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Adopting surgical innovation within activity-based funding for public hospitals

Michael D Coory, Bridie S Thompson and Susan J Jordan
Med J Aust 2013; 198 (2): . || doi: 10.5694/mja12.11206
Published online: 4 February 2013

To the Editor: Activity-based funding (ABF) is being gradually introduced across Australia’s public hospitals, which means that payments will be made according to cost-weights in about 670 diagnosis-related groups (DRGs).1 ABF is not new. It has been used in the United States since 1983 and in Victoria since 1993, and is the dominant funding model in several European countries. But not all public hospital activity can be funded through ABF: research and teaching are typically block funded and smaller hospitals often require block funding.2


  • 1 Health Services, Murdoch Childrens Research Institute, Melbourne, VIC.
  • 2 Population Health, Queensland Institute of Medical Research, Brisbane, QLD.


Correspondence: michael.coory@mcri.edu.au

Competing interests:

No relevant disclosures.

  • 1. Duckett SJ. Designing incentives for good-quality hospital care. Med J Aust 2012; 196: 678-679. <MJA full text>
  • 2. Eagar K. ABF Information Series No. 1: What is activity-based funding? Wollongong: Centre for Health Service Development, 2012. http://ahsri.uow.edu.au/chsd/abf/index.html (accessed Aug 2012).
  • 3. Scheller-Kreinsen D, Quentin W, Busse R. DRG-based hospital payment systems and technological innovation in 12 European countries. Value Health 2011; 14: 1166-1172.
  • 4. Fleshman J, Sargent DJ, Green E, et al. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg 2007; 246: 655-662; discussion 662-664.
  • 5. Thompson BS, Coory MD, Lumley JW. National trends in the uptake of laparoscopic resection for colorectal cancer, 2000–2008. Med J Aust 2011; 194: 443-447. <MJA full text>

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