Financial Incentives and Inappropriateness in Health Care: Evidence from Italian Cesarean Sections

被引：11

作者：

Cavalieri, Marina ^{[1
]}

Guccio, Calogero ^{[1
]}

Lisi, Domenico ^{[1
]}

Pignataro, Giacomo ^{[1
]}

机构：

[1] Univ Catania, I-95129 Catania, Italy

来源：

FINANZARCHIV | 2014年 / 70卷 / 03期

关键词：

inappropriateness; Cesarean section; financial incentives; DRG differentials; FRACTIONAL RESPONSE VARIABLES; RATES; DELIVERY; MORTALITY; IMPACT; POLICY; PANEL;

D O I：

10.1628/001522114X684538

中图分类号：

F8 [财政、金融];

学科分类号：

0202 ;

摘要：

The purpose of this paper is to examine the effect of financial incentives on the level of inappropriateness in health care. The case of the Italian NHS seems to be especially interesting when considering the effects of financial incentives on providers' behaviors, as decentralization processes have progressively increased the variability among Regional Health Authorities in both the financing and the delivery of health care. In particular, we investigate the effect of DRG tariff differentials on hospital risk-adjusted cesarean rates for first-time mothers during the period 2009-2011. Our main finding is that Italian hospitals respond to financial incentives in obstetrics and that the strategic behavioral response varies by hospital type.

引用

页码：430 / 457

页数：28

共 50 条

[41] Industrial spatial dynamics, financial health and bankruptcy: evidence from Italian manufacturing industry
Falavigna G.
Ippoliti R.
Economia e Politica Industriale, 2018, 45 (4) : 533 - 554
[42] A FRAMEWORK FOR EVIDENCE-BASED HEALTH CARE INCENTIVES SIMULATION
Bigus, Joseph P.
Chen-Ritzo, Ching-Hua
Sorrentino, Robert
PROCEEDINGS OF THE 2011 WINTER SIMULATION CONFERENCE (WSC), 2011, : 1103 - 1116
[43] Reviewing the evidence on health financing for effective coverage: do financial incentives work?
de Walque, Damien
Kandpal, Eeshani
BMJ GLOBAL HEALTH, 2022, 7 (09):
[44] Does the Market Punish Aggressive Experts? Evidence from Cesarean Sections
Dranove, David
Ramanarayanan, Subramaniam
Sfekas, Andrew
B E JOURNAL OF ECONOMIC ANALYSIS & POLICY, 2011, 11 (02):
[45] Financial Incentives in Primary Care Practice The Struggle to Achieve Population Health Goals
Dolor, Rowena J.
Schulman, Kevin A.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2013, 310 (10): : 1031 - 1032
[46] Capitation and primary care in Canada: Financial incentives and the evolution of health service organizations
Gillett, J
Hutchison, B
Birch, S
INTERNATIONAL JOURNAL OF HEALTH SERVICES, 2001, 31 (03): : 583 - 603
[47] Financial incentives, cross-purposes, and moral motivation in health care provision
McCabe, Helen
MONASH BIOETHICS REVIEW, 2005, 24 (03) : 20 - 35
[48] Financial incentives in health care. The impact of performance-based reimbursement
Forsberg, E
Axelsson, R
Arnetz, B
HEALTH POLICY, 2001, 58 (03) : 243 - 262
[49] THE RELATIVE IMPORTANCE OF FINANCIAL AND NON-FINANCIAL INCENTIVES FOR COMMUNITY HEALTH WORKERS: EVIDENCE FROM A DISCRETE CHOICE EXPERIMENT IN WESTERN KENYA
Saran, Indrani
Winn, Laura
Kirui, Joseph
Menya, Diana
O'Meara, Wendy
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 2018, 99 (04): : 664 - 665
[50] The challenge and the future of health care turnaround plans: Evidence from the Italian experience
Ferre, Francesca
Cuccurullo, Corrado
Lega, Federico
HEALTH POLICY, 2012, 106 (01) : 3 - 9

← 1 2 3 4 5 →