Impact of Hospital Provider Payment Reforms in Croatia

27 Pages Posted: 20 Apr 2016

See all articles by Martina Bogut

Martina Bogut

affiliation not provided to SSRN

Luka Voncina

affiliation not provided to SSRN

Ethan Yeh

World Bank

Date Written: March 1, 2012

Abstract

Croatia 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.

Keywords: Health Monitoring & Evaluation, Health Systems Development & Reform, Disease Control & Prevention, Health Law, Health Economics & Finance

Suggested Citation

Bogut, Martina and Voncina, Luka and Yeh, Ethan, Impact of Hospital Provider Payment Reforms in Croatia (March 1, 2012). World Bank Policy Research Working Paper No. 5992. Available at SSRN: https://ssrn.com/abstract=2020864

Martina Bogut (Contact Author)

affiliation not provided to SSRN

No Address Available

Luka Voncina

affiliation not provided to SSRN

No Address Available

Ethan Yeh

World Bank ( email )

1818 H Street, NW
Washington, DC 20433
United States

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