OBJECTIVE To test the hypothesis that GP trainees are worth their weight in gold. DESIGN Data collected from 100 consecutive patients analysed with reference to practice statistics, fees, and allowances. SETTING General practice, Edinburgh. RESULTS In the year April 1992 to April 1993 the trainee saw 3439 patients, who were worth over 18,000 pounds in capitation fees. The training grant i...

OBJECTIVE To analyse implementation of the pilot study of the per capita system of healthcare financing in Ghana in 2012 for a determination of the likelihood of realising the inherent theoretical benefits when the system is rolled out nationally. DESIGN AND SETTING First, publicly available information on how the pilot unfolded is presented, followed by the reaction of the health authorities...

Models of the determinants of individuals' primary care costs can be used to set capitation payments to providers and to test for horizontal equity. We compare the ability of eight measures of patient morbidity and multimorbidity to predict future primary care costs and examine capitation payments based on them. The measures were derived from four morbidity descriptive systems: 17 chronic disea...

Most developed countries are experiencing, or moving at full speed, to implement new forms of health delivery based in part on capitation arrangements and stronger accountability of health service providers. Proposals for introduction of capitation or managed care have been advanced in Australia but have attracted strong opposition from the medical profession. This paper reviews the policy issu...

Recent experiments in the Soviet Union mirror the debates in the United Kingdom about improving incentives in health care. The most interesting innovation to emerge under perestroika is a pilot project in Leningrad and at two other sites which could radically change the financing of hospitals. Hitherto, the budget has gone from the ministry to the hospitals and to the polyclinics by bureaucrati...

This paper proposes Medicare payment reform built on the fee-for-service system, with incentive payments to eligible provider organizations determined by their rate of increase in cost per patient compared to the overall growth rate in the community. By planning and monitoring how care patterns are altered to achieve greater efficiency, policy-makers can align the incentives of Medicare and the...

relation to their workload."' Doctors in general practice may be salaried, paid on a capitation basis, or paid per item of service or per patient treated-or they may be paid by a combination of these methods. In the Netherlands, for example, the health insurance schemes fix an earnings target for general practitioners and calculate the capitation payment to provide 70% of this target. The assum...

BACKGROUND As health systems evolve, it is essential to evaluate their impact on the delivery of health services to socially disadvantaged populations. We evaluated the delivery of primary health services for different socio-economic groups and assessed the performance of different organizational models in terms of equality of health care delivery in Ontario, Canada. METHODS Cross sectional s...