Capitation-Based Financing Hampers the Provision of Preventive Services in Primary Health Care.

ABSTRACT: Mortality caused by non-communicable diseases has been extremely high in Hungary, which can largely be attributed to not performed preventive examinations (PEs) at the level of primary health care (PHC). Both structures and financial incentives are lacking, which could support the provision of legally defined PEs. A Model Programme was launched in Hungary in 2012 to adapt the recommendations for PHC of the World Health Organization. A baseline survey was carried out to describe the occurrence of not performed PEs. A sample of 4320 adults representative for Hungary by age and gender was surveyed. Twelve PEs to be performed in PHC as specified by a governmental decree were investigated and quantified. Not performed PEs per person per year with 95% confidence intervals were computed for age,

SUBMITTER: Sandor J 

PROVIDER: S-EPMC5020077 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature