Empirically derived weights for GMS capitation payments to General Practitioners

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dc.contributor.authorMcElroy, Brendan
dc.date.accessioned2018-07-30T14:37:27Z
dc.date.available2018-07-30T14:37:27Z
dc.date.issued2017-01-18
dc.date.updated2018-07-30T13:23:59Z
dc.description.abstractAim: 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.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMcElroy, 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-xen
dc.identifier.doi10.1007/s11845-016-1548-x
dc.identifier.endpage476en
dc.identifier.issn0021-1265
dc.identifier.issn1863-4362
dc.identifier.issued2en
dc.identifier.journaltitleIrish Journal of Medical Scienceen
dc.identifier.startpage471en
dc.identifier.urihttps://hdl.handle.net/10468/6552
dc.identifier.volume186en
dc.language.isoenen
dc.publisherSpringer Verlagen
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-xen
dc.subjectWeighted capitationen
dc.subjectGeneral Medical Services Schemeen
dc.subjectGeneral practiceen
dc.subjectHealth care financingen
dc.titleEmpirically derived weights for GMS capitation payments to General Practitionersen
dc.typeArticle (peer-reviewed)en
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