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.

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 August 1, 2014 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 August 1, 2014).

Share This




More Health & Medicine News

Friday, August 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

House Republicans Vote to Sue Obama Over Healthcare Law

House Republicans Vote to Sue Obama Over Healthcare Law

Reuters - US Online Video (July 31, 2014) The Republican-led House of Representatives votes to sue President Obama, accusing him of overstepping his executive authority in making changes to the Affordable Care Act. Mana Rabiee reports. Video provided by Reuters
Powered by NewsLook.com
Despite Health Questions, E-Cigs Are Beneficial: Study

Despite Health Questions, E-Cigs Are Beneficial: Study

Newsy (July 31, 2014) Citing 81 previous studies, new research out of London suggests the benefits of smoking e-cigarettes instead of regular ones outweighs the risks. Video provided by Newsy
Powered by NewsLook.com
Dangerous Bacteria Kills One in Florida

Dangerous Bacteria Kills One in Florida

AP (July 31, 2014) Sarasota County, Florida health officials have issued a warning against eating raw oysters and exposing open wounds to coastal and inland waters after a dangerous bacteria killed one person and made another sick. (July 31) Video provided by AP
Powered by NewsLook.com
Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama 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:
from the past week

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