| Titre : | Quality and Quantity in Primary Care Mixed Payment Models: Evidence from Family Health Organizations in Ontario |
| Titre original: | Qualité et quantité dans les modèles mixtes de rémunération : évidence issue de groupes de santé familiale en Ontario. |
| Titre de série : | IZA Discussion Paper, 5762 |
| Auteurs : | J. KANTAREVIC ; B. KRALJ ; Institute of Labor Economics. (I.Z.A.). Bonn. DEU ; Institute of Labor Economics. (I.Z.A.). Bonn. DEU |
| Type de document : | Document de travail |
| Editeur : | Bonn : I.Z.A., 2011 |
| Format : | 39p., tabl., graph. fig. |
| Note générale : | Référence : Réf. bib. |
| Langues: | Anglais |
| Catégories : |
[BDSP5] Géographie politique > Monde > Amérique > Amérique du Nord > Canada [BDSP5] Information & communication [NI] > Information > Nature information [NI] > Etude > Etude comparée [BDSP5] Pratique médicale [BDSP5] Sciences économiques > Concept économique > Revenu > Type revenu > Capitation [BDSP5] Sciences économiques > Concept économique > Revenu > Type revenu > Rémunération [BDSP5] Sciences économiques > Concept économique > Revenu > Type revenu > Rémunération > Paiement à l'acte [BDSP5] Soins > Qualité soins [BDSP5] Système soins > Santé communautaire > Soins santé primaire |
| Résumé : | This paper studies the impact of a mixed capitation model known as the Family Health Organization (FHO) on selected quality and quantity outcomes relative to an enhanced fee-for-service model known as the Family Health Group (FHG) among primary care physicians in Ontario, Canada. Using a panel of administrative data that covers one year before and two years after the FHO model was introduced in 2007, its find that physicians in the FHO model provide about 6 percent fewer services and visits per day, but are between 8 and 15 percent more likely to achieve preventive care bonuses for senior flu shots, toddler immunizations, pap smears, and mammograms compared to physicians in the FHG model. These results are largely consistent with the hypothesis that the mixed payment model may reduce quantity and improve quality of health care relative to the fee-for-service model. It also finds that the FHO physicians have lower referral rates and enroll patients of similar complexity compared to the FHG physicians. |
| En ligne : | http://ftp.iza.org/dp5762.pdf |