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Measuring the activity of mental health services in England: variation in categorising activity for payment purposes

Jacobs, Rowena, Chalkley, Martin, Böhnke, Jan R., Clark, Michael ORCID: 0000-0003-4964-5005, Moran, Valerie and Aragón, M. J. (2019) Measuring the activity of mental health services in England: variation in categorising activity for payment purposes. Administration and Policy in Mental Health and Mental Health Services Research, 46 (6). pp. 847-857. ISSN 1573-3289

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Identification Number: 10.1007/s10488-019-00958-7

Abstract

In the context of international interest in reforming mental health payment systems, national policy in England has sought to move towards an episodic funding approach. Patients are categorised into care clusters, and providers will be paid for episodes of care for patients within each cluster. For the payment system to work, clusters need to be appropriately homogenous in terms of financial resource use. We examine variation in costs and activity within clusters and across health care providers. We find that the large variation between providers with respect to costs within clusters mean that a cluster-based episodic payment system would have substantially different financial impacts across providers.

Item Type: Article
Additional Information: © 2019 The Authors
Divisions: Care Policy and Evaluation Centre
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 08 Aug 2019 16:45
Last Modified: 12 Dec 2024 01:50
URI: http://eprints.lse.ac.uk/id/eprint/101333

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