Transitional funding: changing Ontario's global budgeting system.
In 1988, Ontario introduced transitional funding, a collaborative process between the Ministry of Health and the hospitals to modify Ontario's global budgeting system. The goals are to achieve greater equity; encourage hospital efficiency, and promote a shift from inpatient to outpatient services. To implement these goals, inpatient care is being measured in terms of case-mix groups, i.e., a classification system comparable to the diagnosis-related groups. However, since there is no patient level cost data, cost weights are being derived from patient-level data from New York State. Transitional funding draws attention to both positive and negative aspects of global budgeting.
Lave
J R
JR
University of Pittsburgh, Graduate School of Public Health, PA 15261.
Jacobs
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P
Markel
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D002017:Budgets / Q000458:organization & administration*; D003953:Diagnosis-Related Groups / Q000191:economics; D005377:Financial Management, Hospital / Q000331:legislation & jurisprudence*; D005380:Financing, Government / Q000379:methods*; D007350:Insurance, Hospitalization / Q000191:economics; D007373:Interinstitutional Relations; D008020:Life Support Care / Q000191:economics; D009313:National Health Programs / Q000191:economics*; D009864:Ontario; D009936:Organizational Innovation