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Exploring payment schemes used to promote integrated chronic care in Europe

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  • Tsiachristas, Apostolos
  • Dikkers, Carolien
  • Boland, Melinde R.S.
  • Rutten-van Mölken, Maureen P.M.H.

Abstract

The rising burden of chronic conditions has led several European countries to reform healthcare payment schemes. This paper aimed to explore the adoption and success of payment schemes that promote integration of chronic care in European countries. A literature review was used to identify European countries that employed pay-for-coordination (PFC), pay-for-performance (PFP), and bundled payment schemes. Existing evidence from the literature was supplemented with fifteen interviews with chronic care experts in these countries to obtain detailed information regarding the payment schemes, facilitators and barriers to their implementation, and their perceived success.

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  • Tsiachristas, Apostolos & Dikkers, Carolien & Boland, Melinde R.S. & Rutten-van Mölken, Maureen P.M.H., 2013. "Exploring payment schemes used to promote integrated chronic care in Europe," Health Policy, Elsevier, vol. 113(3), pages 296-304.
  • Handle: RePEc:eee:hepoli:v:113:y:2013:i:3:p:296-304
    DOI: 10.1016/j.healthpol.2013.07.007
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    5. Sterre S. Bour & Lena H. A. Raaijmakers & Erik W. M. A. Bischoff & Lucas M. A. Goossens & Maureen P. M. H. Rutten-van Mölken, 2023. "How Can a Bundled Payment Model Incentivize the Transition from Single-Disease Management to Person-Centred and Integrated Care for Chronic Diseases in the Netherlands?," IJERPH, MDPI, vol. 20(5), pages 1-20, February.
    6. Tsiachristas, Apostolos & Dikkers, Carolien & Boland, Melinde R.S. & Rutten-van Mölken, Maureen P.M.H., 2016. "Impact of financial agreements in European chronic care on health care expenditure growth," Health Policy, Elsevier, vol. 120(4), pages 420-430.
    7. Elisabetta Barzan & Francesco Longo & Francesco Petracca & Valeria Domenica Tozzi, 2017. "La presa in carico dei pazienti cronici in Lombardia: quale governance e quali indeterminatezze nel modello," MECOSAN, FrancoAngeli Editore, vol. 2017(103), pages 31-48.
    8. Leijten, Fenna R.M. & Struckmann, Verena & van Ginneken, Ewout & Czypionka, Thomas & Kraus, Markus & Reiss, Miriam & Tsiachristas, Apostolos & Boland, Melinde & de Bont, Antoinette & Bal, Roland & Bus, 2018. "The SELFIE framework for integrated care for multi-morbidity: Development and description," Health Policy, Elsevier, vol. 122(1), pages 12-22.
    9. Stokes, Jonathan & Struckmann, Verena & Kristensen, Søren Rud & Fuchs, Sabine & van Ginneken, Ewout & Tsiachristas, Apostolos & Rutten van Mölken, Maureen & Sutton, Matt, 2018. "Towards incentivising integration: A typology of payments for integrated care," Health Policy, Elsevier, vol. 122(9), pages 963-969.
    10. Schusselé Filliettaz, Séverine & Berchtold, Peter & Kohler, Dimitri & Peytremann-Bridevaux, Isabelle, 2018. "Integrated care in Switzerland: Results from the first nationwide survey," Health Policy, Elsevier, vol. 122(6), pages 568-576.
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