Table 4.

Non-activity-based payment mechanisms.

Country	Basis for payment
Australia	Site-specific budget
England	Block contacts (historical) Spot purchasing
Germany	Block contacts
Hungary	Reallocation from general hospital budget/other departments
Ireland	Block contracts (historical; based on population served, services provided)
New Zealand	Block contracts (historical) Hospital-based: reallocation from general hospital budget
The Netherlands	Capitation (network care) and overall budgets for service regulation
Norway	Block contracts (based on population characteristics and area served)
Spain	Capitation (population in area, no urban/rural weighting)
Sweden	Site-specific budget or capitation
USA	Reallocation from general hospital budget
Wales	Capitation