IDEAS home Printed from https://ideas.repec.org/a/spr/hecrev/v14y2024i1d10.1186_s13561-024-00487-6.html
   My bibliography  Save this article

Impact of reimbursement systems on patient care – a systematic review of systematic reviews

Author

Listed:
  • Eva Wagenschieber

    (Friedrich-Alexander-Universität Erlangen-Nürnberg)

  • Dominik Blunck

    (Friedrich-Alexander-Universität Erlangen-Nürnberg)

Abstract

Background There is not yet sufficient scientific evidence to answer the question of the extent to which different reimbursement systems influence patient care and treatment quality. Due to the asymmetry of information between physicians, health insurers and patients, market-based mechanisms are necessary to ensure the best possible patient care. The aim of this study is to investigate how reimbursement systems influence multiple areas of patient care in form of structure, process and outcome indicators. Methods For this purpose, a systematic literature review of systematic reviews is conducted in the databases PubMed, Web of Science and the Cochrane Library. The reimbursement systems of salary, bundled payment, fee-for-service and value-based reimbursement are examined. Patient care is divided according to the three dimensions of structure, process, and outcome and evaluated in eight subcategories. Results A total of 34 reviews of 971 underlying primary studies are included in this article. International studies identified the greatest effects in categories resource utilization and quality/health outcomes. Pay-for-performance and bundled payments were the most commonly studied models. Among the systems examined, fee-for-service and value-based reimbursement systems have the most positive impact on patient care. Conclusion Patient care can be influenced by the choice of reimbursement system. The factors for successful implementation need to be further explored in future research.

Suggested Citation

  • Eva Wagenschieber & Dominik Blunck, 2024. "Impact of reimbursement systems on patient care – a systematic review of systematic reviews," Health Economics Review, Springer, vol. 14(1), pages 1-12, December.
    • Handle: RePEc:spr:hecrev:v:14:y:2024:i:1:d:10.1186_s13561-024-00487-6
    DOI: 10.1186/s13561-024-00487-6
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1186/s13561-024-00487-6
    File Function: Abstract
    Download Restriction: no
    File URL: https://libkey.io/10.1186/s13561-024-00487-6?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mauro, Marianna & Rotundo, Giorgia & Giancotti, Monica, 2019. "Effect of financial incentives on breast, cervical and colorectal cancer screening delivery rates: Results from a systematic literature review," Health Policy, Elsevier, vol. 123(12), pages 1210-1220.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Monika Karasiewicz & Ewelina Chawłowska & Agnieszka Lipiak & Barbara Więckowska, 2021. "A Step towards Understanding and Tackling Health Inequalities: The Use of Secondary Prevention Services and the Need for Health Promotion in a Rural Setting," IJERPH, MDPI, vol. 18(16), pages 1-18, August.
    2. Daniel Rojas-Díaz & María Eugenia Puerta-Yepes & Daniel Medina-Gaspar & Jesús Alonso Botero & Anwar Rodríguez & Norberto Rojas, 2023. "Mathematical Modeling for the Assessment of Public Policies in the Cancer Health-Care System Implemented for the Colombian Case," IJERPH, MDPI, vol. 20(18), pages 1-36, September.
    3. Sangkwon Kim & Youngjin Hwang & Chaeyoung Lee & Soobin Kwak & Junseok Kim, 2023. "Estimation of Total Cost Required in Controlling COVID-19 Outbreaks by Financial Incentives," IJERPH, MDPI, vol. 20(2), pages 1-15, January.
    4. Helen Hayes & Jonathan Stokes & Matt Sutton & Rachel Meacock, 2024. "How do hospitals respond to payment unbundling for diagnostic imaging of suspected cancer patients?," Health Economics, John Wiley & Sons, Ltd., vol. 33(5), pages 823-843, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:hecrev:v:14:y:2024:i:1:d:10.1186_s13561-024-00487-6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com/economics/journal/13561 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.