Kent University for DH, October 2014
- This review of the literature examined the impact of primary care physician payment methods on physician behaviour. It focused on the evidence around the effects of fee-for-service (FFS), capitation and salary on activity volume, referrals, supplier-induced demand, patient pre selection and prevention.
- Key conclusions:
- Payment schemes do seem to have an effect on physician behaviour in terms of the quantity of activity they undertake.
- These effects are limited and often negated by other factors that influence physician behaviour such as professional norms, patient related factors, prognosis etc.
- There is still a limited evidence base on the effects of remuneration methods impact on the productivity and quality of primary care physicians.
http://www.kent.ac.uk/chss/docs/GP-payment-schemes-review-Final.pdf
