Australian Commission - Safety And Quality - Health Care - literature review - Management Assessment Answer

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Australian Commission - Safety And Quality - Health Care - literature review - Management Assessment Answer
Task:

This literature review is part of a larger work program being managed jointly by the Australian Commission on Safety and Quality in Health Care (the Commission) and the Independent Hospital Pricing Authority (IHPA). The purpose of this literature review is to review the evidence on existing mechanisms in operation which aim to integrate quality and safety into the pricing or funding arrangements for health care. This literature review will also inform a consultation paper that will explore the options the IHPA and the Commission may recommend to its boards for including quality and safety in its future iterations of the Pricing Framework for Australian Public Hospital Services. The focus of both this literature review and the subsequent consultation paper is on quality and safety in relation to pricing and not on quality and safety per se. Given the limited time frame for this project, a rapid but rigorous search strategy (consistent with the conduct of systematic reviews) was used to identify literature related to integrating quality and safety into healthcare pricing or funding systems. The literature search included both peer reviewed Australian and international academic literature as well as material outside the academic literature such as government reports and web based information. It was limited to publications in English that could be accessed in the limited time frame.

 

Part A: Is a financial incentive appropriate?

  •  Does the desired clinical action improve patient outcomes?
  •  Will undesirable clinical behaviour persist without intervention?
  •  Are there valid, reliable and practical measures for the desired clinical behaviour?
  •  Have the barriers and enablers to improving clinical behaviour been assessed?
  •  Will financial incentives work, and better than other interventions to change behaviour, and why?
  •  Will benefits clearly outweigh any unintended harmful effects, and at an acceptable cost?

 

  1. Identify which of the four funding models defined by Egar et al. (2013) are used by the public hospitals in Australia and briefly describe their use.
  2. To what extent do you agree or disagree that the National Efficient price may provide an incentive to improve the health status of any selected segment of the Australian population. Remember to use relevant references to back up your arguments

 

 

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