Objective
In order to cope with the explosion of medical expenditure and improve performance, several countries of the EU are currently introducing or reinforcing the use of medico-economic key figures in hospitals on the basis of Diagnosis-Related Groups (DRG)-systems. But this introduction has led to varying results.
While some studies point out its influence on working practices and clinical procedures, other studies demonstrate that key figures are used decoupled from medical activities and there is no effect on economic performance or cost-effectiveness. The present research argues current paradigms in management accounting do not sufficiently explain the above-described situations.
As more and more countries are currently introducing similar key figure systems o r are already using them, it is essential for European countries to clarify these questions and gain valuable insight on theoretical frameworks, concrete managerial implications and transferability of experience.
The researcher analysed in her PhD the introduction of key figures based on the DRG-system in a French hospital between 2001 and 2005. It concluded that medico-economic key figures could become actual tools for agents to reorganise care activity and improve economic performance.
As the UK is now introducing a similar system, the present research proposes to deepen the knowledge of the use of key figures by transferring knowledge and skills gained in France to the British context, by resuming some open question of the previous PhD research and comparing results of the two cases. To this end, several cases studies on the use of managerial key figures are carried out in UK based hospitals.
From a theoretical viewpoint one of the objectives of the present research is to contribute to the definition of an alternative theoretical framework for the use of management tools. From a practical viewpoint this research has the objective to point out managerial implications for the introduction of key figures.
Fields of science (EuroSciVoc)
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: The European Science Vocabulary.
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: The European Science Vocabulary.
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Keywords
Project’s keywords as indicated by the project coordinator. Not to be confused with the EuroSciVoc taxonomy (Fields of science)
Project’s keywords as indicated by the project coordinator. Not to be confused with the EuroSciVoc taxonomy (Fields of science)
Programme(s)
Multi-annual funding programmes that define the EU’s priorities for research and innovation.
Multi-annual funding programmes that define the EU’s priorities for research and innovation.
Topic(s)
Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.
Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.
Call for proposal
Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.
Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.
FP6-2005-MOBILITY-5
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Funding Scheme
Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
Coordinator
LONDON
United Kingdom
The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.