The uptake of childhood immunization and financial incentives to general practitioners
研究了苏格兰1990年全科医生合同中与目标挂钩的儿童免疫接种服务,发现超过25%的诊所未达到高目标支付标准,分析了患者社会经济特征、诊所概况和财务激励对接种率差异的影响。
Among the target-linked services introduced by the 1990 general practitioners' contract, childhood immunization in Scotland is the best suited for GPs to achieve the high target, given a centralized call and recall system and public confidence in the service. Yet over 25% of the practices in the area of the Greater Glasgow Health Board did not qualify for the high target payments in the last quarter of the 1991/92 financial year. Examining indicators of the socioeconomic characteristics of the patient population, practice profiles and the effect of financial incentives, we discuss the reasons for cross-practice variation in the uptake of this service and estimate the probability of practices which missed the high target achieving it in the future.