Jurnal Ekonomi Kesehatan Indonesia
Vol. 6, No. 2

Kajian Sistematis: Perkembangan Sistem Pembayaran Kapitasi Berbasis Penyesuaian Risiko di Berbagai Negara

Agustina, Aulia (Unknown)
Hidayat, Budi (Unknown)



Article Info

Publish Date
30 Dec 2021

Abstract

Capitation is a payment method to primary health care providers. The application of capitation without considering risk adjustment could have a negative impact. There are several models of risk adjustment capitation payments. This study aims to review the development of the capitation payment system with risk adjustment for primary care in several countries. This study used the PRISMA method and got the articles from three online databases, namely Pubmed, EBSCOhost Medline, and Scopus. A total of 212 articles were collected, and 7 articles meet the criteria for further review. The review focuses on the risk-adjusted capitation payment system model. The results obtained that the risk-adjusted capitation payment system model is vary from simple to complex. The most frequently used risk factors were age and gender. The risk-adjusted capitation payment system model continues to develop, it is important to carry out periodic updates and adjustments. Various benefit from the implementation of the risk-adjusted capitation payment system model can be a reference for countries to get an appropriate risk-adjusted capitation policy formulation to be applied which proper to the conditions of each country

Copyrights © 2021






Journal Info

Abbrev

publication:eki

Publisher

Subject

Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health

Description

This journal encompasses original research articles, case studies, conceptual fields, review-based studies (very limited, it will be strictly selected), and protocols. The journal publishes research from various topics in health economics, including but is not limited to the following topics: ...