Health Care Reform Controlling Spending and Increasing Efficiency [E-Book] / Howard Oxley and Maitland MacFarlan
The paper reviews trends in health-care expenditure and assesses the main forces underlying the increase since 1960. It then describes and evaluates various health-care reforms. The report argues that top-down budget controls appear to have had some success in reducing the growth in health-care spen...
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Full text |
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Personal Name(s): | Oxley, Howard. |
MacFarlan, Maitland. | |
Imprint: |
Paris :
OECD Publishing,
1994
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Physical Description: |
127 p. ; 21 x 29.7cm. |
Note: |
englisch |
DOI: |
10.1787/338757855057 |
Series Title: |
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OECD Economics Department Working Papers ;
149 |
Keywords: |
Economics |
The paper reviews trends in health-care expenditure and assesses the main forces underlying the increase since 1960. It then describes and evaluates various health-care reforms. The report argues that top-down budget controls appear to have had some success in reducing the growth in health-care spending but, to be sustainable, they need to be supported by microeconomic reforms. Significant improvements in micro-efficiency and effectiveness can be obtained by improving incentives facing health-care providers. Policy developments in a few leading countries suggest that a system where funders/insurers act as purchasers, contracting with competing health-care providers, is a promising model for reform. A statistical annex assesses whether differences in institutional arrangements for funding and providing health care explain international differences in health expenditure ... |