Journal of Medical Systems

, Volume 32, Issue 1, pp 37–41

A Co-payment for Consultant Services: Primary Care Physicians’ Referral Actualization

Authors

    • Clalit Health Services, Southern district
    • Department of Family Medicine, Siaal Research Center for Family Medicine and Primary CareBen-Gurion University of the Negev
  • Tami Freud
    • Department of Family Medicine, Siaal Research Center for Family Medicine and Primary CareBen-Gurion University of the Negev
  • Michael Sherf
    • Clalit Health Services, Southern district
  • Ofer Spilberg
    • Rabin Medical Center
  • Dan Goldfarb
    • Clalit Health Services, Southern district
  • Arnon D. Cohen
    • Clalit Health Services, Southern district
    • Department of Family Medicine, Siaal Research Center for Family Medicine and Primary CareBen-Gurion University of the Negev
  • Shlomo Mor-Yosef
    • Hadassah Medical Organization
  • Pesach Shvartzman
    • Clalit Health Services, Southern district
    • Department of Family Medicine, Siaal Research Center for Family Medicine and Primary CareBen-Gurion University of the Negev
Original Paper

DOI: 10.1007/s10916-007-9105-9

Cite this article as:
Vardy, D.A., Freud, T., Sherf, M. et al. J Med Syst (2008) 32: 37. doi:10.1007/s10916-007-9105-9

Abstract

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.

Keywords

Co-paymentExemptionConsultationHealth services use

Copyright information

© Springer Science+Business Media, LLC 2007