Led by the Medical University of Warsaw and implemented by a consortium of eight partners from the European Union and the United States, the InterQuality project investigates the effects of financing systems on the quality of healthcare. Based on administrative and survey data, InterQuality seeks answers to how the healthcare systems are financed in Europe, what their shortcomings and strengths are, and how the healthcare financing reforms are communicated to the public by the main actors, namely the governments.
The rationale behind InterQuality is the acknowledgement that increasing healthcare spending often does not improve quality, efficiency or availability of medical services. The existing health financing reforms undertaken in Europe have encountered serious technical and political difficulties. It is therefore very much needed today to develop scientifically proven tools to help make decisions regarding the selection of appropriate financing mechanisms in different areas of the healthcare system.
The knowledge gained from the research will provide a valuable input for European countries to choose the right financing mechanisms in different areas of their healthcare systems, according to their needs and resources, and to pay not more, but smarter.
CPME will be active in the dissemination of project findings and contribute to the development of recommendations in the project’s four focus areas pharmaceutical care, hospital care, ambulatory care and integrated healthcare.
Start Date: December 2010
Duration: 41 Months (extended; original duration: 36 months)
Co-funding: 7th Framework Programme for Research and Technological Development (FP7), European Commission
Final project report: Report (November 2014)
1. Investigate ways of funding and incentive systems affecting the quality, effectiveness and equity of access to healthcare in four areas:
• Pharmaceutical care
• Hospital care
• Ambulatory care
• Integrated healthcare
2. Develop practical integrated models of healthcare financing
3. Determine the feasibility and effectiveness of the developed models for the determinants of the health systems in the countries of the project partners.
To achieve these goals the study will address the following specific areas of research:
• Incentive Measures
• Clinical aspects: quality, clinical efficacy, and safety
• Economics: cost control, cost effectiveness, resource utilization
• Equality of access
• An extensive literature review on the effect of financing schemes on the quality, efficiency and availability of healthcare services
• Guidelines, a set of adopted tools and outcome measures for further projects on healthcare quality evaluation
• Results of effects of patients’ education programmes on efficiency, quality and equity of healthcare
• Proposed model of more effective healthcare financing
• Policy recommendations and guidelines on the best models of healthcare financing
Medical University of Warsaw, Poland; Hannover Medical School, Germany; University of Southern Denmark, Denmark; University of Catania, Italy; Urban Institute Washington, USA ; University of York, UK; SOPHARM, Poland; Standing Committee of European Doctors; European Patients’ Forum