A Discussion Paper:

Paying For Hospital Emergency Care

March 1997

by

Prof S J Duckett,

Professor of Health Policy, and

Dean Faculty of Health Science

Latrobe University

Melbourne Australia

Dr T J Jackson

Senior Research Fellow

Centre for Health Program Evaluation

Monash University

Melbourne Australia

Ms B Scully

Associate

Casemix Consulting Pty Ltd

Melbourne Australia

Commissioned by the:

Department of Human Services

555 Collins Street

MELBOURNE VIC 3000

AUSTRALIA

Contents

  1. Background
  2. The Functions of Emergency Departments
  3. The Cost Drivers
  4. Current Issues in Emegency Department Funding
  5. Measuring Emergency Department Workload
  6. Triage as a Measure of Resource Use
  7. Traige: A Critique
  8. Exogenous Measures of Emergency Department Workload
  9. Models for Emergency Department Funding
  10. Issues in Setting a Fixed Grant
  11. Issues in Setting a Variable Payment
  12. Conclusion: Proposed Model
  13. Implementation Issues
  14. Bibliography

For further information about this report please email Chris Altis, Acute Health Program, Department of Human Services

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