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. 2014 Jun 28;15:128. doi: 10.1186/1471-2296-15-128

Table 1.

Basic characteristic of PHC in the EUprimecare countries

 
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