A model of physician behaviour with demand inducement

Jaegher, Kris De; Jegers, Marc

doi:10.1016/s0167-6296(99)00029-6

Cited by 62 publications

(38 citation statements)

References 26 publications

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“…There are neoclassical economic arguments that suggest that, in at least some cases, professional ethical and altruistic motives provide a satisfactory explanation for the observed behaviour. De Vany et al (13), Lambert (14), De Jaegher and Jegers (15), and Richardson and Peacock (16), provide evidence that an observed extra demand may derive from professionals being willing to deliver extra benefits to the population, such as the provision of night clinics, domiciliary visits, and improved quality of care. In such cases, the observed effect is clearly not a moral hazard.…”

Section: Introductionmentioning

confidence: 99%

Do economic incentives influence the provision of dental services in a third-party funded dental scheme?

Mullen¹,

Woods²,

Whelton³

2013

OA Dentistry

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Section: Introductionmentioning

confidence: 99%

Do economic incentives influence the provision of dental services in a third-party funded dental scheme?

Mullen¹,

Woods²,

Whelton³

2013

OA Dentistry

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“…9,10,11 However, economic theory maintains that changes in provider payment systems attract responses from providers 12 which could affect the quality and quantity of service provided. 13 In the following paragraphs, we discuss key payment methods and the incentives they create in care delivery.…”

Section: Considerations Underlying Provider Paymentmentioning

confidence: 99%

A narrative synthesis of illustrative evidence on effects of capitation payment for primary care: lessons for Ghana and other low/middle-income countries

Andoh-Adjei¹,

Spaan²,

Asante³

et al. 2017

Ghana Medical Journal

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SUMMARYObjective: 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 provided and 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 evidence in their design of a context-specific capitation payment for primary care.

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“…Fenomena SID mengglobal dalam praktik layanan kesehatan, dan terbukti empiris di banyak negara (De Jaegher and Jegers, 2000, Labelle et al, 1994, Carlsen and Grytten, 2000, Azzahrazade, 2016, Van Doorslaer and Geurts, 1987, termasuk Indonesia (Hidayat andPokhrel, 2010, Azzahrazade, 2016). Analisis data Indonesian Family Life Survei mendeteksi fenomena SID di perkotaan yang memiliki tingkat kompetisi provider lebih tinggi dibandingkan di pedesaan (Hidayat and Pokhrel, 2010).…”

Section: Kontrol Biaya Klaimunclassified

Terapi Sistemik Defisit JKN: Bahan Refleksi Bagi Semua Pihak

Hidayat

2016

jurnaleki

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AbstrakDefisit layak disandang sebagai penyakit kronis JKN. Indikasi defisit terungkap dari angka rasio klaim. Pada tahun 2014 dan 2015 angka rasio klaim selalu berada diatas 100%. Angka ini merupakan hasil pembagian biaya klaim (atau biaya kesehatan peserta) dengan pendapatan iuran. Dengan demikian rasio klaim menggambarkan penyerapan dana iuran untuk biaya kesehatan saja. Padahal pendapatan iuran juga harus dialokasikan untuk biaya operasional dan cadangan.

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A model of physician behaviour with demand inducement

Cited by 62 publications

References 26 publications

Do economic incentives influence the provision of dental services in a third-party funded dental scheme?

Do economic incentives influence the provision of dental services in a third-party funded dental scheme?

A narrative synthesis of illustrative evidence on effects of capitation payment for primary care: lessons for Ghana and other low/middle-income countries

Terapi Sistemik Defisit JKN: Bahan Refleksi Bagi Semua Pihak

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