Table 1.
|
Hungary |
Italy |
Spain |
Lithuania |
Finland |
Estonia |
Germany |
---|---|---|---|---|---|---|---|
Model type | PHC based on individual generalists | PHC based on individual generalists | PHC based on individual generalists and PHC based on group practices | PHC based on group practices | PHC through health centers | PHC through health centers | PHC based on choice of specialists’ services |
Model homogenity |
Mainly solo practices |
75% solo practices |
40% solo practices, 60% group practices |
75% group practices |
100% health centers |
100% health care centers |
Mainly ambulatory care specialists in solo practices and some polyclinics |
PC practice ownership |
Private |
Private |
Private |
75% public, 25% private |
98% public |
Public |
Solo practices are private |
Employment type of GP |
Private enterpreneurs |
Private enterpreneurs |
Private enterpreneurs |
Mostly employees |
Employees |
Mostly employees |
Private entrepreneurs in practices and employed professionals in policlinics |
|
Hungary |
Italy |
Spain |
Lithuania |
Finland |
Estonia |
Germany |
Payment methods |
Capitation and some extra on the basis of the practice characteristics, P4P scheme based on quality indicators |
Capitation |
Capitation (73%), fees for services (15%), basic allowance (10%), other (2%) |
Capitation (85%), fee for service (9%), bonus for the performance (6%) |
Salary and additional fee for service, and bonuses for performance. |
Salary and capitation (15%) |
Mixture of fees per time period and per medical procedure |
Gatekeeper for referrals | Yes | Yes | Yes | Yes | Yes | Yes | Not characteristic, but national incentives promote the gategeeping role of GPs |