Jensen 2014.
Study characteristics | ||
Methods | Controlled before‐after study | |
Participants | General practitioners | |
Interventions | Denmark Intervention: mixed system of capitation and FFS contracts. GPs in Copenhagen moved from pure capitation to a mix of one‐third capitation and two‐thirds FFS contracts. Control: pure capitation contracts Years 1984 to 1988, intervention happened in 1987 |
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Outcomes |
Patient outcomes Birth weight: 1.0% lower under the capitation system, P > 0.05 Low birth weight: no difference Preterm birth: infants have a 1.9 percentage point (36.5% from the base of 5.2% births) Higher probability of preterm birth Very preterm birth: no difference Fetal growth: infants born under capitation contracts have 0.8 g per week |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | The allocation is not made by the investigator. |
Allocation concealment (selection bias) | Unclear risk | The allocation is not made by the investigator. |
Baseline outcome measurements similar | Unclear risk | No more information in text |
Baseline characteristics similar | Low risk | The baseline characteristics are not similar, but the results changed only marginally when the author excluded these variables from the model. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No more information in text |
Knowledge of the allocated interventions adequately prevented | Low risk | The outcomes are objective. |
Study adequately protected against contamination | Low risk | Children are automatically assigned to their mother’s GP, and the possibility of reallocation within a municipality without moving occurs only annually. |
Selective reporting (reporting bias) | Low risk | The outcomes mentioned in the methods were reported in the results. |
Other bias | Low risk | No more information in text |