Toward a needs based mechanism for capitation purposes in Italy: The role of socioeconomic level in explaining differences in the use of health services

International Journal of Health Care Finance and Economics

Volumn 10, Issue 1, 2010, Pages 29-42

  Petrelli, Alessio ^a,b   Picariello, Roberta ^a   Costa, Giuseppe ^b  

^a Epidemiology Unit   (Italy)

^b UNIVERSITY OF TURIN   (Italy)

Author keywords

Capitation; Health care financing; Hierarchical models; Socioeconomic level

Indexed keywords

AGE DISTRIBUTION; AMBULATORY CARE; ARTICLE; CAPITATION FEE; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH CARE DELIVERY; HEALTH CARE ORGANIZATION; HEALTH SERVICE; HOSPITALIZATION; HUMAN; ITALY; METHODOLOGY; PHARMACY; REGRESSION ANALYSIS; RESOURCE ALLOCATION; SOCIOECONOMICS; STANDARD; STATISTICAL MODEL; STATISTICS; UTILIZATION REVIEW;

AGE DISTRIBUTION; AMBULATORY CARE; CAPITATION FEE; FINANCING, GOVERNMENT; HEALTH CARE RATIONING; HEALTH SERVICES; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HOSPITALIZATION; HUMANS; ITALY; MODELS, ECONOMETRIC; PHARMACEUTICAL SERVICES; REGRESSION ANALYSIS; RESOURCE ALLOCATION; SOCIOECONOMIC FACTORS;

EID: 75749142634     PISSN: 13896563     EISSN: 15736962     Source Type: Journal    
DOI: 10.1007/s10754-009-9069-z     Document Type: Article

References (31)

1. Asthana S. et al (2004) The pursuit of equity in NHS resource allocation: Should morbidity replace utilisation as the basis for setting health care capitations?. Social Science & Medicine 58(3): 539-551. doi: 10. 1016/S0277-9536(03)00217-X.
2. Baines D. L., Parry D. J. (2000) Analysis of the ability of the new needs adjustment formula to improve the setting of weighted capitation prescribing budgets in English general practice. BMJ (Clinical Research Ed.) 320(7230): 288-290. doi: 10. 1136/bmj. 320. 7230. 288.
3. Begaud B. et al (2002) Drug reimbursement: Indicators of inappropriate resource allocation. British Journal of Clinical Pharmacology 54(5): 528-534. doi: 10. 1046/j. 1365-2125. 2002. 01690. x.
4. Bradshaw J. (1972) A taxonomy of social need. In: McLachlan G. (eds) Problems and progress in medical care. Oxford University Press, London.
5. Carr-Hill R. A. (1994) Efficiency and equity implications of the health care reforms. Social Science & Medicine 39(9): 1189-1201. doi: 10. 1016/0277-9536(94)90351-4.
6. Carr-Hill R. A. et al (1994) Allocating resources to health authorities: Development of method for small area analysis of use of inpatient services. BMJ (Clinical Research Ed.) 309(6961): 1046-1049.
7. Carr-Hill R., Rice N. (1995) Is enumeration district level an improvement on ward level analysis in studies of deprivation and health?. Journal of Epidemiology and Community Health 49(suppl 2): S28-S29. doi: 10. 1136/jech. 49. Suppl_2. S28.
8. Congdon P. (2001) Health status and healthy life measures for population health need assessment: Modelling variability and uncertainty. Health & Place 7(1): 13-25. doi: 10. 1016/S1353-8292(00)00034-4.
9. Daly M. C. et al (2002) Optimal indicators of socioeconomic status for health research. American Journal of Public Health 92(7): 1151-1157. doi: 10. 2105/AJPH. 92. 7. 1151.
10. Ferris G. et al (1998) An epidemiological needs assessment of carotid endarterectomy in an English health region. Is the need being met?. BMJ (Clinical Research Ed.) 317(7156): 447-451.
11. Geronimus A. T., Bound J. (1998) Use of census-based aggregate variables to proxy for socio-economic group: Evidence from national samples. American Journal of Epidemiology 148: 475-486.
12. Gibson A. et al (2002) Geographies of need and the new NHS: Methodological issues in the definition and measurement of the health needs of local populations. Health & Place 8(1): 47-60. doi: 10. 1016/S1353-8292(01)00035-1.
13. Glover G. (1999) How much English health authorities are allocated for mental health care. The British Journal of Psychiatry 175: 402-406. doi: 10. 1192/bjp. 175. 5. 402.
14. Goddard M., Smith P. (2001) Equity of access to health care services: Theory and evidence from the UK. Social Science & Medicine 53(9): 1149-1162. doi: 10. 1016/S0277-9536(00)00415-9.
15. Gravelle H. et al (2003) Modelling supply and demand influences on the use of health care: Implications for deriving a needs-based capitation formula. Health Economics 12(12): 985-1004. doi: 10. 1002/hec. 830.
16. Hauck K., Shaw R., Smith P. C. (2002) Reducing avoidable inequalities in health: A new criterion for setting health care capitation payments. Health Economics 11(8): 667-677. doi: 10. 1002/hec. 692.
17. Lynch J., Kaplan G. (2000) Socioeconomic Position. In: Berkman L., Kawachi I. (eds) Social Epidemiology. Oxford University Press, New York, pp 24-27.
18. Morgan M., Mays N., Holland W. W. (1987) Can hospital use be a measure of need for health care? Journal of Epidemiology and Community Health 41(4): 269-274.
19. Oliver A., Mossialos E. (2004) Equity of access to health care: Outlining the foundations for action. Journal of Epidemiology and Community Health 58(8): 655-658. doi: 10. 1136/jech. 2003. 017731.
20. Petrelli A. et al (2006) Socioeconomic inequalities in coronary heart disease in Italy. A multilevel population based study. Social Science & Medicine 63(2): 446-456. doi: 10. 1016/j. socscimed. 2006. 01. 018.
21. Rice N., Smith P. C. (2001) Capitation and risk adjustment in health care financing: An international progress report. The Milbank Quarterly 79(1): 81-113. doi: 10. 1111/1468-0009. 00197.
22. Rice N. et al (2000) Derivation of a needs based capitation formula for allocating prescribing budgets to health authorities and primary care groups in England: Regression analysis. BMJ (Clinical Research Ed.) 320(7230): 284-288. doi: 10. 1136/bmj. 320. 7230. 284.
23. SAS Institute. (1999). SAS/STAT User's guide, Version 8. Cary, NC: SAS Institute.
24. Sassi F., Le Grand J., Archard L. (2001) Equity versus efficiency: A dilemma for the NHS. If the NHS is serious about equity it must offer guidance when principles conflict. BMJ (Clinical Research Ed.) 323(7316): 762-763. doi: 10. 1136/bmj. 323. 7316. 762.
25. Smith P. et al (1994) Allocating resources to health authorities: Results and policy implications of small area analysis of use of inpatient services. BMJ (Clinical Research Ed.) 309(6961): 1050-1054.
26. Soobader M. et al (2001) Using aggregate geographic data to proxy individual socioeconomic status: Does size matter?. American Journal of Public Health 91: 632-636. doi: 10. 2105/AJPH. 91. 4. 632.
27. Sutton M. et al (1999) Do measures of self-reported morbidity bias the estimation of the determinants of health care utilisation?. Social Science & Medicine 49(7): 867-878. doi: 10. 1016/S0277-9536(99)00169-0.
28. Toniolo F. et al (2003) Alcune considerazioni relative al "modello Fiuggi" per il riparto tra le Regioni delle risorse sanitarie. Politiche sanitarie 3: 82-93.
29. Waters H. R. (2000) Measuring equity in access to health care. Social Science & Medicine 51(4): 599-612. doi: 10. 1016/S0277-9536(00)00003-4.
30. Williams R., Wright J. (1998) Epidemiological issues in health needs assessment. BMJ (Clinical Research Ed.) 316: 1379-1382.
31. Wright J., Williams R., Wilkinson J. R. (1998) Development and importance of health needs assessment. BMJ (Clinical Research Ed.) 316: 1310-1313.