Evidence map›Paper›PMID 41200946›Full record

ArticleCroatian medical journal2025

The impact of Croatia's 2013 Primary Care Payment Reform: an exploratory case study of a rural family practitioner group practice.

Tatjana Prenđa Trupec, Milena Pavlova, Tetiana Chernysh, Wim Groot

Abstract read
In one paragraph

Article in Croatian medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Tatjana Prenđa TrupecTatjana Prenđa Trupec, Hegedušićeva 8, 10000 Zagreb, Croatia, t.trupec@maastrichtuniversity.nl.
Milena Pavlova
Tetiana Chernysh
Wim Groot

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo explore the effect of Croatia's 2013 Primary Care Payment Reform on patient care.

methodsThe performance of one rural family practitioner group practice in Breznica was assessed one year before and one year after implementation. Using an exploratory case study design with quantitative methods, we examined outcome variables linked to the new payment model. Drawing on publicly available activity reports, we conducted linear regression analyses to identify potential associations.

resultsWe observed changes in most incentivized outcomes, notably increases in preventive check-ups and decreases in hospital referrals. Some indicators, such as the increase in prescribing despite financial disincentives, remain inconclusive and highlight the need for further investigation.

conclusionsThese findings are preliminary but provide valuable hypotheses for guiding more rigorous, longitudinal, and multi-site studies.

Indexed as

Family PracticeGroup PracticeHealth Care ReformPrimary Health CareRural Health ServicesCroatiaHumansReimbursement Mechanisms

Identifiers

PMID41200946
PMCPMC12623254

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.