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Examination Of Academic Profiles Of Value-Based Reimbursement Issued Studies

Year 2020, Volume: 8 Issue: 5, 1369 - 1373, 14.10.2020

Abstract

Healthcare services financing has functions that collecting revenue, pooling funds and reimbursing (paying) service providers. The function of reimbursing to the service providers is to transfer the collected revenues to the service providers in exchange for the use of the members' healthcare services. There are a number of methods used to reimburse service providers. One of these methods, value-based reimbursement method, refers to the payment system based on the health outcomes. In this study, which has been conducted in order to examine the extent to which the value-based reimbursement method takes place in the scientific literature within the framework of certain parameters, has been used Web of Science database. The obtained studies have been subjected to bibliometric analysis. When the findings related to the research areas have been examined, it has been seen that the publications are mostly conduct in the field of “Healthcare Sciences Services” (24.7%) and at least in the “Nursing” area (5.2%). The highest number of publications has been in 2018 with 24.7%.

References

  • Akyürek, Ç.E. (2012). Sağlıkta Bir Geri Ödeme Yöntemi Olarak Global Bütçe Ve Türkiye. SGD-Sosyal Güvenlik Dergisi, 2(2), 124-153.
  • American Academy of Family Physician. (2019). Value-Based Payment. https://www.aafp.org/about/policies/all/value-based-payment.html. Erişim Tarihi: 05.08.2019.
  • Aydemir, İ., & Ağırbaş, İ. (2017). Sağlık Kurumlarına Yapılan Geri Ödeme Yöntemleri: Teşhis İlişkili Gruplar. Hacettepe Sağlık İdaresi Dergisi, 20(1), 1-21.
  • Ayers, D. C., Zheng, H., & Franklin, P. D. (2013). Integrating Patient-Reported Outcomes into Orthopaedic Clinical Practice: Proof of Concept from FORCE-TJR. Clinical Orthopaedics and Related Research, 471(11), 3419-3425. Çelik, Y. (2011). Sağlık Ekonomisi. Siyasal Kitabevi, Ankara.
  • Dixon, A., Langenbrunner, J. and Mossialos, E. (2004), Facing the Challenges of Health Care. In Josep Figueras et al (eds), Health Systems in Transition: Learning From Experience, s.52-84, European Observatory on Health Care Systems Series.
  • Dunk, A. M. & Arbon, P. A. (2009). Is it Time for a New Descriptor'pressure Injury': A Bibliometric Analysis. Wound Pract. Res, 17(4), 201-207.
  • Garrison Jr, L. P., & Austin, M. F. (2007). The Economics Of Personalized Medicine: A Model of Incentives For Value Creation and Capture. Drug Information Journal, 41(4), 501-509.
  • İstanbulluoğlu, H., Güleç, M., & Oğur, R. (2010). Sağlık Hizmetlerinin Finansman Yöntemleri. Dirim Tıp Gazetesi, 85(2), 86-99.
  • Jia X., Tao D. ve Xinbiao G. (2014). Comprehensive Exploration of Urban Health by Bibliometric Analysis: 35 Years and 11,299 Articles. Scientometrics 99(3), 881-894.
  • Kutzin, J., (2000). Towards Universal Health Care Coverage: A Goal-oriented Framework for Policy Analysis. The World Bank.
  • Lee, C. I., & Enzmann, D. R. (2012). Measuring Radiology's Value in Time Saved. Journal of the American College of Radiology, 9(10), 713-717.
  • Lee, K. and Goodman, H., (2002). Global Policy Networks: The Propagation of Health Care Financing Reform Since the 1980s. In Lee, K., Buse, K., Fustukian, S., (eds.), Health Policy in a Globalising World içinde, s.97-119, Cambridge University Press.
  • Manchikanti, L., Parr, A. T., Singh, V., & Fellows, B. (2011). Ambulatory Surgery Centers And İnterventional Techniques: A Look at Long-Term Survival. Pain Physician, 14(2), E177-215.
  • Miltenberger, B., Downs, S., & Greene, L. A. (2012). Value-Based Purchasing—What’s Ahead for Healthcare Providers. AHLA Connections (February), 16-22.
  • Murray, C.J.L. & Frenk, J. (2000). A Framework for Assesing the Performance of Health Systems. Bulletin of World Health Organisation, .78(6),717-731.
  • Paulden, M., Stafinski, T., Menon, D., & McCabe, C. (2015). Value-based Reimbursement Decisions for Orphan Drugs: A Scoping Review and Decision Framework. Pharmacoeconomics, 33(3), 255-269.
  • Rapsilber, L. (2019). Incident to Billing in A Value-Based Reimbursement World. The Nurse Practitioner, 44(2), 15-17.
  • Sieck, S. (2017). Emerging Trends in Health Care Costs and Reimbursement for Heart Failure. Current Emergency and Hospital Medicine Reports, 5(2), 76-82.
  • Sultan, S., Falck–Ytter, Y., & Inadomi, J. M. (2013). The AGA Institute Process for Developing Clinical Practice Guidelines Part One: Grading the Evidence. Clinical Gastroenterology and Hepatology, 11(4), 329-332.
  • Top, M. ve Tarcan, M. (2007). Hastane Sektöründe Kaynak Akışı: Hastane Ödeme Yöntemleri (Mekanizmaları). Gazi Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi (Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi), 9(1), 169-189.
  • WHO, (2000). The World Health Report 2000. Health Systems: Improving Performance, Geneva.
  • Yang L., Chen Z., Liu T., Gong Z., Yu Y. ve Wang J. (2013). Global Trends of Solid Waste Research from 1997 to 2011 by Using Bibliometric Analysis. Scientometrics, 96(1), 133-146.

Değer Temelli Geri Ödeme (Value-Based Reimbursement) Konulu Çalışmaların Akademik Profilinin İncelenmesi

Year 2020, Volume: 8 Issue: 5, 1369 - 1373, 14.10.2020

Abstract

Sağlık hizmetleri finansmanın gelir toplama, fon havuzlama ve hizmet sunuculara ödeme yapma şeklinde işlevleri bulunmaktadır. Bu işlevlerden olan hizmet sunucularına ödeme yapma işlevi, toplanan gelirlerin üyelerin sağlık hizmetleri kullanımı karşılığında hizmet sunuculara aktarılmasıdır. Hizmet sunucularına ödeme yapmada kullanılan birtakım yöntemler bulunmaktadır. Bunlardan olan değer temelli ödeme yöntemi, ortaya çıkan sağlık sonuçlarına dayalı olarak yapılan ödeme sistemini ifade etmektedir. Değer temelli ödeme yönteminin bilimsel literatürde ne ölçüde yer aldığının belirli parametreler çerçevesinde incelenmesi amacıyla gerçekleştirilen bu çalışmada Web of Science veri tabanı kullanılmıştır. Ulaşılan çalışmalar bibliyometrik analize tabi tutulmuştur. Araştırma alanlarına ilişkin bulgular incelendiğinde yayınların en fazla “Genel sağlık bakım hizmetleri” alanında (%24,7) ve en az “Hemşirelik” alnında (%5,2) yapıldığı görülmektedir. En fazla yayının %24,7 ile 2018 yılında yapıldığı ortaya koyulmuştur.

References

  • Akyürek, Ç.E. (2012). Sağlıkta Bir Geri Ödeme Yöntemi Olarak Global Bütçe Ve Türkiye. SGD-Sosyal Güvenlik Dergisi, 2(2), 124-153.
  • American Academy of Family Physician. (2019). Value-Based Payment. https://www.aafp.org/about/policies/all/value-based-payment.html. Erişim Tarihi: 05.08.2019.
  • Aydemir, İ., & Ağırbaş, İ. (2017). Sağlık Kurumlarına Yapılan Geri Ödeme Yöntemleri: Teşhis İlişkili Gruplar. Hacettepe Sağlık İdaresi Dergisi, 20(1), 1-21.
  • Ayers, D. C., Zheng, H., & Franklin, P. D. (2013). Integrating Patient-Reported Outcomes into Orthopaedic Clinical Practice: Proof of Concept from FORCE-TJR. Clinical Orthopaedics and Related Research, 471(11), 3419-3425. Çelik, Y. (2011). Sağlık Ekonomisi. Siyasal Kitabevi, Ankara.
  • Dixon, A., Langenbrunner, J. and Mossialos, E. (2004), Facing the Challenges of Health Care. In Josep Figueras et al (eds), Health Systems in Transition: Learning From Experience, s.52-84, European Observatory on Health Care Systems Series.
  • Dunk, A. M. & Arbon, P. A. (2009). Is it Time for a New Descriptor'pressure Injury': A Bibliometric Analysis. Wound Pract. Res, 17(4), 201-207.
  • Garrison Jr, L. P., & Austin, M. F. (2007). The Economics Of Personalized Medicine: A Model of Incentives For Value Creation and Capture. Drug Information Journal, 41(4), 501-509.
  • İstanbulluoğlu, H., Güleç, M., & Oğur, R. (2010). Sağlık Hizmetlerinin Finansman Yöntemleri. Dirim Tıp Gazetesi, 85(2), 86-99.
  • Jia X., Tao D. ve Xinbiao G. (2014). Comprehensive Exploration of Urban Health by Bibliometric Analysis: 35 Years and 11,299 Articles. Scientometrics 99(3), 881-894.
  • Kutzin, J., (2000). Towards Universal Health Care Coverage: A Goal-oriented Framework for Policy Analysis. The World Bank.
  • Lee, C. I., & Enzmann, D. R. (2012). Measuring Radiology's Value in Time Saved. Journal of the American College of Radiology, 9(10), 713-717.
  • Lee, K. and Goodman, H., (2002). Global Policy Networks: The Propagation of Health Care Financing Reform Since the 1980s. In Lee, K., Buse, K., Fustukian, S., (eds.), Health Policy in a Globalising World içinde, s.97-119, Cambridge University Press.
  • Manchikanti, L., Parr, A. T., Singh, V., & Fellows, B. (2011). Ambulatory Surgery Centers And İnterventional Techniques: A Look at Long-Term Survival. Pain Physician, 14(2), E177-215.
  • Miltenberger, B., Downs, S., & Greene, L. A. (2012). Value-Based Purchasing—What’s Ahead for Healthcare Providers. AHLA Connections (February), 16-22.
  • Murray, C.J.L. & Frenk, J. (2000). A Framework for Assesing the Performance of Health Systems. Bulletin of World Health Organisation, .78(6),717-731.
  • Paulden, M., Stafinski, T., Menon, D., & McCabe, C. (2015). Value-based Reimbursement Decisions for Orphan Drugs: A Scoping Review and Decision Framework. Pharmacoeconomics, 33(3), 255-269.
  • Rapsilber, L. (2019). Incident to Billing in A Value-Based Reimbursement World. The Nurse Practitioner, 44(2), 15-17.
  • Sieck, S. (2017). Emerging Trends in Health Care Costs and Reimbursement for Heart Failure. Current Emergency and Hospital Medicine Reports, 5(2), 76-82.
  • Sultan, S., Falck–Ytter, Y., & Inadomi, J. M. (2013). The AGA Institute Process for Developing Clinical Practice Guidelines Part One: Grading the Evidence. Clinical Gastroenterology and Hepatology, 11(4), 329-332.
  • Top, M. ve Tarcan, M. (2007). Hastane Sektöründe Kaynak Akışı: Hastane Ödeme Yöntemleri (Mekanizmaları). Gazi Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi (Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi), 9(1), 169-189.
  • WHO, (2000). The World Health Report 2000. Health Systems: Improving Performance, Geneva.
  • Yang L., Chen Z., Liu T., Gong Z., Yu Y. ve Wang J. (2013). Global Trends of Solid Waste Research from 1997 to 2011 by Using Bibliometric Analysis. Scientometrics, 96(1), 133-146.
There are 22 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Yasin Çilhoroz 0000-0002-5171-7779

Publication Date October 14, 2020
Acceptance Date April 20, 2020
Published in Issue Year 2020 Volume: 8 Issue: 5

Cite

APA Çilhoroz, Y. (2020). Değer Temelli Geri Ödeme (Value-Based Reimbursement) Konulu Çalışmaların Akademik Profilinin İncelenmesi. Anemon Muş Alparslan Üniversitesi Sosyal Bilimler Dergisi, 8(5), 1369-1373.

Anemon Muş Alparslan Üniversitesi Sosyal Bilimler Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.