ArticleScandinavian journal of primary health care2013
Impact of remuneration on guideline adherence: empirical evidence in general practice.
Article in Scandinavian journal of primary health care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Referral interventions from primary to specialist care: a systematic review of international evidence.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Pooled it
- Effectiveness of a tailored implementation programme to improve recognition, diagnosis and treatment of anxiety and depression in general practice: a cluster randomised controlled trial.Implementation science : IS · 2015Trial
- Systematic tailoring for the implementation of guideline recommendations for anxiety and depressive disorders in general practice: perceived usefulness of tailored interventions.BMC family practice · 2013Trial
- Implementation of Reference Framework for Preventive Care for Older Adults: Cross-sectional Qualitative Study.Journal of medical Internet research · 2026Article
- Health care provider payment reforms in African states of the Commonwealth-a scoping review.Frontiers in public health · 2025Article
- Acceptability of Components for a Mandatory Quality Improvement Framework: A Survey Among Swiss General Practitioners.Health services insights · 2025Article
- The effect of overuse by primary healthcare institutions on medical expenses: an empirical study from the western regions of China.Frontiers in public health · 2025Article
- A study protocol for integrating outpatient services at the primary health care level as part of the universal health coverage benefit package within the national health insurance program of Pakistan through private health facilities.Frontiers in public health · 2024Article
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- Article
- Effects of capitation payment on utilization and claims expenditure under National Health Insurance Scheme: a cross-sectional study of three regions in Ghana.Health economics review · 2018Article
- Possible Sources of Bias in Primary Care Electronic Health Record Data Use and Reuse.Journal of medical Internet research · 2018Article
- A narrative synthesis of illustrative evidence on effects of capitation payment for primary care: lessons for Ghana and other low/middle-income countries.Ghana medical journal · 2016Review
- Compliance with referrals to medical specialist care: patient and general practice determinants: a cross-sectional study.BMC family practice · 2016Observational
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveChanges in the Dutch GP remuneration system provided the opportunity to study the effects of changes in financial incentives on the quality of care. Separate remuneration systems for publicly insured patients (capitation) and privately insured patients (fee-for-service) were replaced by a combined system of capitation and fee-for-service for all in 2006. The effects of these changes on the quality of care in terms of guideline adherence were investigated. DESIGN AND
settingA longitudinal study from 2002 to 2009 using data from patient electronic medical records in general practice. A multilevel (patient and practice) approach was applied to study the effect of changes in the remuneration system on guideline adherence. SUBJECTS: 21 421 to 39 828 patients from 32 to 52 general practices (dynamic panel of GPs).
main outcome measuresSixteen guideline adherence indicators on prescriptions and referrals for acute and chronic conditions.
resultsGuideline adherence increased between 2002 and 2008 by 7% for (formerly) publicly insured patients and 10% for (formerly) privately insured patients. In general, no significant differences in the trends for guideline adherence were found between privately and publicly insured patients, indicating the absence of an effect of the remuneration system on guideline adherence. Adherence to guidelines involving more time investment in terms of follow-up contacts was affected by changes in the remuneration system. For publicly insured patients, GPs showed a higher trend for guideline adherence for guidelines involving more time investment in terms of follow-up contacts compared with privately insured patients.
conclusionThe change in the remuneration system had a limited impact on guideline adherence.
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