The effect of DRG-based financing on hospital

Project managerSverre A. C. Kittelsen
ClientNFR via NTNU
Client project no.214338
ParticipantsIngrid M.S. Huitfeldt
Period2012 - 2015 (ended)

Project description

Despite widespread use little is known about the relationship between activity based financing and hospital performance. The project aims at providing a measure of productivity growth in Norwegian hospitals for the period 2000-2011/12 following the introduction of activity based financing in 1997. In addition, the project will attempt to establish a possible empirical relationship between the level of activity based financing and i) hospital productivity (growth), ii) service and medical quality, and iii) patient selection and DRG-creep. The project is undertaken in collaboration with NTNU and SINTEF.



Scientific Journal

Huitfeldt, IngridHospital reimbursement and capacity constraints: Evidence from orthopedic surgeries2021Health Policy Vol 125(6), 732-738[PDF] [DOI]
Godøy, Anna and Ingrid HuitfeldtRegional variation in health care utilization and mortality2020Journal of Health Economics 71[PDF] [DOI]
Kittelsen, Sverre A.C., Kjartan Sarheim Anthun, Unto Häkkinen, Marie Kruse, Clas RehnbergScale and quality in Nordic hospitals2018Nordic Journal of Health Economics Vol 6(2), 29-44[PDF] [DOI]
Kittelsen SAC, Anthun KS, Huitfeldt IMS.Kvalitet og produktivitet i norske sykehus2017Michael 14: Supplement 19, 75-85[PDF]
Anthun, Kjartan Sarheim, Sverre Andreas Campbell Kittelsen, Jon MagnussenProductivity growth, case mix and optimal size of hospitals. A 16-year study of the Norwegian hospital sector2017Health Policy 121 (4), 418-425[PDF] [DOI]
Johannessen, Karl Arne, Sverre A.C. Kittelsen, Terje P. HagenAssessing physician productivity following norwegian hospital reform: A panel and data envelopment analysis2017Social Science & Medicine Vol 175, 17-126[PDF] [DOI]
Kittelsen, Sverre A.C., Benny A. Winsnes, Kjartan S. Anthun, Fanny Goude, Øyvind Hope, Unto Hakkinen, Birgitte Kalseth, Jannie Kilsmark, Emma Medin, Clas Tehnberg, Hanna RattöDecomposing the productivity differences between hospitals in the Nordic countries2015Journal of Productivity Analysis vol 43(3),281-293[PDF] [DOI]
Heijink R, Engelfriet P, Rehnberg C, Kittelsen SAC, Häkkinen UA window on regional variation in healthcare: insights from EuroHOPE2015Health Economics 24(Suppl. 2): 164–177[PDF] [DOI]
Kittelsen SAC, Anthun KS, Goude F, Huitfeldt IMS, Häkkinen U, Kruse M, Medin E, Rättö H, Rehnberg CCosts and quality at the hospital level in Nordic countries2015Health Economics 24(Suppl. 2): 140-163[PDF] [DOI]
Iversen, Tor og Sverre A.C. KittelsenChallenges in health care financing and provision2012Nordic Economic Policy Review No. 2[PDF]

HERO Working Paper

HERO is the Health economics research programme at the University of Oslo. Here you will only find the publications written by authors here at the Frisch Centre. A complete list is located at http://www.med.uio.no/helsam/forskning/nettverk/hero/publikasjoner/skriftserie/

Anthun, K.S., S.A.C. Kittelsen, J. MagnussenProduktivitet i spesialisthelsetjenesten2016No. 7[PDF]
Kittelsen, Sverre A.C. et al.Decomposing the productivity differences between hospitals in the Nordic countries2013No. 4[PDF]

Other publications

Emanuelsson, NatalieProductivity and Quality Analysis of Norwegian Hospital Mergers2020Masterthesis[PDF]
Bakke, Elise EmilsenQuality and costs at the hospital level in Norway - Does there exist a trade-off between quality and costs at Norwegian hospitals?2019Thesis for the Master of Philosophy Degree in Health Economics, Policy and Management, HELED, UiO[PDF]