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

IF 2.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Croatian Medical Journal Pub Date : 2025-10-31
Tatjana Prenđa Trupec, Milena Pavlova, Tetiana Chernysh, Wim Groot
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引用次数: 0

Abstract

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

Methods: The 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.

Results: We 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.

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

克罗地亚2013年初级保健支付改革的影响:一个农村家庭医生群体实践的探索性案例研究。
目的:探讨2013年克罗地亚基层医疗支付改革对患者护理的影响。方法:对布列兹尼察市1例农村家庭执业医师团体执业实施前和实施后1年的绩效进行评估。采用探索性案例研究设计和定量方法,我们检查了与新支付模式相关的结果变量。利用公开可用的活动报告,我们进行了线性回归分析,以确定潜在的关联。结果:我们观察到大多数激励结果的变化,特别是预防性检查的增加和医院转诊的减少。一些指标,如尽管有财政上的阻碍,但处方数量仍在增加,仍然没有定论,因此需要进一步调查。结论:这些发现是初步的,但为指导更严格的、纵向的、多地点的研究提供了有价值的假设。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Croatian Medical Journal
Croatian Medical Journal 医学-医学:内科
CiteScore
3.00
自引率
5.30%
发文量
105
审稿时长
6-12 weeks
期刊介绍: Croatian Medical Journal (CMJ) is an international peer reviewed journal open to scientists from all fields of biomedicine and health related research. Although CMJ welcomes all contributions that increase and expand on medical knowledge, the two areas are of the special interest: topics globally relevant for biomedicine and health and medicine in developing and emerging countries.
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