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Health care provider payment schemes and their changes since 2010 across nine Central and Eastern European countries - a comparative analysis

C. Ndayishimiye, M. Tambor, D. Behmane, A. Dimova, A. Dūdele, A. Džakula, B. Erasti, P. Gaál, T. Habicht, P. Hroboň, L. Murauskienė, T. Palicz, SG. Scîntee, L. Šlegerová, C. Vladescu, K. Dubas-Jakóbczyk

. 2025 ; 153 (-) : 105261. [pub] 20250207

Jazyk angličtina Země Irsko

Typ dokumentu časopisecké články, srovnávací studie, přehledy

Perzistentní odkaz   https://www.medvik.cz/link/bmc25009637

Grantová podpora
001 World Health Organization - International

Health care provider payment schemes consist of a complex set of arrangements used to influence provider behavior towards specific health policy objectives. The study aimed at: 1) providing a structured, comparative overview of current payment schemes within the public health system in selected Central and Eastern European (CEE) countries for different health care providers; 2) identifying and comparing major changes in payment schemes since 2010. Methods included: 1) data collection form development; 2) desk research; 3) national experts' consultations; 4) comparative analysis. The results indicate that the nine CEE countries (Bulgaria, Croatia, Czechia, Estonia, Latvia, Lithuania, Hungary, Poland, and Romania) show numerous similarities in provider payment method mix and in the general direction of the recent changes conducted in this field. Output-based payment methods prevail across all countries and types of providers. Primary health care (PHC) providers are characterized by the most diverse payment method mix. PHC and hospital inpatient care have experienced the most frequent changes in their payment schemes within the last 13 years. These focused mostly on modifying existing payment methods (e.g. detailing payment categories), and applying additional methods to pay for specific services or performance (e.g. fee-for-service, bonus payments). The objectives of conducted change were often similar, thus, there is high potential for a shared, cross-country learning.

Citace poskytuje Crossref.org

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$a Health care provider payment schemes consist of a complex set of arrangements used to influence provider behavior towards specific health policy objectives. The study aimed at: 1) providing a structured, comparative overview of current payment schemes within the public health system in selected Central and Eastern European (CEE) countries for different health care providers; 2) identifying and comparing major changes in payment schemes since 2010. Methods included: 1) data collection form development; 2) desk research; 3) national experts' consultations; 4) comparative analysis. The results indicate that the nine CEE countries (Bulgaria, Croatia, Czechia, Estonia, Latvia, Lithuania, Hungary, Poland, and Romania) show numerous similarities in provider payment method mix and in the general direction of the recent changes conducted in this field. Output-based payment methods prevail across all countries and types of providers. Primary health care (PHC) providers are characterized by the most diverse payment method mix. PHC and hospital inpatient care have experienced the most frequent changes in their payment schemes within the last 13 years. These focused mostly on modifying existing payment methods (e.g. detailing payment categories), and applying additional methods to pay for specific services or performance (e.g. fee-for-service, bonus payments). The objectives of conducted change were often similar, thus, there is high potential for a shared, cross-country learning.
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$a Behmane, Daiga $u Riga Stradiņš University, Riga, Latvia. Electronic address: Daiga.Behmane@rsu.lv
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$a Dimova, Antoniya $u Faculty of Public Health, Medical University - Varna, Bulgaria. Electronic address: ant_dimova@abv.bg
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$a Dūdele, Alina $u Riga Stradiņš University, Riga, Latvia. Electronic address: Alina.Dudele@rsu.lv
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$a Džakula, Aleksandar $u School of Medicine, University of Zagreb, Croatia
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$a Erasti, Barbora $u Department of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, Lithuania. Electronic address: barbora.erasti@mf.vu.lt
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$a Gaál, Péter $u Data-Driven Health Division of the National Laboratory for Health Security, Health Services Management Training Centre, Semmelweis University, Budapest, Hungary; Department of Applied Social Sciences, Faculty of Technical and Human Sciences, Sapientia Hungarian University of Transylvania, Târgu-Mureș, Romania. Electronic address: gaal.peter@emk.semmelweis.hu
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$a Habicht, Triin $u World Health Organization Barcelona Office for Health Systems Financing, Barcelona, Spain. Electronic address: habichtt@who.int
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$a Hroboň, Pavel $u Advance Healthcare Management Institute, Prague, Czech Republic. Electronic address: hrobon@advanceinstitute.cz
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$a Murauskienė, Liubove $u Department of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, Lithuania. Electronic address: liubove.murauskiene@mf.vu.lt
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$a Palicz, Tamás $u Data-Driven Health Division of the National Laboratory for Health Security, Health Services Management Training Centre, Semmelweis University, Budapest, Hungary. Electronic address: palicz.tamas@emk.semmelweis.hu
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$a Scîntee, Silvia Gabriela $u National Institute of Health Services Management, Bucharest, Romania
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$a Šlegerová, Lenka $u Institute of Economic Studies, Faculty of Social Sciences, Charles University, Prague, Czech Republic. Electronic address: lenka.slegerova@fsv.cuni.cz
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$a Vladescu, Cristian $u National Institute of Health Services Management, Bucharest, Romania; Faculty of Medicine, University Titu Maiorescu, Romania
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$a Dubas-Jakóbczyk, Katarzyna $u Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland. Electronic address: katarzyna.dubas@uj.edu.pl
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