Abstract：
BACKGROUND:Reimbursement systems provide incentives to health care providers and may drive physician behaviour. This review assesses the impact of reimbursement system on socioeconomic and racial inequalities in access, utilization and quality of primary care. METHODS:A systematic search was performed in Web of Science and PubMed for English language studies published between 1980 and 2013, supplemented by reference tracking. Articles were selected based on inclusion criteria, and data extraction and critical appraisal were performed by two authors independently. Data were synthesized in a narrative manner and categorized according to study outcome and reimbursement system. RESULTS:Twenty seven articles, mostly from the United States and United Kingdom, were included in the data synthesis. Reimbursement systems seem to have limited effect on socioeconomic and racial inequity in access, utilization and quality of primary care. Capitation might have a more beneficial impact on inequity in access to primary care and number of ambulatory care sensitive admissions than fee-for-service, but did worse in patient satisfaction. Pay-for-performance had little or no impact on socioeconomic and racial inequity in the management of diabetes, cardiovascular diseases, chronic obstructive pulmonary disease, and preventive services. CONCLUSION:We found little scientific evidence supporting an association between reimbursement system and socioeconomic or racial inequity in access, utilization and quality of primary care. Overall, few studies addressed this research question, and heterogeneity in context and outcomes complicates comparisons across studies. Further empirical studies are warranted.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Tao W,Agerholm J,Burström Bdoi
10.1186/s12913-016-1805-8subject
Has Abstractpub_date
2016-10-04 00:00:00pages
542issue
1issn
1472-6963pii
10.1186/s12913-016-1805-8journal_volume
16pub_type
杂志文章,评审abstract：BACKGROUND:The number of type 2 diabetes mellitus (T2DM) patients and related treatment costs are rapidly increasing. Consequentially, more cost-effective and efficient strategies for the treatment of T2DM are needed. One such strategy is improving patients' self-management. As patients are more and more expected to se...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4384-7
更新日期：2019-08-28 00:00:00
abstract：BACKGROUND:Chronic low back pain (CLBP) is a highly prevalent condition that has substantial impact on patients, the healthcare system and society. Pain management services (PMS), which aim to address the complex nature of back pain, are recommended in clinical practice guidelines to manage CLBP. Although the effective...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-5013-1
更新日期：2020-03-12 00:00:00
abstract：BACKGROUND:The antenatal, intrapartum, and postnatal periods are considered high-risk periods for the health of mothers and their newborns. Although the current utilization rate of some maternal and child care services in Jordan is encouraging, detailed information about the quality of these services is limited. Theref...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4232-9
更新日期：2019-06-26 00:00:00
abstract：BACKGROUND:Many patients are undernourished during hospitalisation. The clinical consequences of this include lassitude, an increased risk of complications and prolonged convalescence. The aim of the study is 1) to implement a new organisation with a focus on improving the quality of the nutritional care of medical inp...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-8-168
更新日期：2008-08-07 00:00:00
abstract：BACKGROUND:Evidence-based clinical algorithms (EBCA) are knowledge tools to promote evidence use by codifying evidence into action plans to facilitate appropriate care. However, their impact on process and outcomes of care varies considerably across practice settings and providers, highlighting the need for tailoring o...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4008-2
更新日期：2019-03-20 00:00:00
abstract：BACKGROUND:Emergency Department (ED) are challenged by the increasing number of visits made by the heterogeneous population of elderly persons. This study aims to 1) compare chief complaints (triage categories) and level of priority; 2) to investigate their association with hospitalization after an ED visit; 3) to expl...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3257-9
更新日期：2018-06-15 00:00:00
abstract：BACKGROUND:While there is a significant focus on the health and well-being of women during pregnancy, labour and birth, much less emphasis is placed on the care of postpartum women and their infants in primary care following the birth. Some studies have investigated the role of GPs in postpartum care, and others examin...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1508-1
更新日期：2016-07-11 00:00:00
abstract：BACKGROUND:In the United Kingdom and worldwide, there is significant policy interest in improving the quality of care for patients with mental health disorders and distress. Improving quality of care means addressing not only the effectiveness of interventions but also the issue of limited access to care. Research to d...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/1472-6963-12-249
更新日期：2012-08-13 00:00:00
abstract：BACKGROUND:Little information exists on the technical assistance needs of local indigenous organizations charged with managing HIV care and treatment programs funded by the US President's Emergency Plan for AIDS Relief (PEPFAR). This paper describes the methods used to adapt the Primary Care Assessment Tool (PCAT) fram...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-14-399
更新日期：2014-09-17 00:00:00
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journal_title：BMC health services research
pub_type： 杂志文章
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更新日期：2016-09-30 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2005-08-18 00:00:00
abstract：BACKGROUND:The Europe Against Cancer programme was initiated in the late 1980s, recognising, among other risk factors, the problematic relationship between tobacco use and cancer. In an attempt to reduce the number of smokers in the European Community, the European Commission proposed a ban on tobacco advertising. The ...
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pub_type： 杂志文章
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journal_title：BMC health services research
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更新日期：2015-11-10 00:00:00
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更新日期：2009-09-18 00:00:00
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journal_title：BMC health services research
pub_type： 杂志文章,评审
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journal_title：BMC health services research
pub_type： 杂志文章
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更新日期：2017-01-17 00:00:00
abstract：BACKGROUND:Health care on equal terms is a cornerstone of the Swedish health care system. Total hip arthroplasty (THA) is considered a success story in Sweden with low frequency of reoperations and restored health-related quality of life (HRQoL). Administratively, health care in Sweden is locally self-governed by 21 co...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
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abstract：BACKGROUND:We analyzed and compared primary health care (PHC) policies in British Columbia, Alberta and Saskatchewan to understand how they inform the design and implementation of team-based primary health care service delivery. The goal was to develop policy imperatives that can advance team-based PHC in Canada. METH...
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更新日期：2011-01-11 00:00:00
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journal_title：BMC health services research
pub_type： 杂志文章
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更新日期：2018-02-23 00:00:00
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pub_type： 杂志文章
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更新日期：2012-08-31 00:00:00
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journal_title：BMC health services research
pub_type： 杂志文章
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更新日期：2013-11-08 00:00:00
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journal_title：BMC health services research
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更新日期：2018-03-02 00:00:00
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journal_title：BMC health services research
pub_type： 杂志文章
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更新日期：2008-07-21 00:00:00
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journal_title：BMC health services research
pub_type： 杂志文章
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更新日期：2007-09-25 00:00:00
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journal_title：BMC health services research
pub_type： 杂志文章
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更新日期：2009-03-25 00:00:00
