{"id":3369,"date":"2014-10-28T12:27:12","date_gmt":"2014-10-28T17:27:12","guid":{"rendered":"http:\/\/sciencemediacentre.ca\/site\/?p=3369"},"modified":"2014-10-28T12:27:12","modified_gmt":"2014-10-28T17:27:12","slug":"alternative-hospital-funding-can-be-risky","status":"publish","type":"post","link":"http:\/\/sciencemediacentre.ca\/site\/alternative-hospital-funding-can-be-risky\/","title":{"rendered":"Alternative hospital funding can be risky"},"content":{"rendered":"<p><a href=\"http:\/\/sciencemediacentre.ca\/site\/wp-content\/uploads\/2013\/12\/SMCC-english2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-110\" src=\"http:\/\/sciencemediacentre.ca\/site\/wp-content\/uploads\/2013\/12\/SMCC-english2.jpg\" alt=\"SMCC-english2\" width=\"255\" height=\"126\" \/><\/a><\/p>\n<p>A review of worldwide experience with an alternative model of hospital funding suggests that it increases the number of patients needing post-acute care. Activity-based funding (ABF) is a system whereby hospitals are paid a set rate for each episode of care, intended to fund the bundle of services provided to patients with particular diagnoses, as opposed to a lump sum at the beginning of each year to cover all patients in a jurisdiction.<\/p>\n<p>A systematic review of the evidence produced over the last 30 years from other countries where ABF has been tried found that the relative number of patients discharged to post-acute care &#8211; for example, a skilled nursing facility, home care, convalescent care, etc. &#8211; increases by 24% with ABF. The authors warn that jurisdictions experimenting with ABF (including Ontario, Quebec and BC) must be prepared for this and other possible consequences.<\/p>\n<p><a href=\"http:\/\/www.plosone.org\/article\/info%3Adoi%2F10.1371%2Fjournal.pone.0109975\" target=\"_blank\"><span style=\"text-decoration: underline;\">Original research paper<\/span><\/a>\u00a0published in <em>PLOS ONE\u00a0<\/em>on\u00a0<span class=\"aBn\" tabindex=\"0\" data-term=\"goog_453723367\"><span class=\"aQJ\"><strong>October 27, 2014<\/strong>.<\/span><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><em><strong>Names and affiliations of selected\u00a0authors<\/strong><\/em><\/span><\/p>\n<h4 dir=\"ltr\">Karen Palmer, Simon Fraser University, British Columbia<\/h4>\n<h4 dir=\"ltr\">Thomas Agoritsas, McMaster University, Ontario<\/h4>\n<h4 dir=\"ltr\">Gordon Guyatt, McMaster University, Ontario<\/h4>\n<h4 dir=\"ltr\">Danielle Martin, University of Toronto, Ontario<\/h4>\n","protected":false},"excerpt":{"rendered":"<p>A review of worldwide experience with an alternative model of hospital funding suggests that it increases the number of patients needing post-acute care. Activity-based funding (ABF) is a system whereby hospitals are paid a set rate for each episode of care, intended to fund the bundle of services provided to patients with particular diagnoses, as [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[25],"tags":[125,51,2207,53,50,476],"class_list":["post-3369","post","type-post","status-publish","format-standard","hentry","category-paper-of-interest","tag-british-columbia","tag-health","tag-hospitals","tag-medicine","tag-ontario","tag-public-health"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4DqbN-Sl","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"http:\/\/sciencemediacentre.ca\/site\/wp-json\/wp\/v2\/posts\/3369","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/sciencemediacentre.ca\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/sciencemediacentre.ca\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/sciencemediacentre.ca\/site\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/sciencemediacentre.ca\/site\/wp-json\/wp\/v2\/comments?post=3369"}],"version-history":[{"count":1,"href":"http:\/\/sciencemediacentre.ca\/site\/wp-json\/wp\/v2\/posts\/3369\/revisions"}],"predecessor-version":[{"id":3370,"href":"http:\/\/sciencemediacentre.ca\/site\/wp-json\/wp\/v2\/posts\/3369\/revisions\/3370"}],"wp:attachment":[{"href":"http:\/\/sciencemediacentre.ca\/site\/wp-json\/wp\/v2\/media?parent=3369"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/sciencemediacentre.ca\/site\/wp-json\/wp\/v2\/categories?post=3369"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/sciencemediacentre.ca\/site\/wp-json\/wp\/v2\/tags?post=3369"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}