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Funding models in p...
Funding models in palliative care : Lessons from international experience
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- Groeneveld, E. Iris (author)
- King's College London
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- Cassel, J. Brian (author)
- Virginia Commonwealth University
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- Bausewein, Claudia (author)
- University Hospital Munich
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- Csikós, Ágnes (author)
- Hospice-Palliativ Tanszék
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- Krajnik, Malgorzata (author)
- Nicolaus Copernicus University
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- Ryan, Karen (author)
- Saint Francis Hospice
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- Haugen, Dagny Faksvåg (author)
- University of Bergen
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- Eychmueller, Steffen (author)
- Bern University Hospital
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- Keller, Heike Gudat (author)
- Hospiz Im Park
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- Allan, Simon (author)
- Arohanui Hospice
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Hasselaar, Jeroen (author)
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Merino, Teresa García Baquero (author)
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Swetenham, Kate (author)
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Piper, Kym (author)
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- Fürst, Carl Johan (author)
- Lund University,Lunds universitet,Bröstcancer-genetik,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Palliativt Utvecklingscentrum,Forskargrupper vid Lunds universitet,Breastcancer-genetics,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,The Institute for Palliative Care,Lund University Research Groups
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Murtagh, Fliss E.M. (author)
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(creator_code:org_t)
- 2017-02-03
- 2017
- English.
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In: Palliative Medicine. - : SAGE Publications. - 0269-2163 .- 1477-030X. ; 31:4, s. 296-305
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Abstract
Subject headings
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- Background: Funding models influence provision and development of palliative care services. As palliative care integrates into mainstream health care provision, opportunities to develop funding mechanisms arise. However, little has been reported on what funding models exist or how we can learn from them. Aim: To assess national models and methods for financing and reimbursing palliative care. Design: Initial literature scoping yielded limited evidence on the subject as national policy documents are difficult to identify, access and interpret. We undertook expert consultations to appraise national models of palliative care financing in England, Germany, Hungary, Republic of Ireland, New Zealand, The Netherlands, Norway, Poland, Spain, Sweden, Switzerland, the United States and Wales. These represent different levels of service development and a variety of funding mechanisms. Results: Funding mechanisms reflect country-specific context and local variations in care provision. Patterns emerging include the following: • Provider payment is rarely linked to population need and often perpetuates existing inequitable patterns in service provision. • Funding is frequently characterised as a mixed system of charitable, public and private payers. • The basis on which providers are paid for services rarely reflects individual care input or patient needs. Conclusion: Funding mechanisms need to be well understood and used with caution to ensure best practice and minimise perverse incentives. Before we can conduct cross-national comparisons of costs and impact of palliative care, we need to understand the funding and policy context for palliative care in each country of interest.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Financing
- Health care systems
- Hospice
- Palliative care
- Reimbursement mechanisms
Publication and Content Type
- for (subject category)
- ref (subject category)
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- By the author/editor
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Groeneveld, E. I ...
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Cassel, J. Brian
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Bausewein, Claud ...
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Csikós, Ágnes
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Krajnik, Malgorz ...
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Ryan, Karen
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show more...
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Haugen, Dagny Fa ...
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Eychmueller, Ste ...
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Keller, Heike Gu ...
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Allan, Simon
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Hasselaar, Jeroe ...
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Merino, Teresa G ...
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Swetenham, Kate
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Piper, Kym
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Fürst, Carl Joha ...
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Murtagh, Fliss E ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
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Palliative Medic ...
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Lund University