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Patient-Chosen Gap Payment: an exploratory qualitative review of patients and general practitioner attitudes toward an alternative funding model for general practice.
- Source :
-
Australian Journal of Primary Health . 2021, Vol. 27 Issue 4, p259-264. 10p. - Publication Year :
- 2021
-
Abstract
- We explored patients' and GPs' perceptions of an alternative payment system, a Patient-Chosen Gap Payment, where a gap fee is determined by the patient based on their perceived value of the service, including the choice to pay nothing. Semi-structured, in-depth interviews held with GPs (n = 10) and patients (n = 10) were audio-recorded, transcribed and analysed for emerging themes. We found three emergent themes: (1) the cost of quality: health care was difficult to value for both GPs and patients; there was belief in universal coverage and the importance of quality, but tradeoffs in quality of care were a common perception; (2) the doctor-patient relationship: patient-centred care was a common goal and perceived as a good measure of quality care and a way for patients to place a value on the service/care; and (3) the business of general practice: participants wanted to see sustainable business models for primary care that incentivised quality of care. A Patient-Chosen Gap Payment (PCGP) funding model could incentivise doctors to provide better care without limiting access to health care. Further research is needed to model real-world application. [ABSTRACT FROM AUTHOR]
- Subjects :
- *MEDICAL quality control
*RESEARCH
*FAMILY medicine
*RESEARCH methodology
*PHYSICIAN-patient relations
*TELEPHONES
*PHYSICIANS' attitudes
*INTERVIEWING
*PATIENTS' attitudes
*HEALTH insurance reimbursement
*PRIMARY health care
*QUALITATIVE research
*BUSINESS
*DATA analysis software
*THEMATIC analysis
Subjects
Details
- Language :
- English
- ISSN :
- 14487527
- Volume :
- 27
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Australian Journal of Primary Health
- Publication Type :
- Academic Journal
- Accession number :
- 151766261
- Full Text :
- https://doi.org/10.1071/PY20074