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Leaders’ experiences and perceptions implementing activity-based funding and pay-for-performance hospital funding models: A systematic review

Author

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  • Baxter, Pamela E.
  • Hewko, Sarah J.
  • Pfaff, Kathryn A.
  • Cleghorn, Laura
  • Cunningham, Barbara J.
  • Elston, Dawn
  • Cummings, Greta G.

Abstract

Providing cost-effective, accessible, high quality patient care is a challenge to governments and health care delivery systems across the globe. In response to this challenge, two types of hospital funding models have been widely implemented: (1) activity-based funding (ABF) and (2) pay-for-performance (P4P). Although health care leaders play a critical role in the implementation of these funding models, to date their perspectives have not been systematically examined.

Suggested Citation

  • Baxter, Pamela E. & Hewko, Sarah J. & Pfaff, Kathryn A. & Cleghorn, Laura & Cunningham, Barbara J. & Elston, Dawn & Cummings, Greta G., 2015. "Leaders’ experiences and perceptions implementing activity-based funding and pay-for-performance hospital funding models: A systematic review," Health Policy, Elsevier, vol. 119(8), pages 1096-1110.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:8:p:1096-1110
    DOI: 10.1016/j.healthpol.2015.05.003
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    4. Cristina Folgado Pinto & Ana Sara Costa & Diogo Cunha Ferreira & Miguel Alves Pereira, 2025. "Optimisation of annual payments to public hospitals accounting for quality, access, and efficiency," Annals of Operations Research, Springer, vol. 353(3), pages 1305-1344, October.
    5. Valentelyte, Gintare & Keegan, Conor & Sorensen, Jan, 2023. "Hospital response to Activity-Based Funding and price incentives: Evidence from Ireland," Health Policy, Elsevier, vol. 137(C).
    6. Burau, Viola & Dahl, Hanne Marlene & Jensen, Lotte Groth & Lou, Stina, 2018. "Beyond Activity Based Funding. An experiment in Denmark," Health Policy, Elsevier, vol. 122(7), pages 714-721.

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