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  • Title: Transitional funding: changing Ontario's global budgeting system.
    Author: Lave JR, Jacobs P, Markel F.
    Journal: Health Care Financ Rev; 1992; 13(3):77-84. PubMed ID: 10120184.
    Abstract:
    In 1988, Ontario introduced transitional funding, a collaborative process between the Ministry of Health and the hospitals to modify Ontario's global budgeting system. The goals are to achieve greater equity; encourage hospital efficiency, and promote a shift from inpatient to outpatient services. To implement these goals, inpatient care is being measured in terms of case-mix groups, i.e., a classification system comparable to the diagnosis-related groups. However, since there is no patient level cost data, cost weights are being derived from patient-level data from New York State. Transitional funding draws attention to both positive and negative aspects of global budgeting.
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