PMID- 22235724
OWN - NLM
STAT- MEDLINE
DCOM- 20120207
LR  - 20120112
IS  - 1029-0540 (Print)
IS  - 1029-0540 (Linking)
VI  - 47
IP  - 3
DP  - 2011
TI  - Effects of payment mechanisms on hospital behaviours in Brazil: evidence from a 
      multi-payer and multi-payment system.
PG  - 24-7
AB  - A variety of provider payment mechanisms (PPMs) are used in Brazil to direct 
      funds to hospitals. This article examines their effect on hospital efficiency, 
      cost and quality. Public hospitals funded through the traditional line-item 
      public budget are the best least efficient. Those funded through global budgets 
      and other decentralized budget modalities perform on a par with private providers 
      funded mainly by private prepaid health plans. Private hospitals that are 
      dependent on government payments exhibit lower levels of quality. However, the 
      overall effects of PPMs on performance are less than expected for some groups of 
      hospitals. Factors compromising the impact of PPMs on performance are examined.
FAU - Couttolenc, Bernard F
AU  - Couttolenc BF
AD  - Performa Institute, Brazil.
FAU - Forgia, Gerard M
AU  - Forgia GM
LA  - eng
PT  - Journal Article
PL  - England
TA  - World Hosp Health Serv
JT  - World hospitals and health services : the official journal of the International 
      Hospital Federation
JID - 9441450
MH  - Brazil
MH  - Economics, Hospital/*organization & administration
MH  - Reimbursement Mechanisms/*organization & administration
EDAT- 2012/01/13 06:00
MHDA- 2012/02/09 06:00
CRDT- 2012/01/13 06:00
PHST- 2012/01/13 06:00 [entrez]
PHST- 2012/01/13 06:00 [pubmed]
PHST- 2012/02/09 06:00 [medline]
PST - ppublish
SO  - World Hosp Health Serv. 2011;47(3):24-7.