Empirically derived weights for GMS capitation payments to General Practitioners

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dc.contributor.author McElroy, Brendan
dc.date.accessioned 2018-07-30T14:37:27Z
dc.date.available 2018-07-30T14:37:27Z
dc.date.issued 2017-01-18
dc.identifier.citation McElroy, B. (2017) 'Empirically derived weights for GMS capitation payments to General Practitioners', Irish Journal of Medical Science, 186(2), pp. 471-476. doi: 10.1007/s11845-016-1548-x en
dc.identifier.volume 186 en
dc.identifier.issued 2 en
dc.identifier.startpage 471 en
dc.identifier.endpage 476 en
dc.identifier.issn 0021-1265
dc.identifier.issn 1863-4362
dc.identifier.uri http://hdl.handle.net/10468/6552
dc.identifier.doi 10.1007/s11845-016-1548-x
dc.description.abstract Aim: Unlike other weighted capitation schemes used in Irish health service financing and in health systems internationally, the GMS capitation payments scheme for General Practitioners lacks transparency in both the data used and the model employed. In this study, evidence-based weights were generated and compared to current payment weights. Methods: Four datasets on GP utilisation were interrogated. Results: Evidence-based weights indicated that over 70s had higher payments per consultation than other groups. Considerable intra-age band differences in capitation payment were detected. Discussion and conclusion: The results suggest that there is a need for a comprehensive review of the current payments system. Current age bands should be narrowed. The implications for the efficiency and equity of general practice in Ireland are discussed. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Springer Verlag en
dc.rights © Royal Academy of Medicine in Ireland 2017. Published by Springer Verlag. This is a post-peer-review, pre-copyedit version of an article published in Irish Journal of Medical Science. The final authenticated version is available online at: http://dx.doi.org/ 10.1007/s11845-016-1548-x en
dc.subject Weighted capitation en
dc.subject General Medical Services Scheme en
dc.subject General practice en
dc.subject Health care financing en
dc.title Empirically derived weights for GMS capitation payments to General Practitioners en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Brendan Mcelroy, Economics, University College Cork, Cork, Ireland. +353-21-490-3000 Email: b.mcelroy@ucc.ie en
dc.internal.authorcontactother Brendan McElroy, Economics, University College Cork, Cork, Ireland. +353-21-490-3000 Email: b.mcelroy@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2018-07-30T13:23:59Z
dc.description.version Accepted Version en
dc.internal.rssid 390163048
dc.description.status Peer reviewed en
dc.identifier.journaltitle Irish Journal of Medical Science en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress b.mcelroy@ucc.ie en

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