Impact of Hospital Provider Payment Reforms in Croatia
Croatia began to implement case-based provider payment reforms in hospitals beginning in 2002, starting with broad-based categories according to therapeutic procedures. In 2009, formal diagnostic related groups were introduced, known locally as dij...
| Main Authors: | , , |
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| Language: | English |
| Published: |
2012
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| Subjects: | |
| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120312125655 http://hdl.handle.net/10986/3280 |
| Summary: | Croatia began to implement case-based
provider payment reforms in hospitals beginning in 2002,
starting with broad-based categories according to
therapeutic procedures. In 2009, formal diagnostic related
groups were introduced, known locally as dijagnosticko
terapijske skupine. This study examines the efficiency and
quality impacts of these provider payment reforms globally
on the Croatian health system by analyzing data on five
procedures in acute health care for 10 years, between
January 2000 and December 2009. The five procedures are
cataracts, pneumonia, coronary bypass, appendectomy, and hip
replacement. Using data from the Croatian Institute for
Health Insurance, this study finds that both broad-based and
detailed case-based payment systems have improved efficiency
as measured by a reduction in average length of stay, with
little impact on the number of cases. These provider payment
reforms have had no adverse impact on quality as measured by
readmissions. While it is still too early to quantify the
impact of Croatia's introduction of formal diagnostic
related groups, it appears that the introduction of both
broad and detailed case-based payment systems has improved
efficiency in acute hospital care. |
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