17. Economic and policy strategies for implementation of change

  1. Richard Grol,
  2. Michel Wensing,
  3. Martin Eccles and
  4. David Davis
  1. Michel Wensing1,
  2. Martin Eccles2 and
  3. Richard Grol1

Published Online: 28 JUN 2013

DOI: 10.1002/9781118525975.ch17

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

How to Cite

Wensing, M., Eccles, M. and Grol, R. (2013) Economic and policy strategies for implementation of change, in Improving Patient Care: The Implementation of Change in Health Care, Second Edition (eds R. Grol, M. Wensing, M. Eccles and D. Davis), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118525975.ch17

Author Information

  1. 1

    Department IQ healthcare, UMC St Radboud, Nijmegen, the Netherlands

  2. 2

    Centre for Health Services Research, School of Population and Health Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne, UK

Publication History

  1. Published Online: 28 JUN 2013
  2. Published Print: 20 MAY 2013

ISBN Information

Print ISBN: 9780470673386

Online ISBN: 9781118525975

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Keywords:

  • changes in healthcare practice;
  • co-payment;
  • economic strategies;
  • financial reimbursement;
  • healthcare providers;
  • patients;
  • pay for performance;
  • policies strategies

Summary

Increased financial reimbursement and reduced financial risk for healthcare providers can result in a higher volume of services which can support implementation of change in some situations. This chapter covers the impact of reimbursement systems for healthcare providers, pay for performance, co-payment by patients, enhanced transparency, competition between healthcare providers, and finally regulation and policies. Research on economic and policy strategies has been observational in most cases, which reduces the possibility of confidently attributing changes in healthcare practice to these strategies. Nevertheless, research has provided indications that economic and policy strategies can influence the implementation of new practices, guidelines, or technologies.