Featured Research

from universities, journals, and other organizations

Health Care Reform Option? Fee Capitation Vs. Fee-for-service Primary Care

Date:
May 25, 2009
Source:
Canadian Medical Association Journal
Summary:
Primary care physicians in Ontario, Canada who volunteered to adopt the new capitation model for payment, compared with those who opted for an enhanced fee-for-service model, had fewer sick patients, less after-hours billing, more patients who visited the emergency department and fewer new patients.

Primary care physicians in Ontario, Canada who volunteered to adopt the new capitation model for payment, compared with those who opted for an enhanced fee-for-service model, had fewer sick patients, less after-hours billing, more patients who visited the emergency department and fewer new patients, found a new study in the Canadian Medical Association Journal.

Related Articles


One of the first population-based studies of one of the world's largest short-term voluntary shifts from fee-for-service to capitation, the study involved more than 500 physicians and almost 500,000 patients under capitation. It included both rural and urban practices.

Primary health care is facing serious concerns internationally, including whether it is a viable model in some areas. Physician shortages, uneven distribution of access to care, and large gaps between guideline-recommended care and actual delivery are key issues. In Canada, almost 4 million people lack a family doctor and more than 2 million have problems getting immediate care.

The differences between capitation and enhanced fee-for-service appeared to be pre-existing rather than due to enrollment in the new model of payment, write Dr. Richard Glazier from the Institute for Clinical Evaluative Sciences (ICES) and coauthors. "While the capitation model provides an alternative to fee-for-service practice, its characteristics should be the focus of future policy development and research."

Policy makers around the world are considering a variety of initiatives such as new reimbursement models, after-hours care and telephone support, interdisciplinary teams and more.

In a related commentary, Dr. Barbara Starfield, Johns Hopkins University writes "new approaches to organizing health care services are unlikely to improve unless they are based on a recognition that care needs to be focused on the patient rather than on the disease." Reforms that aim to improve health and eliminate disparities must support a primary care model as in Ontario.


Story Source:

The above story is based on materials provided by Canadian Medical Association Journal. Note: Materials may be edited for content and length.


Journal Reference:

  1. Glazier et al. Capitation and enhanced fee-for-service models for primary care reform: a population-based evaluation. Canadian Medical Association Journal, 2009; 180 (11): E72 DOI: 10.1503/cmaj.081316

Cite This Page:

Canadian Medical Association Journal. "Health Care Reform Option? Fee Capitation Vs. Fee-for-service Primary Care." ScienceDaily. ScienceDaily, 25 May 2009. <www.sciencedaily.com/releases/2009/05/090525173432.htm>.
Canadian Medical Association Journal. (2009, May 25). Health Care Reform Option? Fee Capitation Vs. Fee-for-service Primary Care. ScienceDaily. Retrieved January 27, 2015 from www.sciencedaily.com/releases/2009/05/090525173432.htm
Canadian Medical Association Journal. "Health Care Reform Option? Fee Capitation Vs. Fee-for-service Primary Care." ScienceDaily. www.sciencedaily.com/releases/2009/05/090525173432.htm (accessed January 27, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Tuesday, January 27, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Mistakes Should Serve a Lesson Says WHO

Ebola Mistakes Should Serve a Lesson Says WHO

AFP (Jan. 25, 2015) The World Health Organization&apos;s chief on Sunday admitted the UN agency had been caught napping on Ebola, saying it should serve a lesson to avoid similar mistakes in future. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
Disneyland Measles Outbreak Spreads To 5 States

Disneyland Measles Outbreak Spreads To 5 States

Newsy (Jan. 24, 2015) Much of the Disneyland measles outbreak is being blamed on the anti-vaccination movement. The CDC encourages just about everyone get immunized. Video provided by Newsy
Powered by NewsLook.com
Growing Measles Outbreak Worries Calif. Parents

Growing Measles Outbreak Worries Calif. Parents

AP (Jan. 23, 2015) Public health officials are rushing to contain a measles outbreak that has sickened 70 people across 6 states and Mexico. The AP&apos;s Raquel Maria Dillon has more. (Jan. 23) Video provided by AP
Powered by NewsLook.com
Smart Wristband to Shock Away Bad Habits

Smart Wristband to Shock Away Bad Habits

Reuters - Innovations Video Online (Jan. 23, 2015) A Boston start-up is developing a wristband they say will help users break bad habits by jolting them with an electric shock. Ben Gruber reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

    Health News

    Environment News

    Technology News



    Save/Print:
    Share:

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile: iPhone Android Web
    Follow: Facebook Twitter Google+
    Subscribe: RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins