Evidence map›Paper›PMID 28579626›Full record

ReviewGhana medical journal2016

A narrative synthesis of illustrative evidence on effects of capitation payment for primary care: lessons for Ghana and other low/middle-income countries.

Francis-Xavier Andoh-Adjei, Ernst Spaan, Felix A Asante, Sylvester A Mensah, Koos van der Velden

Open access · hybridAbstract readReview
In one paragraph

Review in Ghana medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Francis-Xavier Andoh-AdjeiNational Health Insurance Authority - Research, Policy, Monitoring & Evaluation, Accra, Greater Accra, Ghana.
Ernst SpaanRadboud University Medical Centre, Radboud Institute for Health Sciences - Department for Health Evidence, Nijmegen, Netherlands.
Felix A AsanteUniversity of Ghana, Institute of Statistical, Social and Economic Research, Accra, Ghana.
Sylvester A MensahUniversity of Professional Studies, Centre for Universal Health Coverage, Accra, Ghana.
Koos van der VeldenRadboud University Medical Centre, Radboud Institute for Health Sciences - Department for Primary Care, Nijmegen, Netherlands.
Ghana Health Service · GHRadboud Institute for Molecular Life Sciences · NLRadboud University Medical Center · NLUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse and synthesize available international experiences and information on the motivation for, and effects of using capitation as provider payment method in country health systems and lessons and implications for low/middle-income countries.

methodsWe did narrative review and synthesis of the literature on the effects of capitation payment on primary care.

resultsEleven articles were reviewed. Capitation payment encourages efficiency: drives down cost, serves as critical source of income for providers, promotes adherence to guidelines and policies, encourages providers to work better and give health education to patients. It, however, induces reduction in the quantity and quality of care provided and encourages skimming on inputs, underserving of patients in bad state of health, "dumping" of high risk patients and negatively affect patient-provider relationship.

conclusionThe illustrative evidence adduced from the review demonstrates that capitation payment in primary care can create positive incentives but could also elicit un-intended effects. However, due to differences in country context, policy makers in Ghana and other low/middle-income countries may only be guided by the illustrative evidence in their design of a context-specific capitation payment for primary care.

fundingNetherlands Fellowship Programme (NFP), Fellowship number: NFP-PhD.12/352.

Indexed as

Capitation FeeDeveloping CountriesHealth ExpendituresGhanaHumansNational Health ProgramsPrimary Health CareCapitation paymentcost-containmentGhananational health insuranceprimary care

Identifiers

PMID28579626
PMCPMC5443675
OpenAlexW2579193023

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.