Impact of Hospital Provider Payment Reforms in Croatia

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dc.creatorBogut, Martina
dc.creatorVoncina, Luka
dc.creatorYeh, Ethan
dc.date2012-03-19T17:29:39Z
dc.date2012-03-19T17:29:39Z
dc.date2012-03-01
dc.date.accessioned2026-07-01T01:05:17Z
dc.descriptionCroatia began to implement case-based provider payment reforms in hospitals beginning in 2002, starting with broad-based categories according to therapeutic procedures. In 2009, formal diagnostic related groups were introduced, known locally as dijagnosticko terapijske skupine. This study examines the efficiency and quality impacts of these provider payment reforms globally on the Croatian health system by analyzing data on five procedures in acute health care for 10 years, between January 2000 and December 2009. The five procedures are cataracts, pneumonia, coronary bypass, appendectomy, and hip replacement. Using data from the Croatian Institute for Health Insurance, this study finds that both broad-based and detailed case-based payment systems have improved efficiency as measured by a reduction in average length of stay, with little impact on the number of cases. These provider payment reforms have had no adverse impact on quality as measured by readmissions. While it is still too early to quantify the impact of Croatia's introduction of formal diagnostic related groups, it appears that the introduction of both broad and detailed case-based payment systems has improved efficiency in acute hospital care.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120312125655
dc.identifierhttps://hdl.handle.net/10986/3280
dc.identifierhttps://doi.org/10.1596/1813-9450-5992
dc.identifier.urihttp://hdl.handle.net/123456789/415098
dc.languageEnglish
dc.relationPolicy Research working paper ; no. WPS 5992
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectACUTE CARE
dc.subjectADEQUATE FINANCIAL RESOURCES
dc.subjectAGE GROUPS
dc.subjectAGING
dc.subjectBIOCHEMISTRY
dc.subjectBUDGET CEILING
dc.subjectCATARACT
dc.subjectCATARACT SURGERY
dc.subjectCATARACTS
dc.subjectCHRONIC DISEASES
dc.subjectCHRONIC LUNG
dc.subjectCLINICAL CARE
dc.subjectCLINICAL PRACTICE
dc.subjectCLINICAL PRACTICES
dc.subjectCLINICS
dc.subjectDENTAL MEDICINE
dc.subjectDIAGNOSES
dc.subjectDIAGNOSIS
dc.subjectDIAGNOSIS RELATED GROUPS
dc.subjectDIAGNOSTIC PROCEDURES
dc.subjectDIAGNOSTIC TESTS
dc.subjectDIAGNOSTICS
dc.subjectDISCHARGE PATIENTS
dc.subjectDISEASE
dc.subjectDISEASES
dc.subjectECONOMIC REVIEW
dc.subjectEMERGENCY MEDICINE
dc.subjectEXPENDITURES
dc.subjectFEE-FOR-SERVICE
dc.subjectFLAT RATE
dc.subjectGLAUCOMA
dc.subjectGYNECOLOGY
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE INSTITUTIONS
dc.subjectHEALTH CARE LAW
dc.subjectHEALTH CARE RESOURCES
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FINANCING REFORM
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICIES
dc.subjectHEALTH POLICY
dc.subjectHEALTH REFORMS
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPENDING
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH WORKFORCE
dc.subjectHEALTHCARE
dc.subjectHOSPITAL ADMISSIONS
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL BUDGETS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL FUNDING
dc.subjectHOSPITAL OWNERSHIP
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITAL SYSTEM
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectILLNESSES
dc.subjectINCOME
dc.subjectINFECTIONS
dc.subjectINPATIENT CARE
dc.subjectINPATIENT TREATMENT
dc.subjectLUNG DISEASES
dc.subjectMEDICAL ASSOCIATION
dc.subjectMEDICAL ASSOCIATIONS
dc.subjectMEDICAL CARE
dc.subjectMEDICAL EDUCATION
dc.subjectMEDICAL REHABILITATION
dc.subjectMEDICAL SERVICES
dc.subjectMEDICARE
dc.subjectMENTAL ILLNESSES
dc.subjectNATIONAL HEALTH
dc.subjectNEGATIVE EFFECTS
dc.subjectNUTRITION
dc.subjectOBSTETRICS
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPEDIATRICS
dc.subjectPHARMACEUTICALS
dc.subjectPHARMACY
dc.subjectPNEUMONIA
dc.subjectPOLICY DISCUSSIONS
dc.subjectPOLICY RESEARCH
dc.subjectPROVIDER PAYMENT
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CARE
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectQUALITY OF CARE
dc.subjectSOCIAL WELFARE
dc.subjectSURGERY
dc.subjectTREATMENT
dc.titleImpact of Hospital Provider Payment Reforms in Croatia

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