新日期:2015-09-23 00:00:00

  • The influence of hospital accreditation: a longitudinal assessment of organisational culture.

    abstract:BACKGROUND:A growing body of evidence supports the link between hospital organisational culture and health outcomes. Organisational culture is thus an essential consideration for hospital accreditation, a practice of systematically assessing the quality of hospital care against accepted standards. This study assesses t...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4279-7

    authors: Andres EB,Song W,Schooling CM,Johnston JM

    更新日期:2019-07-09 00:00:00

  • Improving early audiological intervention via newborn hearing screening in Belgium.

    abstract:BACKGROUND:Newborn hearing screening programs aim to lower the ages at audiological intervention among hearing-impaired children. In Wallonia and Brussels (Belgium), audiological intervention data are not collected in the screening program, and the ages at initiating audiological care have never been assessed. This stu...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-018-2878-3

    authors: Vos B,Senterre C,Boutsen M,Lagasse R,Levêque A

    更新日期:2018-01-30 00:00:00

  • Predictors of physicians' stress related to information systems: a nine-year follow-up survey study.

    abstract:BACKGROUND:Among the important stress factors for physicians nowadays are poorly functioning, time consuming and inadequate information systems. The present study examined the predictors of physicians' stress related to information systems (SRIS) among Finnish physicians. The examined predictors were cognitive workload...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3094-x

    authors: Heponiemi T,Hyppönen H,Kujala S,Aalto AM,Vehko T,Vänskä J,Elovainio M

    更新日期:2018-04-13 00:00:00

  • Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research.

    abstract:BACKGROUND:There are no empirically-grounded criteria or tools to define or benchmark the quality of outpatient clinical documentation. Outpatient clinical notes document care, communicate treatment plans and support patient safety, medical education, medico-legal investigations and reimbursement. Accurately describing...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-407

    authors: Hanson JL,Stephens MB,Pangaro LN,Gimbel RW

    更新日期:2012-11-19 00:00:00

  • Identifying seasonal and temporal trends in the pressures experienced by hospitals related to unscheduled care.

    abstract:BACKGROUND:As part of an electronic dashboard operated by Public Health Wales, senior managers at hospitals in Wales report daily "escalation" scores which reflect management opinion on the pressure a hospital is experiencing and ability to meet ongoing demand with respect to unscheduled care. An analysis was undertake...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-016-1555-7

    authors: Walker NJ,Van Woerden HC,Kiparoglou V,Yang Y

    更新日期:2016-07-26 00:00:00

  • Patients' socioeconomic status and their evaluations of primary care in Hong Kong.

    abstract:BACKGROUND:Strengthening primary care is key to Hong Kong's ongoing health system reform. Primary care remains unregulated, private sector dominated and financed mainly out-of-pocket. This study sought to examine the association between patients' socioeconomic status (SES), source of health payments and the quality of ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-487

    authors: Owolabi O,Zhang Z,Wei X,Yang N,Li H,Wong SY,Wong MC,Yip W,Griffiths SM

    更新日期:2013-11-25 00:00:00

  • Using an action learning methodology to develop skills of health managers: experiences from KwaZulu-Natal, South Africa.

    abstract:BACKGROUND:Strong management skills are key to improving performance of health systems. Action learning, a technique to develop management skills, has been used successfully with health managers but not usually among lower level managers or in low and middle-income countries (LMICs). METHODS:This study uses a qualitat...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-018-3693-6

    authors: Masango-Muzindutsi Z,Haskins L,Wilford A,Horwood C

    更新日期:2018-11-29 00:00:00

  • Obesity prevention and the role of hospital and community-based health services: a scoping review.

    abstract:BACKGROUND:Control of obesity is an important priority to reduce the burden of chronic disease. Clinical guidelines focus on the role of primary healthcare in obesity prevention. The purpose of this scoping review is to examine what the published literature indicates about the role of hospital and community based healt...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-019-4262-3

    authors: Pearce C,Rychetnik L,Wutzke S,Wilson A

    更新日期:2019-07-05 00:00:00

  • Effect of distance to health facility on the maintenance of INR therapeutic ranges in rheumatic heart disease patients from Cape Town: no evidence for an association.

    abstract:BACKGROUND:Lack of adherence to international normalised ratio (INR) monitoring in rheumatic heart disease (RHD) patients is a contributor to cardio-embolic complications. This population-based observational study investigated whether the distance between home and an INR clinic affects the maintenance of therapeutic IN...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0890-4

    authors: Barth DD,Zühlke LJ,Joachim A,Hoegger T,Mayosi BM,Engel ME

    更新日期:2015-06-05 00:00:00

  • Effect of private insurance incentive policy reforms on trends in coronary revascularisation procedures in the private and public health sectors in Western Australia: a cohort study.

    abstract:BACKGROUND:The Australian federal government introduced private health insurance incentive policy reforms in 2000 that increased the uptake of private health insurance in Australia. There is currently a lack of evidence on the effect of the policy reforms on access to cardiovascular interventions in public and private ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-280

    authors: Trafalski S,Briffa T,Hung J,Moorin RE,Sanfilippo F,Preen DB,Einarsdóttir K

    更新日期:2013-07-22 00:00:00