北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 期刊论文
学科主题: 临床医学
题名:
Capitation Combined With Pay-For-Performance Improves Antibiotic Prescribing Practices In Rural China
作者: Yip, Winnie1; Powell-Jackson, Timothy2; Chen, Wen3; Hu, Min3; Fe, Eduardo1; Hu, Mu4; Jian, Weiyan5; Lu, Ming6; Han, Wei1; Hsiao, William C.7
刊名: HEALTH AFFAIRS
发表日期: 2014-03-01
DOI: 10.1377/hlthaff.2013.0702
卷: 33, 期:3, 页:502-510
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Health Care Sciences & Services ; Health Policy & Services
研究领域[WOS]: Health Care Sciences & Services
关键词[WOS]: HEALTH-CARE PROVIDERS ; FINANCIAL INCENTIVES ; PAYMENT REFORM ; PHYSICIANS ; SERVICES
英文摘要:

Pay-for-performance in health care holds promise as a policy lever to improve the quality and efficiency of care. Although the approach has become increasingly popular in developing countries in recent years, most policy designs do not permit the rigorous evaluation of its impact. Thus, evidence of its effect is limited. In collaboration with the government of Ningxia Province, a predominantly rural area in northwest China, we conducted a matched-pair cluster-randomized experiment between 2009 and 2012 to evaluate the effects of capitation with pay-for-performance on primary care providers′ antibiotic prescribing practices, health spending, outpatient visit volume, and patient satisfaction. We found that the intervention led to a reduction of approximately 15 percent in antibiotic prescriptions and a small reduction in total spending per visit to village posts-essentially, community health clinics. We found no effect on other outcomes. Our results suggest that capitation with pay-for-performance can improve drug prescribing practices by reducing overprescribing and inappropriate prescribing. Our study also shows that rigorous evaluations of health system interventions are feasible when conducted in close collaboration with the government.

语种: 英语
所属项目编号: HEALTH-F2-2009-223166-HEFPA ; TF094336
项目资助者: Bill &amp ; Melinda Gates Foundation ; European Commission Seventh Framework Programme research grant ; World Bank&prime ; s Strategic Impact Evaluation Fund
WOS记录号: WOS:000333522200023
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/60831
Appears in Collections:北京大学第三临床医学院_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 1.Univ Oxford, Blavatnik Sch Govt, Oxford OX1 2JD, England
2.Univ London London Sch Hyg & Trop Med, Dept Global Hlth & Dev, London WC1E 7HT, England
3.Fudan Univ, Sch Publ Hlth, Shanghai 200433, Peoples R China
4.Peking Univ, Hosp 3, Beijing 100871, Peoples R China
5.Peking Univ, Sch Publ Hlth, Hlth Sci Ctr, Beijing 100871, Peoples R China
6.Peking Univ, Dept Biomed Informat, Hlth Sci Ctr, Beijing 100871, Peoples R China
7.Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA

Recommended Citation:
Yip, Winnie,Powell-Jackson, Timothy,Chen, Wen,et al. Capitation Combined With Pay-For-Performance Improves Antibiotic Prescribing Practices In Rural China[J]. HEALTH AFFAIRS,2014,33(3):502-510.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Yip, Winnie]'s Articles
[Powell-Jackson, Timothy]'s Articles
[Chen, Wen]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Yip, Winnie]‘s Articles
[Powell-Jackson, Timothy]‘s Articles
[Chen, Wen]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace