A Co-payment for Consultant Services: Primary Care Physicians’ Referral Actualization
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Prospective evaluation of the effect of a new co-payment for specialists consultations on actualization of referrals (2,432 patient), was examined. Actualization of the appointment, reasons for not actualizing, and sociodemographic characteristics were recorded. Actualization was 85.1% in community consultation clinics and 91.7% in hospital outpatient clinics. The main reasons for non actualization were: inability to reach the clinic (53.4%), the problem had resolved (15%), and co-payment (2%). In addition, 19.1% stated that they did not actualize a past consultant visit due to co-payment. Referring physicians noted that co-payment had some effect on their decision, especially with the elderly or lower income patients. A relatively small compulsory co-payment was not found to have a long term effect on utilization of specialists’ services.
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- A Co-payment for Consultant Services: Primary Care Physicians’ Referral Actualization
Journal of Medical Systems
Volume 32, Issue 1 , pp 37-41
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- Springer US
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- Health services use
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- Author Affiliations
- 1. Clalit Health Services, Southern district, POB 616, Beer-Sheva, 84105, Israel
- 2. Department of Family Medicine, Siaal Research Center for Family Medicine and Primary Care, Ben-Gurion University of the Negev, Beer-Sheva, Israel
- 3. Rabin Medical Center, Petach Tikva, Israel
- 4. Hadassah Medical Organization, Jerusalem, Israel