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2014 | XCIII (93) | 193-205

Article title

Zasady wyceny świadczeń zdrowotnych we francuskim systemie ochrony zdrowia

Content

Title variants

EN
The analysis of valuation principles of medical services in the French health care system

Languages of publication

PL

Abstracts

EN
In many countries, including Poland, there is a problem associated with disadvantages of valuation methods of medical services that affect the poor efficiency of health care financing system. In the literature, it is estimated that one of the best methods of valuation is system based on the Homogeneous Groups of Patients. In this system all treated patients are classified, based on selected clinical characteristics into patient groups which consume the resources of the hospital in a similar manner. Such a system already exists in many European countries. In some of them the basis for valuation of medical services are the cost data accumulated in hospitals. One of such country is France. The aim of this article is to analyze the valuation principles of medical services, especially in the hospitals, that are applied in the French health care system. Particular attention was paid to the characteristics of the French health care system and the French system of Homogeneous Groups of Patients GHM, which is the base for the valuation of medical services in hospitals. This article also describes the process of collecting cost data needed to determine the cost weights and the pricing rules for calculating the GHM tariffs at the central level.

Year

Volume

Pages

193-205

Physical description

Dates

published
2014

Contributors

  • Zakład Finansów i Rachunkowości, Politechnika Warszawska, Kolegium Nauk Ekonomicznych i Społecznych w Płocku

References

  • Bellanger M.M., Tardif L., Accounting and reimbursement schemes for inpatient care in France, Health Care Manage Sci 2006/9, s 295–305.
  • Bras P.L., Vieilleribiere J.L., Lesteven P., Evaluation de la tarification des soins hospitaliers et des actes médicaux, Inspection générale des affaires sociales, RM 2012-024P marzec 2012.
  • Cour des comptes. La Securité Sociale, chapitre 7, La mise en place de la T2A: Bilan à mi-parcours. Paris: Cour des comptes, February 2009; http://www.ccomptes.fr/content/download/ 1263/12378/file/Chap7-mise-en-oeuvre-T2A.pdf; stan na dzień 20.11.2014 r.
  • DREES, Rapport d’activité du Comité d’évaluation de la T2A, septembre 2009, Direction de la recherche, des études, de l’évaluation et des statistiques, Ministère du Travail, de l’Emploi et de la Santé, Paris 2009.
  • Haute Autorité de Santé (French National Authority for Health), Day surgery tariffs in France and in other countries, Current situation and future prospects, Documentation Department – Public Information, June 2013.
  • HCAAM, Note sur la situation des établissements de santé, Avril 2009, Haut Conseil de l’Avenir de l’Assurance Maladie, Paris 2009.
  • Kalecińska J., White&Case Daniłowicz W., Jurcewicz W. i Wspólnicy – Kancelaria Prawna sp. k., System ochrony zdrowia we Francji, [w:] J. Kalecińska, I. Herbst (red.), PPP w systemach ochrony zdrowia w wybranych krajach świata, Fundacja Centrum PPP, Warszawa 2011, s. 28–38 .
  • Kludacz M., Wycena usług szpitalnych na szczeblu centralnym w wybranych krajach europejskich, [w:] R. Lewandowski, M. Kautsch, Ł. Sułkowski (red.), Współczesne problemy zarządzania w ochronie zdrowia z perspektywy systemu i organizacji, PiZ 2013/XIV/10, cz. 1, s. 261–273.
  • Macuda M., Wykorzystanie Jednorodnych Grup Pacjentów w planowaniu kosztów świadczeń zdrowotnych na przykładzie szpitali w Szwajcarii, Zesz. Nauk. AE w Poznaniu 2006/82, s. 119–128.
  • Ministère de la Santé, Guide méthodologique de Comptabilité analytique hospitalière du ministère de la santé, 2012 r.
  • Or Z., Bellanger M., France: Implementing homogeneous patient groups in a mixed market, [w:] R. Busse, A. Geissler, W. Quentin, M. Wiley (ed.), Diagnosis-Related Groups in Europe.
  • Moving towards transparency, efficiency and quality in hospitals, World Health Organization 2011, Open University Press, s. 221–242.
  • Strony internetowe:
  • ATIH, Guide technique présentant les modalités de calcul du référentiel national de coûts, Données ENCC 2011; http://www.atih.sante.fr/donnees-de-couts/enc-mco; (maj 2013); stan na dzień 20.03.2014 r.
  • ATIH, Manuel des GHM – version definitive 11f, http://www.atih.sante.fr/manuel-des-ghm-version- 11-version-complete; stan na dzień 20.11.2014 r.
  • ATIH, Méthode alternative à la comparaison des coûts et des tarifs, maj 2013; www.atih.sante. fr; stan na dzień 20.03.2014 r.

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.desklight-f7e649b3-e927-4ebd-b15d-28d5634019c6
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