King's College London

Research portal

Funding models in palliative care: Lessons from international experience

Research output: Contribution to journalArticle

Standard

Funding models in palliative care : Lessons from international experience. / Groeneveld, E Iris; Cassel, J Brian; Bausewein, Claudia; Csikós, Ágnes; Krajnik, Malgorzata; Ryan, Karen; Haugen, Dagny Faksvåg; Eychmueller, Steffen; Gudat Keller, Heike; Allan, Simon; Hasselaar, Jeroen; García-Baquero Merino, Teresa; Swetenham, Kate; Piper, Kym; Fürst, Carl Johan; Murtagh, Fliss Em.

In: Palliative Medicine, Vol. 31, No. 4, 04.2017, p. 296-305.

Research output: Contribution to journalArticle

Harvard

Groeneveld, EI, Cassel, JB, Bausewein, C, Csikós, Á, Krajnik, M, Ryan, K, Haugen, DF, Eychmueller, S, Gudat Keller, H, Allan, S, Hasselaar, J, García-Baquero Merino, T, Swetenham, K, Piper, K, Fürst, CJ & Murtagh, FE 2017, 'Funding models in palliative care: Lessons from international experience', Palliative Medicine, vol. 31, no. 4, pp. 296-305. https://doi.org/10.1177/0269216316689015

APA

Groeneveld, E. I., Cassel, J. B., Bausewein, C., Csikós, Á., Krajnik, M., Ryan, K., Haugen, D. F., Eychmueller, S., Gudat Keller, H., Allan, S., Hasselaar, J., García-Baquero Merino, T., Swetenham, K., Piper, K., Fürst, C. J., & Murtagh, F. E. (2017). Funding models in palliative care: Lessons from international experience. Palliative Medicine, 31(4), 296-305. https://doi.org/10.1177/0269216316689015

Vancouver

Groeneveld EI, Cassel JB, Bausewein C, Csikós Á, Krajnik M, Ryan K et al. Funding models in palliative care: Lessons from international experience. Palliative Medicine. 2017 Apr;31(4):296-305. https://doi.org/10.1177/0269216316689015

Author

Groeneveld, E Iris ; Cassel, J Brian ; Bausewein, Claudia ; Csikós, Ágnes ; Krajnik, Malgorzata ; Ryan, Karen ; Haugen, Dagny Faksvåg ; Eychmueller, Steffen ; Gudat Keller, Heike ; Allan, Simon ; Hasselaar, Jeroen ; García-Baquero Merino, Teresa ; Swetenham, Kate ; Piper, Kym ; Fürst, Carl Johan ; Murtagh, Fliss Em. / Funding models in palliative care : Lessons from international experience. In: Palliative Medicine. 2017 ; Vol. 31, No. 4. pp. 296-305.

Bibtex Download

@article{b0510bf60b63444cbe25f6bb76f6a446,
title = "Funding models in palliative care: Lessons from international experience",
abstract = "BACKGROUND: Funding models influence provision and development of palliative care services. As palliative care integrates into mainstream health care provision, opportunities to develop funding mechanisms arise. However, little has been reported on what funding models exist or how we can learn from them.AIM: To assess national models and methods for financing and reimbursing palliative care.DESIGN: Initial literature scoping yielded limited evidence on the subject as national policy documents are difficult to identify, access and interpret. We undertook expert consultations to appraise national models of palliative care financing in England, Germany, Hungary, Republic of Ireland, New Zealand, The Netherlands, Norway, Poland, Spain, Sweden, Switzerland, the United States and Wales. These represent different levels of service development and a variety of funding mechanisms.RESULTS: Funding mechanisms reflect country-specific context and local variations in care provision. Patterns emerging include the following: Provider payment is rarely linked to population need and often perpetuates existing inequitable patterns in service provision. Funding is frequently characterised as a mixed system of charitable, public and private payers. The basis on which providers are paid for services rarely reflects individual care input or patient needs.CONCLUSION: Funding mechanisms need to be well understood and used with caution to ensure best practice and minimise perverse incentives. Before we can conduct cross-national comparisons of costs and impact of palliative care, we need to understand the funding and policy context for palliative care in each country of interest.",
author = "Groeneveld, {E Iris} and Cassel, {J Brian} and Claudia Bausewein and {\'A}gnes Csik{\'o}s and Malgorzata Krajnik and Karen Ryan and Haugen, {Dagny Faksv{\aa}g} and Steffen Eychmueller and {Gudat Keller}, Heike and Simon Allan and Jeroen Hasselaar and {Garc{\'i}a-Baquero Merino}, Teresa and Kate Swetenham and Kym Piper and F{\"u}rst, {Carl Johan} and Murtagh, {Fliss Em}",
year = "2017",
month = apr,
doi = "10.1177/0269216316689015",
language = "English",
volume = "31",
pages = "296--305",
journal = "Palliative Medicine",
issn = "0269-2163",
number = "4",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Funding models in palliative care

T2 - Lessons from international experience

AU - Groeneveld, E Iris

AU - Cassel, J Brian

AU - Bausewein, Claudia

AU - Csikós, Ágnes

AU - Krajnik, Malgorzata

AU - Ryan, Karen

AU - Haugen, Dagny Faksvåg

AU - Eychmueller, Steffen

AU - Gudat Keller, Heike

AU - Allan, Simon

AU - Hasselaar, Jeroen

AU - García-Baquero Merino, Teresa

AU - Swetenham, Kate

AU - Piper, Kym

AU - Fürst, Carl Johan

AU - Murtagh, Fliss Em

PY - 2017/4

Y1 - 2017/4

N2 - BACKGROUND: Funding models influence provision and development of palliative care services. As palliative care integrates into mainstream health care provision, opportunities to develop funding mechanisms arise. However, little has been reported on what funding models exist or how we can learn from them.AIM: To assess national models and methods for financing and reimbursing palliative care.DESIGN: Initial literature scoping yielded limited evidence on the subject as national policy documents are difficult to identify, access and interpret. We undertook expert consultations to appraise national models of palliative care financing in England, Germany, Hungary, Republic of Ireland, New Zealand, The Netherlands, Norway, Poland, Spain, Sweden, Switzerland, the United States and Wales. These represent different levels of service development and a variety of funding mechanisms.RESULTS: Funding mechanisms reflect country-specific context and local variations in care provision. Patterns emerging include the following: Provider payment is rarely linked to population need and often perpetuates existing inequitable patterns in service provision. Funding is frequently characterised as a mixed system of charitable, public and private payers. The basis on which providers are paid for services rarely reflects individual care input or patient needs.CONCLUSION: Funding mechanisms need to be well understood and used with caution to ensure best practice and minimise perverse incentives. Before we can conduct cross-national comparisons of costs and impact of palliative care, we need to understand the funding and policy context for palliative care in each country of interest.

AB - BACKGROUND: Funding models influence provision and development of palliative care services. As palliative care integrates into mainstream health care provision, opportunities to develop funding mechanisms arise. However, little has been reported on what funding models exist or how we can learn from them.AIM: To assess national models and methods for financing and reimbursing palliative care.DESIGN: Initial literature scoping yielded limited evidence on the subject as national policy documents are difficult to identify, access and interpret. We undertook expert consultations to appraise national models of palliative care financing in England, Germany, Hungary, Republic of Ireland, New Zealand, The Netherlands, Norway, Poland, Spain, Sweden, Switzerland, the United States and Wales. These represent different levels of service development and a variety of funding mechanisms.RESULTS: Funding mechanisms reflect country-specific context and local variations in care provision. Patterns emerging include the following: Provider payment is rarely linked to population need and often perpetuates existing inequitable patterns in service provision. Funding is frequently characterised as a mixed system of charitable, public and private payers. The basis on which providers are paid for services rarely reflects individual care input or patient needs.CONCLUSION: Funding mechanisms need to be well understood and used with caution to ensure best practice and minimise perverse incentives. Before we can conduct cross-national comparisons of costs and impact of palliative care, we need to understand the funding and policy context for palliative care in each country of interest.

U2 - 10.1177/0269216316689015

DO - 10.1177/0269216316689015

M3 - Article

C2 - 28156188

VL - 31

SP - 296

EP - 305

JO - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

IS - 4

ER -

View graph of relations

© 2018 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454