Table 1.
Salary | Fee-for-service | Capita-tion fee* | Perfor-mance fee | Integrated care fee | Other | Type of change | |
---|---|---|---|---|---|---|---|
Belgium |
|
Yes |
Yes |
|
Yes |
|
Incremental |
Denmark |
|
Yes |
Yes |
|
Yes** |
|
Incremental |
Finland |
Yes |
Yes |
Yes |
|
|
|
Incremental |
France |
|
Yes |
Yes |
Yes |
|
|
Incremental |
Germany |
|
Yes
|
|
|
Yes** |
|
Comprehensive |
The Netherlands |
*** |
Yes
|
Yes
|
|
Yes** |
Yes |
Comprehensive |
Sweden |
Yes |
|
|
|
|
|
Incremental |
UK (England) | *** | Yes | Yes | Comprehensive |
If the text “Yes” is in italic, this type of remuneration is new for this country and if the text is underlined, this type of remuneration has changed in that particular country in 2010 compared to the year 2000.
* Capitation fee here includes also the fees for keeping a patient’s record.
**The integrated care fee is fairly new and in none of the countries it forms a significant share of the total revenue.
*** In the Netherlands 7-12% of the GPs are in salaried employment with independent GPs in the past decade. In the UK, also a growing number of GPs in working in salaried service, from 10% in 2004 to 19% in 2008 (including GPs working in salaried service and GPs who work flexible arrangements, excluding trainees (GP registrars) [34].