التفاصيل البيبلوغرافية
| العنوان: |
A narrative synthesis of illustrative evidence on effects of capitation payment for primary care: lessons for Ghana and other low/middle-income countries |
| المؤلفون: |
Andoh-Adjei, Francis-Xavier, Spaan, Ernst, Asante, Felix A, Mensah, Sylvester A., van der Velden, Koos |
| المصدر: |
Ghana Medical Journal; Vol 50, No 4 (2016); 207-219 ; 0855-0328 |
| بيانات النشر: |
Ghana Medical Association |
| سنة النشر: |
2017 |
| المجموعة: |
AJOL - African Journals Online |
| مصطلحات موضوعية: |
Capitation payment, primary care, cost-containment, national health insurance, Ghana |
| الوصف: |
Objective: To analyse and synthesize available international experiences and information on the motivation for, and effects of using capitation as provider payment method in country health systems and lessons and implications for low/middle-income countries.Methods: We did narrative review and synthesis of the literature on the effects of capitation payment on primary care.Results: Eleven articles were reviewed. Capitation payment encourages efficiency: drives down cost, serves as critical source of income for providers, promotes adherence to guidelines and policies, encourages providers to work better and give health education to patients. It, however, induces reduction in the quantity and quality of care providedand encourages skimming on inputs, underserving of patients in bad state of health, “dumping” of high risk patients and negatively affect patient-provider relationship.Conclusion: The illustrative evidence adduced from the review demonstrates that capitation payment in primary care can create positive incentives but could also elicit un-intended effects. However, due to differences in country context, policy makers in Ghana and other low/middle-income countries may only be guided by the illustrative evidencein their design of a context-specific capitation payment for primary care.Funding: Netherlands Fellowship Programme (NFP), Fellowship number: NFP-PhD.12/352Keywords: Capitation payment, primary care, cost-containment, national health insurance, Ghana |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| العلاقة: |
http://www.ajol.info/index.php/gmj/article/view/150016/139555Test; http://www.ajol.info/index.php/gmj/article/view/150016Test |
| الإتاحة: |
http://www.ajol.info/index.php/gmj/article/view/150016Test |
| حقوق: |
Articles published in the Ghana Medical Journal may not be published elsewhere without the consent of the publishers. Request for consent for reproduction of material published in the Ghana Medical Journal should be addressed to the Editor-in-Chief. The publisher of this Journal reserves the right of copyright of all articles published in the Journal. It should also be understood by all authors that articles approved for publication in the journal are also deemed for publication online by the publisher. |
| رقم الانضمام: |
edsbas.64942C8C |
| قاعدة البيانات: |
BASE |
