Medical Doctors’ Attitudes towards Pay-For-Reporting in Macedonia: A Web-Based Cross-Sectional Survey
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2012, Vol 5, Issue 4
Abstract
Objective: To determine medical doctors’ attitudes towards the implementation of the new pay-forreporting system in the public hospital sector. Data Source: An electronic survey was conducted among 303 medical doctors in the Republic of Macedonia using the database of Healthgrouper.com, an online provider of information for healthcare providers. Principal Findings: Majority (61.9%) of all surveyed doctors are against the proposed pay-for-reporting (P4R) reform. Disapproval is much higher among the doctors employed at the public hospitals where 79% consider that pay-for-reporting project has to be abandoned. Doctors are against the proposed P4R system that only measures quantity of the work. According to majority of the doctors current model is subjective; it opens possibilities for bias and missconduct, and puts the clinical teamwork at jeopardy. Conclusions:Massive support against the implemented P4R reform was expressed by the Macedonian doctors employed in the public sector. The model should integrate parameters such as quality and complexity of delivered services to patients. Better integration and engagement of doctors is essential to assure support and smooth implementation of P4R reform as sound policy in practice. The Ministry of Health should set key parameters to be monitored by hospitals to evaluate the success of the P4R system.
Authors and Affiliations
Vladimir Lazarevik| Institute of Pathology, Faculty of Medicine, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia, Blasko Kasapinov| Ss Cyril and Methodius University of Skopje, Faculty of Medicine, Institute of Social Medicine, Skopje, Republic of Macedonia
Keywords
Related Articles
- EP ID EP8894
- DOI 10.3889/MJMS.1857-5773.2012.0246
- Views 366
- Downloads 16
Understanding the Role of General Dentists in the Process of Screening and Early Diagnosis of Oral Premalignant And Malignant Lesions - Brief Literature Review
Aim: To indicate about the need for involving general dentists in the process of screening and early detection of malignant and premalignant lesions. To make brief literature review, which lesions are included under th...
Keratoconus and Its Prevalence in Macedonia
Aim. This is an epidemiological study which shows the prevalence and demographic distribution of keratoconus, and indicates the risk factors in aetiology of keratoconus in Macedonia. Material and methods. In this retro...
Aggressive Fibromatosis Treatment - Imatinib Challenges
Background: Desmoid tumor lately referred as aggressive fibromatosis (AF) is rare clinically heterogeneous and unpredictable disease with prevalence < 0.03% of all malignancies. The current standard treatment is: radic...
Effects of Varying Doses of Plain Bupivacaine with Fentanyl in Patients Undergoing Cesarean Section: Haemodinamics and Neonatal Outcome
Aim. The purpose of this study was to evaluate a three different regimes of spinal anaesthesia for caesarean delivery as well the incidence and severity of maternal hypotension and its influence over neonatal outcome....
Effect of Vitamin D Status on Postural Stability in Elderly Assessed by Motor Control Test
Background. Vitamin D plays an important role in muscle function and physical performance and helps in maintaining the postural stability. Aim. The aim of the present study is to evaluate the effect of vitamin D status...