Preventive services in a hybrid capitation and fee-for-service setting.
The potential omission of indicated tests for patients enrolled in prepaid health care plans has been raised as a possibility. This study reviewed the charts of 149 adult patients seen for routine physical examinations or checkups in university-based family medicine or internal medicine clinics. Of the patients included, 67 were enrolled in a capitated plan and 82 enrolled in fee-for-service based plans. Results showed that the rates of compliance with preventive services appropriate to patients' age and sex (Papanicolaou smears, breast examination, mammography, and stool examination for occult blood) were not significantly different for capitated and fee-for-service patients.
Ellsbury
K E
KE
Department of Family Medicine, University of Washington School of Medicine, Seattle.
Montano
D E
DE
Parker
J J
JJ
D000328:Adult; D000368:Aged; D002204:Capitation Fee; D005249:Fees and Charges; D005251:Fees, Medical; D005260:Female; D006279:Health Maintenance Organizations / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011314:Preventive Health Services / Q000191:economics / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014861:Washington