[Hospital financing systems: an analysis of trends and a study of the consistency of reform proposals for introduction into public health systems].
The author comments in this paper on the recent literature on reforms in hospital reimbursement systems. Instead of taking a theoretical approach to this topic, the article adopts a "middle of the road" view, by looking at the consistency of applying some of these reforms (mainly on contract management and DRGs) in Public Health Systems. After recognising some of the existing problems in the management of public hospitals in Spain, the author advocates for a common sense strategy to health reforms in terms of the following: (i) at the time of implementing changes in the hospital sector keep targets defined as simple as possible, (ii) go to reforms through a step-by-step procedure, and (iii) whenever things look complex, use basic "house-keeping" economics, instead of just importing additional economic literature from abroad.
López Casasnovas
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Universitat Pompeu Fabra, Barcelona.
D003953:Diagnosis-Related Groups / Q000191:economics / Q000458:organization & administration / Q000639:trends; D005377:Financial Management, Hospital / Q000191:economics / Q000458:organization & administration / Q000639:trends*; D006739:Hospital Administration / Q000191:economics / Q000639:trends; D011635:Public Health Administration / Q000191:economics / Q000458:organization & administration / Q000639:trends*; D013030:Spain
Els sistemes de finançament dels hospitals: anàlisi de tendències i estudi de consistència de les propostes de reforma per a la seva implantació en els sistemes sanitaris públics.