Testing cost containment of future healthcare with maintained or improved quality—The COSTCARES project

Karl Swedberg, Desmond Cawley, Inger Ekman, Heather L. Rogers, Darijana Antonic, Daiga Behmane, Ida Björkman, Nicky Britten, Sandra C. Buttigieg, Vivienne Byers, Mats Börjesson, Kirsten Corazzini, Andreas Fors, Bradi Granger, Boban Joksimoski, Roman Lewandowski, Virgilijus Sakalauskas, Einav Srulovici, Jan Törnell, Sara WallströmAxel Wolf, Helen M. Lloyd

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: Increasing healthcare costs need to be contained in order to maintain equality of access to care for all EU citizens. A cross-disciplinary consortium of experts was supported by the EU FP7 research programme, to produce a roadmap on cost containment, while maintaining or improving the quality of healthcare. The roadmap comprises two drivers: person-centred care and health promotion; five critical enablers also need to be addressed: information technology, quality measures, infrastructure, incentive systems, and contracting strategies. Method: In order to develop and test the roadmap, a COST Action project was initiated: COST−CARES, with 28 participating countries. This paper provides an overview of evidence about the effects of each of the identified enablers. Intersections between the drivers and the enablers are identified as critical for the success of future cost containment, in tandem with maintained or improved quality in healthcare. This will require further exploration through testing. Conclusion: Cost containment of future healthcare, with maintained or improved quality, needs to be addressed through a concerted approach of testing key factors. We propose a framework for test lab design based on these drivers and enablers in different European countries.

Original languageEnglish
Article numbere309
JournalHealth Science Reports
Volume4
Issue number2
DOIs
StatePublished - Jun 2021

Bibliographical note

Funding Information:
This article/publication is based upon work from COST Action ?European network for cost containment and improved quality of care,? COST15222, supported by COST (European Cooperation in Science and Technology). GPCC is funded by the Swedish Government's grant for Strategic Research Areas, Care Sciences (Application to Swedish Research Council No. 2009-1088) and co-funded by the University of Gothenburg. By the National Science Centre, Poland (Grant Number: 2015/17/B/HS4/02747) (R.L.). Duke University School of Nursing Office of Global and Community Health Initiatives (B.G. and K.C.). N.B. was partially supported by the National Institute for Health Research (NIHR) Applied Research Collaboration South West Peninsula. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. The funding sources had no influence in the design, analysis, and interpretation of data as well as writing of the report or the decision to submit the report for publication.

Funding Information:
GPCC is funded by the Swedish Government's grant for Strategic Research Areas, Care Sciences (Application to Swedish Research Council No. 2009‐1088) and co‐funded by the University of Gothenburg.

Funding Information:
N.B. was partially supported by the National Institute for Health Research (NIHR) Applied Research Collaboration South West Peninsula. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.

Funding Information:
By the National Science Centre, Poland (Grant Number: 2015/17/B/HS4/02747) (R.L.). Duke University School of Nursing Office of Global and Community Health Initiatives (B.G. and K.C.).

Publisher Copyright:
© 2021 The Authors. Health Science Reports published by Wiley Periodicals LLC.

Keywords

  • cost containment
  • health economics
  • health policy
  • health promotion
  • health service preventive
  • person-centred care
  • quality of care

ASJC Scopus subject areas

  • Medicine (all)

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