The effects of capitation payment on the organizational structure of medical group practices.
The effects of capitation payment on the organizational structure of medical group practices.
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按人头付费对医疗团体实践组织结构的影响。
DOI：
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发表时间：
1996
期刊：
影响因子：
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通讯作者：
P. Veazie
中科院分区：
文献类型：
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作者：
J. Kralewski;T. Wingert;D. Knutson;C. Johnson;P. Veazie
本研究探讨了按人头付费对医疗团体实践中用于控制医生指导的资源使用和患者护理质量的结构要素的影响。四十五个医疗集团位于竞争激烈的明尼阿波利斯/圣路易斯。对保罗都市区进行了研究。这些医疗团体的按人头付费范围为 2% 至 87%。尽管这些控制机制的发展程度各不相同，但按人头付费似乎并不是影响这种模式的主要因素。看来，许多医疗团体的做法要么使用比本研究中所包含的不太正式的机制来控制资源使用和护理质量，要么根本不使用。无论哪种情况，数据表明按人头付费对医疗实践结构的影响可能被高估了。
This study explores the effects of capitation payment on the structural elements used by medical group practices to control physician-directed use of resources and the quality of patient care. Forty-five medical groups located in the highly competitive Minneapolis/St. Paul metropolitan area were studied. The range of capitation payment in these medical group practices is from 2% to 87%. Although the practices vary considerably in the extent to which they have developed these control mechanisms, it does not appear that capitation payment is a major factor influencing that pattern. It appears that many of these medical group practices either use less formal mechanisms than those included in this study to control resource use and the quality of care or use none at all. In either event, the data suggest that the effects of capitation payment on the structure of medical practices may be overestimated.