Financing networks of care: a cross-case analysis from six countries.
BMJ Open
; 13(11): e072304, 2023 11 03.
Article
em En
| MEDLINE
| ID: mdl-37923350
ABSTRACT
OBJECTIVES:
Describe experiences of countries with networks of care's (NOCs') financial arrangements, identifying elements, strategies and patterns.DESIGN:
Descriptive using a modified cross-case analysis, focusing on each network's financing functions (collecting resources, pooling and purchasing).SETTING:
Health systems in six countries Argentina, Australia, Canada, Singapore, the United Kingdom and the USA.PARTICIPANTS:
Large-scale NOCs.RESULTS:
Countries differ in their strategies to implement and finance NOCs. Two broad models were identified in the six cases top-down (funding centrally designed networks) and bottom-up (financing individual projects) networks. Despite their differences, NOCs share the goal of improving health outcomes, mainly through the coordination of providers in the system; these results are achieved by devoting extra resources to the system, including incentives for network formation and sustainability, providing extra services and setting incentive systems for improving the providers' performance.CONCLUSIONS:
Results highlight the need to better understand the financial implications and alternatives for designing and implementing NOCs, particularly as a strategy to promote better health in low- and middle-income settings.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Financiamento da Assistência à Saúde
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article