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Increasing the effectiveness of health care by paying for results - specifics, examples and conditions for effective application (Zwiekszanie efektywnosci opieki zdrowotnej przez placenie za wyniki - specyfika, przyklady i warunki skutecznego zastosowania)

Alicja Sobczak () and Justyna Grudzi¹¿-Sekowska ()
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Alicja Sobczak: Zaklad Teorii i Metod Organizacji, Katedra Teorii Organizacji, Wydzial Zarzadzania, Uniwersytet Warszawski; Zaklad Ekonomiki, Prawa i Zarzadzania, Szkola Zdrowia Publicznego, Centrum Medycznego Ksztalcenia Podyplomowego
Justyna Grudzi¹¿-Sekowska: Zaklad Stomatologii Dzieciecej, Instytut Stomatologii, Warszawski Uniwersytet Medyczny; Zaklad Ekonomiki, Prawa i Zarzadzania, Szkola Zdrowia Publicznego, Centrum Medycznego Ksztalcenia Podyplomoweg

Problemy Zarzadzania, 2011, vol. 9, issue 33, 153-168

Abstract: A review of the recent literature (mainly American) on the concept and implementation of pay-for-performance (P4P) and value-based purchasing (V-BP) systems in health care has been elaborated in the article. The aim of these systems is to increase effectiveness - provision of high quality health care services at a reasonable cost. Development of medical standards and information systems, recording medical procedures and achieved health effects are among the basic conditions for implementation of P4P or V-BP like systems. The experience from abroad shows that the success of these systems depends on a proper selection of assessment criteria (evidencebased actions, fully controlled by providers, various) as well as a proper relationship between payments and the level and dynamics of the providers' implementation of the criteria. Therefore, health care requires a tight collaboration between management specialists and medical professionals at the construction stage as well as during the implementation and changes of the systems.

Date: 2011
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