| Framework for the design of physician remuneration methods in primary health care. | |
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MedLine Citation:
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PMID: 21534123 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Economists have generated a large body of theoretical and empirical knowledge with respect to the design of physician remuneration methods (PRM). This knowledge is difficult to use for a policy maker, because of its technical nature and its fragmentation. The article brings together the scattered elements of theory and evidence into a structured framework that adds practical use value to economic theory, useful in the applied practice of policy development, design, implementation, and evaluation. The article argues that the optimal choice of PRM depends on the goals of the health care system, and on external contextual factors. Fee-for-service payments are best when the goals are quantity of care and risk acceptance. Capitation is best when the goals are collaboration between providers and delivery of preventive services and health promotion. Salaries are best when population density is low, and the goal is to recruit physicians to rural and remote areas. Blended payment models are recommended for the achievement of multiple goals. As a demonstration of use value, the framework is applied to the assessment of Canadian PRM. |
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Authors:
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Dominika Wranik; Martine Durier-Copp |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Social work in public health Volume: 26 ISSN: 1937-190X ISO Abbreviation: Soc Work Public Health Publication Date: 2011 |
Date Detail:
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Created Date: 2011-05-02 Completed Date: 2011-09-01 Revised Date: 2012-05-16 |
Medline Journal Info:
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Nlm Unique ID: 101308228 Medline TA: Soc Work Public Health Country: England |
Other Details:
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Languages: eng Pagination: 231-59 Citation Subset: H |
Affiliation:
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School of Public Administration, Dalhousie University, Halifax, Nova Scotia, Canada. dwl@dal.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Canada Fees, Medical Humans Physicians, Primary Care / economics* Primary Health Care / economics* Reimbursement Mechanisms / economics* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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