Assessing the effect of standardized cost systems on financial performance. A difference-in-differences approach for hospitals according to their technological level
(Source: Health Policy)
Source: Health Policy - February 1, 2018 Category: Health Management Authors: Beatriz Garc ía-Cornejo, José A. Pérez-Méndez Source Type: research

Assessing the effect of standardized cost systems on financial performance. A difference-in-differences approach for hospitals according to their technological level
At an international level health policy makers face an environment involving pressures to contain costs [1]. This explains the growing interest with respect to the calculation of health care costs [2,3] and, particularly, the cost systems (CS) used in hospitals [3 –6]. Management health care literature suggests that the cost information provided by an effective CS facilitates management by clinicians, improves accuracy in the calculation of the price of services and can be used by managers for benchmarking; all of which could typically result in better cost containment and cost management [3–11]. (Source: Health Policy)
Source: Health Policy - February 1, 2018 Category: Health Management Authors: Beatriz Garc ía-Cornejo, José A. Pérez-Méndez Source Type: research

Extending ’ euthanasia to those ‘tired of living’ in the Netherlands could jeopardize a well-functioning practice of physicians’ assessment of a patient's request for death
The Dutch Euthanasia Act (EA) took effect in 2002 and regulates the ending of one ’s life by a physician at the patient’s request [1]. Granting this patient’s request depends on physicians’ assessment of whether the following requirements have been satisfied: 1) the request is voluntary and well-considered, 2) the patient is suffering unbearably without any prospect of im provement, 3) the patient is informed about his situation and prospects, 4) there are no reasonable alternatives to relieve suffering, 5) an independent physician must be consulted by the treating physician to evaluate criteria 1–4 prior to phys...
Source: Health Policy - January 21, 2018 Category: Health Management Authors: Barend W. Florijn Tags: Opinion Piece Source Type: research

Extending euthanasia to those ‘tired of living’ in the Netherlands could jeopardize a well-functioning practice of physicians' assessment of dying requests
(Source: Health Policy)
Source: Health Policy - January 21, 2018 Category: Health Management Authors: Barend W. Florijn Tags: Opinion Piece Source Type: research

The Canadian Cannabis Act legalizes and regulates recreational cannabis use in 2018
Recreational cannabis use has been the subject of criminal sanctions over the past century creating societal tension between those that use cannabis socially and the resulting criminal law penalties. Cannabis has been used recreationally for thousands of years yet it ’s illegality continues to be maintained by governments internationally. Despite the drugs illicit status in Canada, almost half of Canadians have admitted to using the drug, signalling a disconnect between the current law and actual societal practices. (Source: Health Policy)
Source: Health Policy - January 17, 2018 Category: Health Management Authors: Chelsea Cox Tags: Health Reform Monitor Source Type: research

The Canadian Cannabis Act legalizes and regulates recreational cannabis use in 2018
(Source: Health Policy)
Source: Health Policy - January 17, 2018 Category: Health Management Authors: Chelsea Cox Tags: Health Reform Monitor Source Type: research

Improving health care service provision by adapting to regional diversity: An efficiency analysis for the case of Germany
The demographic change with a growing demand for health care services and a diminishing base of contributors puts health care systems in most developed countries under financial pressures. Germany is an example where such developments trigger particular challenges in the health care system, e.g., ensuring sustainable funding [4]. Furthermore, the German health care sector is faced with a looming shortage of medical infrastructure predominantly in rural areas, which influences the efficiency of the provision of health care services [4]. (Source: Health Policy)
Source: Health Policy - January 12, 2018 Category: Health Management Authors: Helmut Herwartz, Katharina Schley Source Type: research

The use of preventable hospitalization for monitoring the performance of local health authorities in long-term care
According to the OECD, with the share of the population aged 80 years old or over increasing, by 2050 Italy will be one of the oldest populations in an OECD country [1]. By 2030 it is estimated that around 9% of the Italian population will be over 80 years old [4]. Moreover, public expenditure on long-term care (LTC) in 2007 was estimated at 1.7% of the Italian GDP [7], and it can be expected to grow. As society ages, well-organized health support and personal care will be increasingly needed. In the light of this challenge, to ensure the suitable delivery of care policy makers should control its provision at the local hea...
Source: Health Policy - January 12, 2018 Category: Health Management Authors: Andelija Arandelovic, Anna Acampora, Bruno Federico, Francesco Profili, Paolo Francesconi, Walter Ricciardi, Gianfranco Damiani Source Type: research

Improving health care service provision by adapting to regional diversity: An efficiency analysis for the case of Germany
The demographic change with a growing demand for health care services and a diminishing base of contributors puts health care systems in most developed countries under financial pressures. Germany is an example where such developments trigger particular challenges in the health care system, e.g., ensuring sustainable funding [4]. Furthermore, the German health care sector is faced with a looming shortage of medical infrastructure predominantly in rural areas, which influences the efficiency of the provision of health care services [4]. (Source: Health Policy)
Source: Health Policy - January 12, 2018 Category: Health Management Authors: Helmut Herwartz, Katharina Schley Tags: < ![CDATA[Health Reform Monitor]] > Source Type: research

The use of preventable hospitalization for monitoring the performance of local health authorities in long-term care
(Source: Health Policy)
Source: Health Policy - January 12, 2018 Category: Health Management Authors: Andelija Arandelovic, Anna Acampora, Bruno Federico, Francesco Profili, Paolo Francesconi, Walter Ricciardi, Gianfranco Damiani Source Type: research

Socioeconomic status and waiting times for health services: An international literature review and evidence from the Italian National Health System
In publicly funded health systems, waiting times are considered a main policy issue because they are reaching a critical length for several health services in many OECD countries [1,2]. Long waiting times may serve as an important barrier to real and perceived access to health care services [3]. Moreover, longer waiting times for treatments leads to dissatisfaction and may cause deterioration in a patient ’s health status [4] or reduced treatment effectiveness [5,6]. (Source: Health Policy)
Source: Health Policy - January 11, 2018 Category: Health Management Authors: Stefano Landi, Enrico Ivaldi, Angela Testi Source Type: research

Control of hospitals and nursing homes in France: The 2016 reform may indirectly improve a dysfunctional system
Various types of control have been imposed on hospitals and nursing homes since the 1990s, creating a stack of controls with no interconnection. This situation causes confusion and misunderstandings [1]. The purpose of this article is to demonstrate the positive impact the new legislation modernising the health system is expected to have on the various types of control (and the following timeline shows the evolution of demands in terms of control since 1996). (Source: Health Policy)
Source: Health Policy - January 11, 2018 Category: Health Management Authors: Sandra Bertezene Tags: Health Reform Monitor Source Type: research

Rationalizing the introduction and use of pharmaceutical products: The role of managed entry agreements in Central and Eastern European countries
Safety, efficacy and quality of manufacturing are mandatory for all new drugs [1 –3]. The reimbursement from public finances is linked to discussions on cost-effectiveness, financial risk-sharing and solidarity [4,5]. Likewise, the quality of usage of medicines is an important prerequisite for effectiveness [6,7] and the public payer-purchasing price should contribute to fisca l sustainability [6,8]. Consequently, we believe these four focal points of regulation and governance are inter-related and overlap as is illustrated in the Venn-diagram we developed for this study, to help positioning our topic: managed entry agre...
Source: Health Policy - January 11, 2018 Category: Health Management Authors: Alexandru M. Rotar, Alin Preda, Olga L öblová, Vanesa Benkovic, Szymon Zawodnik, Laszlo Gulacsi, Maciej Niewada, Imre Boncz, Guenka Petrova, Maria Dimitrova, Niek Klazinga Source Type: research

Socioeconomic status and waiting times for health services: An international literature review and evidence from the Italian National Health System
(Source: Health Policy)
Source: Health Policy - January 11, 2018 Category: Health Management Authors: Stefano Landi, Enrico Ivaldi, Angela Testi Source Type: research