The Pharmacy-based Cost Group model: validating and adjusting the classification of medications for chronic conditions to the Dutch situation

被引：87
作者：
Lamers, LM [1 ]
van Vliet, RCJA [1 ]
机构：
[1] Univ Med Ctr Rotterdam, Erasmus MC, Dept Hlth Policy & Management, NL-3000 DR Rotterdam, Netherlands
来源：
HEALTH POLICY | 2004年 / 68卷 / 01期
关键词：
risk adjustment; capitation payments; prescribed drugs;
D O I：
10.1016/j.healthpol.2003.09.001
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
In 2002, the Dutch government implemented a Pharmacy-based Cost Group (PCG) model in the social health insurance sector. This model uses specific types of medication prescribed to individuals in a base year as markers for chronic conditions, which are then employed to adjust capitation payments to their sickness fund in the subsequent year. In this study, a classification of prescribed medication is derived for 22 chronic conditions, based on an assessment of the relation between prescribed medication and diagnoses indicated by physicians on their prescriptions. Of the 22 chronic conditions in this classification, 13 were included in the PCG model that is currently used in the Netherlands. (C) 2003 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：113 / 121
页数：9
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