| Effects of a fundholding discontinuation. An Israeli health maintenance organization natural experiment. | |
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MedLine Citation:
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PMID: 11822644 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the effects of fundholding on cost containment and after termination of the project. DESIGN AND SETTING: Primary care practices participating in the project were allocated an itemized budget. Practices assumed authority for hospitalization, drugs, ambulatory medical diagnostic, consultant services and acquisition of minor equipment. Financial incentives were offered, but no penalties were imposed on practices where expenditure exceeded budget. SUBJECTS: Nine primary care practices in southern Israel. MAIN OUTCOME MEASURE: Total expenditure and a breakdown of expenditure per capita. RESULTS: Fundholding practice expenditure was compared with expenditure in the district as a whole. During the study period, total expenditure in fundholding practices rose by 12%, whereas that of the district rose by 37%. With discontinuation of the project, expenditure of the designated practices returned to the original levels, equivalent to those of the district. CONCLUSION: Fundholding is an efficient method of cost-containment. The effect will be long lasting only if motivation is maintained. |
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Authors:
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A Elhayany; S Regev; M Sherf; H Reuveni; P Shvartzman |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Scandinavian journal of primary health care Volume: 19 ISSN: 0281-3432 ISO Abbreviation: Scand J Prim Health Care Publication Date: 2001 Dec |
Date Detail:
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Created Date: 2002-02-01 Completed Date: 2002-07-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8510679 Medline TA: Scand J Prim Health Care Country: Norway |
Other Details:
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Languages: eng Pagination: 223-6 Citation Subset: IM |
Affiliation:
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Department of Family Medicine, Faculty of the Health Sciences, Ben-Gurion University of the Negev, Israel. aasher@bgumail.bgu.ac.il |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Budgets
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statistics & numerical data* Cost Control Health Care Costs / statistics & numerical data Health Expenditures / statistics & numerical data* Health Maintenance Organizations / economics* Humans Israel Primary Health Care / economics* Program Evaluation |
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