<![CDATA[Background: Payment method may influence the behavior of doctors, so it may affect efficiency,quality of health services, and population health status. In the UU No 40/ 2004 on National SocialSecurity System (SJSN), the government aims to develop the role of family doctors. Accordinglythere is a need to investigate the most appropriate method of payment to the doctors. This studyaimed to investigate the effect of payment method to the family doctors on cost-efficiency andquality of health care.Methods: This was an analytic study using cross-sectional design. It was conducted in Surakartamunicipality and Sukoharjo district, from October to November 2007. The target population wasfamily doctors and participants of the compulsory health insurance scheme of PT Askes. The indepndentvariable under study were capitation method for paying doctorsâ fee with or without drug cost. Thedependent variables included cost per member per month, cost-effectiveness ratio, referal per visitratio, and the quality of health care. This study collected primary data using a pre-tested questionnaireand secondary data available at the PT Askes office. The data was analyzed by t test and Mann-Whitney, which were run under SPSS v. 15.Results: Results showed that there was no statistically signficant difference between capitation methodfor paying doctorsâ fee with and without drug cost in cost per member per month (p= 0.940), costeffectivenessratio (p= 0.604), referal per visit ratio (p= 0.148), and the quality of health care (p=0.073).Conclusion: This study concludes that there is no significant difference between capitation methodfor paying doctors fee with and without drug cost in performance measures such as efficiency andquality of health care. It is suggested that similar studies be conducted using longer time and largersample size.Keywords: payment method, family doctor, cost-efficiency, quality of health care]]>
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