BACKGROUND The Valencian Autonomous Community (Spain) has implemented a scheme of purchasing services with the participation of public and private providers. Five districts are managed using public-private partnership. The financing model is capitation and inter-center invoice. The pharmaceutical benefits are not included in the per capita assignment. OBJECTIVES Modeling and explaining pharma...

BACKGROUND Previous research has shown variations in quality of care and patient outcomes under different primary care models. The objective of this study was to use previously validated, evidence-based performance indicators to measure quality of asthma care over time and to compare quality of care between different primary care models. METHODS Data were obtained for years 2006 to 2010 from ...

The UK Renal Registry (UKRR) is part of the UK Renal Association and provides independent, professionally led, audit and analysis of renal replacement therapy (RRT) in the UK. The Registry is funded directly by participating renal centres through an annual capitation fee, currently £17 per patient per annum (2008). The Registry receives quarterly electronic data extracts from information system...

General practice notes may be inaccurate for various reasons. A study was carried out in one semi-rural practice to investigate the agreement between records held by the family practitioner committee and those kept in the practice. Details on the practice notes and the family practitioner committee list were compared for 800 patients. The details examined included name, sex, date of birth, addr...

Federal and state policy makers are now experimenting with programs that hold health systems accountable for delivering care under predetermined budgets to help control health care spending. To assess how well prepared medical groups are to participate in these arrangements, we surveyed twenty-one large, multispecialty groups. We evaluated their participation in risk contracts such as capitatio...

Mixed payment systems have become a prominent alternative to paying physicians through fee-for-service and capitation. While theory shows mixed payment systems to be superior, causal effects on physicians' behavior when introducing mixed systems are not well understood empirically. We systematically analyze the influence of fee-for-service, capitation, and mixed payment systems on physicians' s...

BACKGROUND An optional capitation prepayment system has been implemented in Swedish dental care, supplementary to the traditional fee-for-service scheme within the Public Dental Service. The implementation of a new system may have a variety of preferred and adverse effects, arguably dependent on the individual patient's attitudes, health beliefs and course of action.The aim of this study was to...

Recently the news broke out about the crippling strike by junior doctors in Medical College and Hospitals of Maharashtra. The young doctors were agitating against decision of the Goverment to open private Medical Colleges for which seats will be offered on consideration of money (capitation fees). System of capitation fees for medical colleges has been in existence in some other states for a lo...

OBJECTIVE To determine primary care physician screening, treatment, and control rates for hypertension and to examine whether type of physician payment model affected these rates. DESIGN A cross-sectional chart abstraction study. SETTING Community health centres (salary), primary care networks (capitation), or traditional fee-for-service practices in Ontario. PARTICIPANTS A total of 135 p...