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Comparative Study
. 1992 Fall;14(1):107-15.

Introducing fees for services with professional uncertainty

H A Flierman  1 , P P Groenewegen
Affiliations
Comparative Study

Introducing fees for services with professional uncertainty

H A Flierman et al. Health Care Financ Rev. 1992 Fall.

Abstract

A change in payment system of general practitioners from capitation to a mix of one-half capitation and one-half fee for service in Copenhagen, Denmark, resulted in a significant overall increase in diagnostic and curative services. The rate of increase differs between services. In this article, it is assumed that the rate of increase varies with doctors' professional uncertainty relative to the services studied. Professional uncertainty is measured as the degree to which performances of a service are determined by diagnoses made. The data validate the measure given the assumption.

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Figures

Figure 1
Figure 1. Certainty among 76 Copenhagen City general practitioners relative to 11 services: November 1988
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References

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    1. Flierman HA, Groenewegen PP. Effects of Introducing Fees for Services in Copenhagen, Denmark. Utrecht, The Netherlands: NIVEL; 1991.
    1. Flierman HA, Groenewegen PP, Stokx LJ. Assessing the Diagnosis-determinedness of Services among Dutch General Practitioners. Utrecht, The Netherlands: NIVEL; 1991.

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