Literature DB >> 26082456

Towards a differentiated capitation system: relation between patient characteristics, contacts and costs.

Marijke Olthof1, Feikje Groenhof2, Marjolein Y Berger2.   

Abstract

BACKGROUND AND
OBJECTIVE: A new payment system could curb primary health care costs. A differentiated capitation system based on patient characteristics could be the best mix for payment. To test the feasibility of such a system, we examined the number of contacts between patients and general practitioners (GPs), the related costs and the relationship with age, sex and comorbidity.
METHODS: A retrospective observational study included 29304 primary care patients in the Netherlands. Age, sex and comorbidity were related to number of contacts per patients per year and costs using a negative binomial regression analysis.
RESULTS: Males, younger patients and patients with no comorbidities visit their GP least often. Medically unexplained physical symptoms, diabetes and severe back complaints generate the most contacts; diabetes is specifically related to higher costs.
CONCLUSION: Several patient characteristics are related to the number of contacts patients have with their GP and the consecutive remuneration. This study can be used as an input to create a differentiated capitation system.
© The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  Capitation; comorbidity; costs and cost analysis; economics; primary health care; remuneration.

Mesh:

Year:  2015        PMID: 26082456     DOI: 10.1093/fampra/cmv043

Source DB:  PubMed          Journal:  Fam Pract        ISSN: 0263-2136            Impact factor:   2.267


  1 in total

1.  Understanding health and care expenditure by setting - who matters to whom?

Authors:  Jenny Shand; Stephen Morris; Manuel Gomes
Journal:  J Health Serv Res Policy       Date:  2020-06-30
  1 in total

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