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The effect of capitation on GPs' referral decisions

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Author Info
Tor Iversen (Center for Health Administration, University of Oslo, Norway)
Hilde Lurås (Center for Health Administration, University of Oslo, Norway)

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Abstract

In the Norwegian capitation trial, the payment system for general practitioners (GPs) has been changed; a practice allowance component has been replaced by a capitation component and the fee-per-item component constitutes a smaller part of a GPs practice income than previously. From the theoretical modelling of GPs' referral decisions, we predict that the replacement of the practice allowance by a capitation component will increase the rate of referrals to specialists. This hypothesis is supported by an exploratory empirical study with data from a sample of GPs participating in the experiment. Copyright © 2000 John Wiley & Sons, Ltd.

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Publisher Info
Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 9 (2000)
Issue (Month): 3 ()
Pages: 199-210
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Handle: RePEc:wly:hlthec:v:9:y:2000:i:3:p:199-210

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Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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  1. Iversen, Tor & Kopperud, Gry Stine, 2009. "The impact of accessibility on the use of specialist health care in Norway," HERO On line Working Paper Series 2002:9, Oslo University, Health Economics Research Programme. [Downloadable!]
  2. Lurås, Hilde, 2009. "General Practice: Four Empirical Essays on GP Behaviour and Individuals’ Preferences for GPs," HERO On line Working Paper Series 2004:1, Oslo University, Health Economics Research Programme. [Downloadable!]
  3. Kjeld Møller Pedersen & Terkel Christiansen & Mickael Bech, 2005. "The Danish health care system: evolution - not revolution - in a decentralized system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages S41-S57. [Downloadable!]
  4. Marisol Rodríguez & Alexandrina Stoyanova, 2004. "The effect of private insurance access on the choice of GP|specialist and public|private provider in Spain," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 689-703. [Downloadable!]
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This page was last updated on 2009-10-19.

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