کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
7333768 | 1476044 | 2015 | 11 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Paying for primary care: A cross-sectional analysis of cost and morbidity distributions across primary care payment models in Ontario Canada
ترجمه فارسی عنوان
پرداخت هزینه مراقبت های اولیه: تجزیه و تحلیل مقطعی از توزیع هزینه و مضر در مدل های پرداخت مراقبت های اولیه در انتاریو کانادا
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کلمات کلیدی
کانادا، انتاریو، مراقبت های اولیه، مشوق های پرداخت مخلوط مورد، توزیع نسبی، رفتار پزشکان،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی
Policy-makers desire an optimal balance of financial incentives to improve productivity and encourage improved quality in primary care, while also avoiding issues of risk-selection inherent to capitation-based payment. In this paper we analyze risk-selection in capitation-based payment by using administrative data for patients (n = 11,600,911) who were rostered (i.e., signed an enrollment form, or received a majority of care) with a primary care physician (n = 8621) in Ontario, Canada in 2010/11. We analyze this data using a relative distribution approach and compare distributions of patient costs and morbidity across primary care payment models. Our results suggest a relationship between being in a capitation-based payment scheme and having low cost patients (and presumably healthy patients) compared to fee-for-service physicians. However, we do not have evidence that physicians in capitation-based models are reducing the care they provide to sick and high cost patients. These findings suggest there is a relationship between payment type and risk-selection, particularly for low-cost and healthy patients.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 124, January 2015, Pages 18-28
Journal: Social Science & Medicine - Volume 124, January 2015, Pages 18-28
نویسندگان
David Rudoler, Audrey Laporte, Janet Barnsley, Richard H. Glazier, Raisa B. Deber,