The Impact of Hospital Payment Schemes on Healthcare and Mortality: Evidence from Hospital Payment Reforms in OECD Countries

B-Tier
Journal: Health Economics
Year: 2016
Volume: 25
Issue: 8
Pages: 1005-1019

Authors (3)

Parida Wubulihasimu (not in RePEc) Werner Brouwer (Erasmus Universiteit Rotterdam) Pieter van Baal (not in RePEc)

Score contribution per author:

0.670 = (α=2.01 / 3 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

In this study, aggregate‐level panel data from 20 Organization for Economic Cooperation and Development countries over three decades (1980‐2009) were used to investigate the impact of hospital payment reforms on healthcare output and mortality. Hospital payment schemes were classified as fixed‐budget (i.e. not directly based on activities), fee‐for‐service (FFS) or patient‐based payment (PBP) schemes. The data were analysed using a difference‐in‐difference model that allows for a structural change in outcomes due to payment reform. The results suggest that FFS schemes increase the growth rate of healthcare output, whereas PBP schemes positively affect life expectancy at age 65 years. However, these results should be interpreted with caution, as results are sensitive to model specification. Copyright © 2015 John Wiley & Sons, Ltd.

Technical Details

RePEc Handle
repec:wly:hlthec:v:25:y:2016:i:8:p:1005-1019
Journal Field
Health
Author Count
3
Added to Database
2026-01-24