Assessing the impact of payment method and practice setting on German physicians' practice patterns

Karen Kinder

Research output: Contribution to journalArticlepeer-review

Abstract

This project determined the impact that a physician's practice setting and reimbursement method has on his or her practice behavior. Multivariate regressions that controlled for physician, patient, and practice characteristics were conducted. The primary data source was a questionnaire that sampled ambulatory physicians practicing in the state of Brandenburg, Germany. This research demonstrated that physicians paid on a fee-for-service basis differ significantly from practitioners paid a salary in captured utilization measures: more patient visits per week, including more follow-up visits; a decreased rate of hospitalization; and an increased likelihood of making house calls. A group practice setting demonstrated little impact when compared with a solo practice.

Original languageEnglish (US)
Pages (from-to)11-18
Number of pages8
JournalJournal of Ambulatory Care Management
Volume24
Issue number2
DOIs
StatePublished - Jan 1 2001

Keywords

  • Ambulatory care
  • Fee-for-service
  • Germany
  • Group practice
  • Physicians
  • Practice patterns
  • Salary
  • Solo practice
  • Supplier-induced demand

ASJC Scopus subject areas

  • Health Policy

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