Flierman H A, Groenewegen P P
Netherlands Institute of Primary Health Care, Utrecht.
Health Care Financ Rev. 1992 Fall;14(1):107-15.
A change in payment system of general practitioners from capitation to a mix of one-half capitation and one-half fee for service in Copenhagen, Denmark, resulted in a significant overall increase in diagnostic and curative services. The rate of increase differs between services. In this article, it is assumed that the rate of increase varies with doctors' professional uncertainty relative to the services studied. Professional uncertainty is measured as the degree to which performances of a service are determined by diagnoses made. The data validate the measure given the assumption.
丹麦哥本哈根将全科医生的支付系统从按人头付费改为人头付费与服务费各占一半的混合支付方式,这使得诊断和治疗服务的总体数量显著增加。不同服务的增长率有所不同。在本文中,假设增长率随医生相对于所研究服务的专业不确定性而变化。专业不确定性的衡量标准是一项服务的执行由所做诊断决定的程度。在该假设下,数据验证了这一衡量标准。