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Variable prospective financing in the Danish hospital sector and the development of a Danish case-mix system

  • Anni Ankjær-Jensen

    ()

  • Pernille Rosling
  • Lone Bilde
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    This article aims to describe and assess the Danish case-mix system, the cost accounting applied in setting national tariffs and the introduction of variable, prospective payment in the Danish hospital sector. The tariffs are calculated as a national average from hospital data gathered in a national cost database. However, uncertainty, mainly resulting from the definition of cost centres at the individual hospital, implies that the cost weights may not fully reflect the hospital treatment cost. As variable prospective payment of hospitals currently only applies to 20% of a hospital's budget, the incentives and the effects on productivity, quality and equality are still limited. Copyright Springer Science + Business Media, LLC 2006

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    File URL: http://hdl.handle.net/10.1007/s10729-006-9093-1
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    Article provided by Springer in its journal Health Care Management Science.

    Volume (Year): 9 (2006)
    Issue (Month): 3 (August)
    Pages: 259-268

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    Handle: RePEc:kap:hcarem:v:9:y:2006:i:3:p:259-268
    Contact details of provider: Web page: http://www.springerlink.com/link.asp?id=101767

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    1. Ellis, Randall P., 1998. "Creaming, skimping and dumping: provider competition on the intensive and extensive margins1," Journal of Health Economics, Elsevier, vol. 17(5), pages 537-555, October.
    2. Jegers, Marc & Kesteloot, Katrien & De Graeve, Diana & Gilles, Willem, 2002. "A typology for provider payment systems in health care," Health Policy, Elsevier, vol. 60(3), pages 255-273, June.
    3. Elizabeth Docteur & Howard Oxley, 2003. "Health-Care Systems: Lessons from the Reform Experience," OECD Health Working Papers 9, OECD Publishing.
    4. Biorn, Erik & Hagen, Terje P. & Iversen, Tor & Magnussen, Jon, 2002. "The Effect of Activity-Based Financing on Hospital Efficiency: A Panel Data Analysis of DEA Efficiency Scores 1992-2000," MPRA Paper 8099, University Library of Munich, Germany.
    5. Magnussen, Jon & Solstad, Kjell, 1994. "Case-based hospital financing: the case of Norway," Health Policy, Elsevier, vol. 28(1), pages 23-36, March.
    6. Kjeld M�ller Pedersen & Terkel Christiansen & Mickael Bech, 2005. "The Danish health care system: evolution - not revolution - in a decentralized system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages S41-S57.
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