GENERAL-PRACTITIONERS AND THE NEW CONTRACT - PROMOTING BETTER HEALTH THROUGH FINANCIAL INCENTIVES
GENERAL-PRACTITIONERS AND THE NEW CONTRACT - PROMOTING BETTER HEALTH THROUGH FINANCIAL INCENTIVES
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DOI：
10.1016/0168-8510(93)90101-t
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发表时间：
1993-09-01
期刊：
影响因子：
3.3
通讯作者：
HUGHES, D
中科院分区：
文献类型：
--
作者：
HUGHES, D
本文详细介绍了英国在1990年合同中引入的全科医生薪酬的变化。讨论了这些变化对全科医生收入结构的影响。更多地强调按人头付费可能会增加普通医疗中的预防活动，但根据人头费用的设定水平，可能会导致患者转移到医疗保健经济的其他部门。Target Payments似乎成功地增加了涂片的数量。很明显，医生会对经济激励做出反应，但尚不清楚的是，他们的反应是否会总是按照预期的方式进行，还是会带来更有效的实践。
In this paper the changes in payment of general practitioners in the UK, introduced in the 1990 contract, are described in detail. The effects of the changes on the structure of general practitioners' incomes is discussed. More emphasis on capitation payments may increase preventive activity in general practice, but, depending on the level at which the capitation fee is set, could lead to shifting of patients to other sectors in the health care economy. Target payments appear to have been successful in increasing the numbers of smears taken. It is clear that doctors respond to financial incentives, but what is not clear is whether their responses will always be in the way intended or lead to more efficient practice.