Paying general practitioners: shedding light on the review of health services.

作者: K Gerard , C Donaldson

DOI:

关键词: RemunerationHealth careCapitation feeCapitationMedicinePaymentFamily medicineService (business)Physician Incentive PlansPublic economicsHealth services

摘要: This paper reviews evidence from recent research on the effects of different methods remunerating general practitioners. Each method is examined in terms patient use health services general, by groups society and outcome. Little known about capitation as it currently exists UK, salaries or special payments for 'good practice', although British likely to be forthcoming last these. Both maintenance organizations charges deter utilization, little effect this reduced demand. Furthermore, these two financing care appear discriminate between members lower higher incomes both service Fees items provided tend lead unnecessary demands fee yielding patients recommendation their doctors. Although more remuneration required, importance what already depends objectives provision.

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