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Origin ID
QR7
Preferred Label
economics, primary health care
économie, soins de santé primaireCategory label
Economics, primary health careEconomie, soins de santé primaireQ-Code supplementary keywords
group practice, prepaidhealth insurance operatorgroupe de praticiens rémunérés au forfaitopérateur d' assurance maladieQ-Code scope note
discipline which concentrates on application of the principles and rules of economics in the sphere of primary health care (adapted from IIME)discipline portant sur l'application des principes et règles de l'économie au domaine des soins de santé primaires (adapté de IIME)Q-Code conceptual content
COST-EFFECTIVENESS ANALYSIS ; comparative assessment of the cost and the effectiveness of an activity, considering alternative activities to determine the degree to which they will achieve the goals. The preferred plan of action is one that requires the least cost to produce a given level of effectiveness, or provides the greatest effectiveness for a given level of cost. The outcome can be measured in terms of health status.(Woncadic) COST-EFFICIENCY ; the use of cost as a marker of efficiency(Woncadic). Accountability: The extent to which the responsibilities of professionals and governance structures are defined, their performance is monitored, and appropriate information on results is made available to stakeholders (APHC2004)Budgets Detailed financial plans for carrying out specific activities for a certain period of time. They include proposed income and expenditures (MeSH)CAPITATION FEE ; a method of reimbursement under which a physician is paid a fixed amount per patient on his list regardless of the amount of services rendered. (Woncadic)COST ; the amount of resources utilized - either objective (e.g. money, or resources, or subjective (e.g. distress, discomfort) - in order to achieve an outcome, be it incurred by patients, families, third parties, or society. 1. Direct: The resources identified as having specifically been used for the provision of a service. 2. Indirect: The share of those generic resources (e.g. administrative, capital) that has been used for the provision of that service.(Woncadic)
Cost Control ; The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed) (MeSH)
Cost of Illness ; The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.(MeSH)COST SHARING ; a provision in a health benefit program that requires that the patient or different sector such as the private sector pays part of the cost of the service rendered (Woncadic). Cost Sharing ;Provisions of an insurance policy that require the insured to pay some portion of covered expenses. Several forms of sharing are in use, e.g., deductibles, coinsurance, and copayments. (MeSH)COST-BENEFIT ANALYSIS ; an economic assessment, usually from society's perspective, in which the costs of medical care are compared with the economic benefits of the care, with both costs and benefits expressed in units of currency. The benefits typically include reductions in future health costs and increased earnings due to improved health of those receiving the care (Woncadic). Economics, Medical ; Economic aspects of the field of medicine, the medical profession, and health care. It includes the economic and financial impact of disease in general on the patient, the physician, society, or government.(MeSH)Efficiency/productivity: Achieving the desired results with the most cost-effective use of resources*(Haggerty et all 2007)FEE FOR SERVICE ; a method of reimbursement based on payment for each service rendered or patient encounter provided, e.g. a consultation, a test, or a home visit. Reimbursement may be from the patient and/or a third party such as an insurance company or a government program. (Woncadic)FEE SCHEDULE ; a listing of accepted fees or established allowances for specified medical procedures.(Woncadic)HEALTH CARE ECONOMICS ; with limited resources choices are required how to allocate resources for health care to minimize OPPOTUNITY COSTS. Economics has an important role to play in health care in that economic choices on how to distribute health resources will affect health outcomes of a population.(MeSH)Health Economics A discipline which concentrates on application of the principles and rules of economics in the sphere of health. In broad terms, it includes analysis and evaluation of health policy and the health system from an economic perspective. In particular, it includes health system planning, market mechanisms, demand for and supply of health care, micro-economic evaluation of individual diagnostic and therapeutic procedures, determinants of health and its valuation, and evaluation of the performance of health care systems in terms of equity and allocative efficiency.(IIME)Health Status Disparities ; Variation in rates of disease occurrence and disabilities between population groups defined by socioeconomic characteristics such as age, ethnicity, economic resources, or gender and populations identified geographically or similar measures.(MeSH)Healthcare Financing ; Methods of generating, allocating, and using financial resources in healthcare systems Healthcare Financing .(MeSH)Payment for Non Face-to-Face Physician Services ; The AAFP believes that physicians should receive payment for services that are reasonable and necessary, safe and effective, medically appropriate, and provided in accordance with accepted standards of medical practice. The technology used to deliver the services should not be a consideration, only whether the service is medically reasonable and necessary. Therefore, AAFP supports payment for electronic communication and evaluations that physicians provide for the medical management of their established patients as a separate service unrelated to an evaluation and management (AAFP)Bibliographic link
Citation
Bayliss EA, Balasubramianian BA, Gill JM, Stange KC. Perspectives in primary care: implementing patient-centered care coordination for individuals with multiple chronic medical conditions. Annals of family medicine. 2014; 12(6): 500-3. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25384810
Bray JW, Zarkin GA, Hinde JM, Mills MJ. Costs of alcohol screening and brief intervention in medical settings: a review of the literature. Journal of studies on alcohol and drugs. 2012; 73(6): 911-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23036208
Gillam SJ, Siriwardena AN, Steel N. Pay-for-performance in the United Kingdom: impact of the quality and outcomes framework: a systematic review. Annals of family medicine. 2012; 10(5): 461-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22966110
Kolozsvári LR, Orozco-Beltran D, Rurik I. Do family physicians need more payment for working better? Financial incentives in primary care. Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria. 2014; 46(5): 261-6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24721041
McBrien KA, Manns B. Approach to economic evaluation in primary care: review of a useful tool for primary care reform. Canadian family physician Médecin de famille canadien. 2013; 59(6): 619-27. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23766042
Mishra D, Nair SR. Systematic literature review to evaluate and characterize the health economics and outcomes research studies in India. Perspectives in clinical research. 2015; 6(1): 20-33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25657899
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