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European Models for Purchasing Strategies : Development of computer models to determine purchasing strategies and priorities for maternity care services and health care services for people with stroke and coronary heart disease

Ziel

. To develop and assess a tool based on the concept of clinical effectiveness and efficiency which can assist purchasers of health care in decicion-making across European countries. The health care services involved are maternity care and care for people with stroke
. To assess the feasibility of applying a disease-specific European decision framework to develop policy models as tools for analysing purchasing decisions at strategic level . To assess the experiences of planning officers who as potential users have been instructed in the use of the models to analyse purchasing decisions, and to establish the extent to which such models can assist and influence decision making, and judge whether the focus on clinical and administrative decisions is adequate and whether such models might have other beneficial usages - for example in a provider setting, or as part of a more general cost-effectiveness assessment.

Many European countries have adopted a structure for their health care where the role of purchasers is separated from the providing function. Providers aim to deliver services that are of a high quality and low cost. Purchasers want to maximise the health gain from the resources available, subject to objectives of a fair and equitable access to health care. Other countries have less clear separation, but the purchasing function also exists in countries without separation of purchasers and providers. To fulfil their purchasing role, purchasers need to assess the population's need for services in order to determine purchasing strategies and priorities for service provision across different client/patient groups, disease areas, promotion, prevention and therapy. Purchasers should also decide which services should be provided for different patient groups and which services should not be provided.The aim of this project is to develop computer models for the two client groups to be used by health authorities in their long term planning (3-5 years) of services. The two areas of study are chosen because they affect a large proportion of the population, are broad in perspective and include a wide range of health services. The range of possible treatment options will be documented in flow-charts, together with empirical evidence for clinical and social outcomes and the associated resource use. These descriptions will form the basis for generic and national model developments.
The application of the developed models and their usefulness will be tested during an evaluation phase where a group of users will be introduced to the models. The models and experiences from the project will be documented in a final project report, and disseminated at an international conference and national workshops.

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Dansk Sygehus Institut
EU-Beitrag
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Adresse
10,Landemaerket
1119 København K
Dänemark

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