Kees Van Gool
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View article: Medicare austerity reforms and patient out-of-pocket costs: The experience from Australian cancer patients
Medicare austerity reforms and patient out-of-pocket costs: The experience from Australian cancer patients Open
In this paper, we examine trends in provider fees charged, government expenditure on private out-of-hospital medical services, and out of pocket costs following policy changes intended to reduce government expenditure. We examine the exper…
View article: Outcomes from the Victorian Healthy Homes Program: a randomised control trial of home energy upgrades
Outcomes from the Victorian Healthy Homes Program: a randomised control trial of home energy upgrades Open
Objectives The Victorian Healthy Homes Program investigated the impact of thermal home upgrades on energy and health outcomes in vulnerable, older individuals over winter in Victoria, Australia. Design A staggered parallel-group randomised…
View article: Understanding general practice funding models in Australia and beyond
Understanding general practice funding models in Australia and beyond Open
Common GP funding models across the world include fee for service, capitation, pay for performance and bundled payments. Each funding model has its potential advantages and disadvantages. Blended funding models can minimise undesired conse…
View article: Outcomes from the Victorian Healthy Homes Program: a randomised control trial of home energy upgrades
Outcomes from the Victorian Healthy Homes Program: a randomised control trial of home energy upgrades Open
Introduction The Victorian Healthy Homes Program (VHHP) is the first randomised control trial (RCT) in Australia that investigates the impact of thermal home upgrades on energy and health outcomes in vulnerable individuals over winter in V…
View article: Medicare at 40: Are We Showing Our Age?
Medicare at 40: Are We Showing Our Age? Open
To understand what Medicare aimed to achieve, we need to revisit the medico‐politics of the time, and the fear of the spectre of socialised medicine. That determined what could be changed (universal insurance and contributions according to…
View article: Impact of time of diagnosis on out-of-pocket costs of cancer treatment, a side effect of health insurance design in Australia.
Impact of time of diagnosis on out-of-pocket costs of cancer treatment, a side effect of health insurance design in Australia. Open
The Extended Medicare Safety Net (EMSN) in Australia was designed to provide financial assistance to patients with high out-of-pocket (OOP) costs for medical treatment. The EMSN works on a calendar year basis. Once a patient incurs a speci…
View article: The Australian Health Care Homes trial: quality of care and patient outcomes. A propensity score‐matched cohort study
The Australian Health Care Homes trial: quality of care and patient outcomes. A propensity score‐matched cohort study Open
Objective To assess the impact of the Health Care Homes (HCH) primary health care initiative on quality of care and patient outcomes. Design, setting Quasi‐experimental, matched cohort study; analysis of general practice data extracts and …
View article: Physician responses to insurance benefit restrictions: The case of ophthalmology
Physician responses to insurance benefit restrictions: The case of ophthalmology Open
This study examines the impact of social insurance benefit restrictions on physician behaviour, using ophthalmologists as a case study. We examine whether ophthalmologists use their market power to alter their fees and rebates across servi…
View article: Specialist Palliative Care and Health Care Costs at the End of Life
Specialist Palliative Care and Health Care Costs at the End of Life Open
Early initiation of SPC was associated with higher costs over the last year of life and lower costs over the last months of life. This was the case for both the cancer and non-cancer cohorts, and appeared to be largely attributed to reduce…
View article: Geographic variation in out‐of‐pocket costs for radiation oncology services
Geographic variation in out‐of‐pocket costs for radiation oncology services Open
Objectives To examine out‐of‐pocket costs incurred by patients for radiation oncology services and their variation by geographic location. Design Analysis of patient‐level Medical Benefits Schedule (MBS) claims data linked with data from t…
View article: Incorporating Safety and Quality Measures Into Australia’s Activity-Based Funding of Public Hospital Services
Incorporating Safety and Quality Measures Into Australia’s Activity-Based Funding of Public Hospital Services Open
In a bid to improve quality of care, numerous countries have incorporated rewards and penalties into the funding and pricing of hospital services. This paper outlines recent advances in Australia to incorporate financial penalties for hosp…
View article: The link between out-of-pocket costs and inequality in specialist care in Australia
The link between out-of-pocket costs and inequality in specialist care in Australia Open
Objective Out-of-pocket (OOP) costs could act as a potential barrier to accessing specialist services, particularly among low-income patients. The aim of this study is to examine the link between OOP costs and socioeconomic inequality in s…
View article: Evaluation of the Victorian Healthy Homes Program: protocol for a randomised controlled trial
Evaluation of the Victorian Healthy Homes Program: protocol for a randomised controlled trial Open
Introduction The evaluation of the Victorian Healthy Homes Program (VHHP) will generate evidence about the efficacy and cost-effectiveness of home upgrades to improve thermal comfort, reduce energy use and produce health and economic benef…
View article: Health care cost of crusted scabies in Aboriginal communities in the Northern Territory, Australia
Health care cost of crusted scabies in Aboriginal communities in the Northern Territory, Australia Open
Background Crusted scabies is a debilitating dermatological condition. Although still relatively rare in the urban areas of Australia, rates of crusted scabies in remote Aboriginal communities in the Northern Territory (NT) are reported to…
View article: Rates of Low-Value Service in Australian Public Hospitals and the Association With Patient Insurance Status
Rates of Low-Value Service in Australian Public Hospitals and the Association With Patient Insurance Status Open
There was significant variation in rates of low-value services in public hospitals. While there was no overall association between private insurance and rate of low-value services, private insurance may be associated with low-value service…
View article: A methodology for identifying high‐need, high‐cost patient personas for international comparisons
A methodology for identifying high‐need, high‐cost patient personas for international comparisons Open
Objective To establish a methodological approach to compare two high‐need, high‐cost (HNHC) patient personas internationally. Data sources Linked individual‐level administrative data from the inpatient and outpatient sectors compiled by th…
View article: International comparison of spending and utilization at the end of life for hip fracture patients
International comparison of spending and utilization at the end of life for hip fracture patients Open
Objective To identify and explore differences in spending and utilization of key health services at the end of life among hip fracture patients across seven developed countries. Data Sources Individual‐level claims data from the inpatient …
View article: 1437Rates of low value care in NSW public hospitals: variation between public and private inpatients
1437Rates of low value care in NSW public hospitals: variation between public and private inpatients Open
Background Low value care (LVC) services have limited or no benefit to patients, and curtailing LVC can curb unnecessary spending and improve the quality of care. Some public hospitals in Australia have financial incentives to perform proc…
View article: How much of Australia’s health expenditure is allocated to general practice and primary healthcare?
How much of Australia’s health expenditure is allocated to general practice and primary healthcare? Open
Significant differences exist in how different institutions classify general practice and PHC spending. Clearer, agreed and more precise methods of classification and reporting of health expenditure are needed.
View article: Within and across country variations in treatment of patients with heart failure and diabetes
Within and across country variations in treatment of patients with heart failure and diabetes Open
Objective To compare within‐country variation of health care utilization and spending of patients with chronic heart failure (CHF) and diabetes across countries. Data Sources Patient‐level linked data sources compiled by the International …
View article: Differences in health care spending and utilization among older frail adults in <scp>high‐income</scp> countries: <scp>ICCONIC</scp> hip fracture persona
Differences in health care spending and utilization among older frail adults in <span>high‐income</span> countries: <span>ICCONIC</span> hip fracture persona Open
Objective This study explores differences in spending and utilization of health care services for an older person with frailty before and after a hip fracture. Data Sources We used individual‐level patient data from five care settings. Stu…
View article: Differences in health outcomes for h<scp>igh‐need</scp>h<scp>igh‐cost</scp>patients across h<scp>igh‐income</scp>countries
Differences in health outcomes for h<span>igh‐need</span>h<span>igh‐cost</span>patients across h<span>igh‐income</span>countries Open
Objective This study explores variations in outcomes of care for two types of patient personas—an older frail person recovering from a hip fracture and a multimorbid older patient with congestive heart failure (CHF) and diabetes. Data Sour…
View article: International comparison of health spending and utilization among people with complex multimorbidity
International comparison of health spending and utilization among people with complex multimorbidity Open
Objective The objective of this study was to explore cross‐country differences in spending and utilization across different domains of care for a multimorbid persona with heart failure and diabetes. Data Sources We used individual‐level ad…
View article: Private finance publicly subsidized: the case of Australian health insurance
Private finance publicly subsidized: the case of Australian health insurance Open
Australia's Medicare is a universal, publicly funded comprehensive insurance scheme that provides all its citizens with free treatment in public hospitals, and subsidizes out-of-hospital medical services and pharmaceuticals. Yet alongside …