Complexity, Tertiariness and Healthcare: Unresolved Issues of Reimbursement and Incentives

Chris Ernst and Paul Rouse

Die Unternehmung - Swiss Journal of Business Research and Practice, 2016, vol. 70, issue 3, 227-247

Abstract: Although “complexity” in health care is commonly associated with “tertiary” hospitals in many countries, there is no accepted defini- tion of tertiariness or agreement on structural and funding arrange- ments. This paper attempts a conceptual analysis of complexity in tertiary hospitals in terms of clinical views, capability requirements and process-orientations. The main insight is that we need a de- mand- and process based concept of tertiariness because a supply- side concept is not operational. The paper also develops some ideas what such a demand-based concept would look like.

Date: 2016
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DOI: 10.5771/0042-059X-2016-3-227

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Die Unternehmung - Swiss Journal of Business Research and Practice is currently edited by Prof. Dr. Artur Baldauf, Universität Bern, Prof. Dr. Manfred Bruhn, Universität Basel, Prof. Dr. Pascal Gantenbein, Universität Basel (geschäftsführend), Prof. Dr. Markus Gmür, Universität Fribourg, Prof. Dr. Klaus Möller, Universität St. Gallen, Prof. Dr. Günter Müller-Stewens, Universität St. Gallen, Prof. Dr. Dr. h.c. Margit Osterloh, Universität Zürich, Prof. Dr. Dieter Pfaff, Universität Zürich and Prof. Dr. Martin Wallmeier, Universität Fribourg

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