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At least 19 recordsLinked to original sources
PubMed1984

[The department budget, in the context of the hospital global budget. Initial results in general medicine].

In a general hospital (Hôtel-Dieu, in the center of Paris), run with a global budget, budgets determined for each unit were introduced as an experiment in 1980. Physicians were in charge of certain expenses, mainly: linen, drugs, transportation of patients to and from other hospitals within Paris, and blood fractions. The whole does not exceed 4% of the turnover (FF 20 millions in 1980) of a 67 bed internal medicine unit. Other accounts deal with the stays, admissions, prescriptions of technical acts, laboratory analyses, and X-rays. In 1980, expenses were 11% more than budgeted, but the increase in stays and particularly in admissions was significantly greater. The resulting savings were 8.8% and 18.7% for stays and admissions respectively. Psychic reactions were variable. The subsequent budgets followed the fluctuations of recorded expenses, which were fairly important in both directions. The unit budget may be an advance or a regression, in a restrictive and past-perpetuating context. The coherence between the unit budget and the global hospital budget is questionable. Physicians were willing to take part in accounting and saving. They have good reason for not enlarging their financial responsibilities. Conversely, they may give more attention to diseases of public opinion.

Budgets↗
PubMed2000

Importing budget systems from other countries: what can we learn from the German drug budget and the British GP fundholding?

The rising costs of pharmaceutical expenditures are a common problem for policy makers in most European countries. In two countries, budget systems for pharmaceutical spending exist(ed). In Great Britain, between 1991 and 1999 GP fundholders were responsible for prescribing costs, and in Germany an overall expenditure cap for pharmaceutical prescribing has been used since 1993. These two examples are analysed in order to identify the conditions that are needed for successfully implementing budget systems for prescribing costs in other countries. It is argued, that a good budget system balances the provision of enough information for budget holders to monitor their expenditures on the one hand, against an explosive increase of transaction costs on the other hand. Apart from that, it makes doctors responsible only for expenditures that they themselves can actually control, and does not provide them with an incentive to use that discretionary power by shifting expenditures to other health care sectors. A good information infrastructure is needed for the implementation of budget systems in general. For the introduction of fundholding, a number of additional criteria need to be met, such as having gate-keeping GPs with personal lists and having a single-payer system.

Budgets↗
PubMedDate not supplied

Federal budget helps drive health policy. A close-up look at the budget process and how it affects health care funding.

Crafting the budget is an annual process that Congress and the administration use to define the national policy agenda. It is a massive undertaking to decide how more than two trillion dollars is spent by the federal government. Over 20 percent of the budget is used for health care. The budget is a political document that defines the priorities of the federal government and directly influences overall health policy. Its construction deserves to be followed and influenced by physicians to ensure the health of the public.

Budgets↗
PubMed1975

Reflections on the health budget. A preliminary analysis of the 1974/75 Ministry of Health budget.

This paper describes the 1974/75 Budget, and analysis it in terms of allocations to Medical Care, Public Health and Training functions as well as by allocations to Regions. 80% of the Health Vote goes into Curative or Medical Care, 12% into the Preventive Services, 6% into Trining and the rest to Headquarters. It brings out the great disparities among the Health Care System of the various Regions, and suggests also that the method of the presentation of the Health Budget makes it difficult to understand resource allocations within the Health Sector.

Financing, Government↗
PubMed1985

Hospital marketing budgets in 1985: what will bigger budgets bring?

Many administrators of hospital-based delivery systems are incorporating marketing activities into their daily operations. This survey was conducted to determine the level to which such activities have been developed. Detailed here in particular are the marketing differences between hospitals with large vs. small marketing budgets.

Budgets↗