Accounting for value-based management of healthcare services: challenging neoliberal government from within?. Issue 3 (3rd April 2022)

• Record Type: Journal Article
• Authors: Triantafillou, Peter
• Is Part Of: Public money & management. Volume 42:Issue 3(2022)
• Page Start: 199
• Page End: 208
• Publication Date: 2022-04-03
• Subjects: Hospital management -- neoliberalism -- pay-for-performance schemes -- power -- value-based management; Finance, Public -- Great Britain -- Periodicals; Great Britain -- Economic policy -- 1945-1964 -- Periodicals; 336.005
• DOI: 10.1080/09540962.2020.1748878
• Languages: English
• ISSNs: 0954-0962

Abstract

IMPACT: Management scholars have inspired a new series of reforms that, under the heading of 'value-based management', seeks to link hospital funding to accounts of actual treatment outcomes and costs. Based on the Danish experience, this paper suggests that the shift from a pay-for-performance system based on narrow conceptions of output, such as the number of patients treated, to one measuring actual health outcomes for patients is promising. However, the requirement for extensive knowledge linking health outcomes to full cycle treatments and their costs significantly challenges the adoption of a fair pay-for-performance system.