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A Factors Affecting the Achievements of Performance-Based Capitation: A Scoping Review

Jurnal Jaminan Kesehatan Nasional, 2022
: Primary care facilities (FKTP) are the vanguard in the National Health Insurance Program (JKN). The implementation of performance-based capitation (Kapitasi Berbasis Kinerja or KBK) is an effort to ensure FKTP performance through capitation payment ...
Ari Dwi Aryani
doaj   +2 more sources

The Impact of COVID-19 on the Performance of Primary Health Care Service Providers in a Capitation Payment System: A Case Study from Poland

International Journal of Environmental Research and Public Health, 2021
In Poland, as in many other countries, the use of capitation payment schemes in primary health care is popular. Despite this popularity, the subject literature discusses its role in decreasing the quality of primary medical services.
Magdalena Kludacz-Alessandri, Renata Walczak, Piotr Korneta   +2 more
exaly   +2 more sources

Effects of capitation payment on utilization and claims expenditure under National Health Insurance Scheme: a cross-sectional study of three regions in Ghana

Health Economics Review, 2018
Introduction Ghana introduced capitation payment under National Health Insurance Scheme (NHIS), beginning with pilot in the Ashanti region, in 2012 with a key objective of controlling utilization and related cost. This study sought to analyse utilization
Francis-Xavier Andoh-Adjei, Bronke Boudewijns, Eric Nsiah-Boateng, Felix Ankomah Asante, Koos van der Velden, Ernst Spaan   +5 more
doaj   +2 more sources

Preferences of healthcare providers for capitation payment in Kenya: a discrete choice experiment

Health Policy and Planning, 2020
Provider payment mechanisms (PPMs) are important to the universal health coverage (UHC) agenda as they can influence healthcare provider behaviour and create incentives for health service delivery, quality and efficiency.
Edwine W. Barasa, Jacob S Kazungu, Gilbert Abotisem Abiiro   +2 more
exaly   +2 more sources

Relationship between general practice capitation funding and the quality of primary care in England: a cross-sectional, 3-year study

BMJ Open, 2019
Objective To explore the relationship between general practice capitation funding and quality ratings based on general practice inspections.Design Cross-sectional study pooling 3 years of primary care administrative data.Setting UK primary care ...
Hugh Gravelle, Mark Ashworth, Veline L’Esperance, Rita Santos   +3 more
doaj   +2 more sources

Risk-adjusted capitation payment for outpatient services in China's healthcare insurance: a case study of an affluent city in southern China [PDF]

Frontiers in Public Health
IntroductionThis study explores the feasibility of a risk-adjusted outpatient capitation payment model for China's Urban Employee Basic Healthcare Insurance (UEBHI) and Urban-Rural Resident Basic Healthcare Insurance (URRBHI), using 2023–2024 medical ...
Sun Jinnan, He Qiong, Liu Ke, Du Wenwen, Xu Wei   +4 more
doaj   +2 more sources

Does capitation affect patient satisfaction and prevalence of out-of-pocket payments in the insured? A propensity score analysis of Ghana’s demographic and health survey data

BMC Health Services Research, 2019
Background Ghana’s National Health Insurance Scheme (NHIS) piloted capitation payment for primary care services in the Ashanti region from 2012 to 2017.
Shafiq Siita, Sharon E. Cox, Kara Hanson
doaj   +2 more sources

Does a provider payment method affect membership retention in a health insurance scheme? a mixed method study of Ghana’s capitation payment for primary care

BMC Health Services Research, 2018
Background Ghana introduced a National Health Insurance Scheme (NHIS) in 2003 applying fee-for-service method for paying NHIS-credentialed health care providers.
Francis-Xavier Andoh-Adjei, Renske van der Wal, Eric Nsiah-Boateng, Felix Ankomah Asante, Koos van der Velden, Ernst Spaan   +5 more
doaj   +2 more sources

Willingness to accept capitation payment system under the Ghana National Health Insurance Policy: do income levels matter?

Health Economics Review, 2017
This research was set to examine the factors influencing the willingness and the likelihood of Ghanaians to accept the capitation payment system under the National Health Insurance Scheme.
Frank Gyimah Sackey, Peter N. Amponsah
doaj   +2 more sources

Impact of capitation on outpatient expenses among patients with diabetes mellitus in Tianjin, China: a natural experiment

BMJ Open, 2019
ObjectivesCapitation policy, a new medical insurance settlement method implemented on 1 January 2014 in Tianjin, China, aimed to control unreasonable increases in medical costs.
Yanan Dong, Jiageng Chen, Xiyue Jing, Xinjun Shi, Xiaowei Deng, Changping Li   +5 more
doaj   +2 more sources