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
Breast Cancer among Urban Nigerian Women: Appraising Presentation and the Quality of Care
Introduction: Late presentation is the hallmark of breast cancer among Nigerians. Awareness of the disease is low and care of this condition has not received adequate attention from Government. Health education to impr...
Antifungal Prophylaxis In Hematopoietic Stem Cell Transplant Recipients
Background. According to immunological deficit the period after hematopoietic stem cell transplantation (HSCT) can be divided in three phases: aplastic phase, phase of acute GVHD, and phase of chronic GVHD. Fungal infe...
Evaluation of Iron Status in Relation to Feeding Practices in Early Infancy
Despite the Turkish government mandate to educate every new mother about the advantages of breastfeeding and pre- and perinatal nutrition programs, the prevalence of both iron deficiency (ID) and iron deficiency anemia...
Effects of Rosiglitazone on Metabolic Parameters and Adiponectin Levels in Fructose-Fed Rats
Aim. To investigate the effect of the peroxisome proliferators-activator receptor gamma agonist, rosiglitazone, on metabolic parameters and adiponectin levels in an animal model of the metabolic syndrome. Material and...
Brucellosis Control and Eradication in the South Eastern European Countries: Current Status and Perspective Strategies
Aim. To present main outputs of the International Scientific Conference on Brucellosis in South Eastern Europe (SEE) and Mediterranean Region, held in Struga, Republic of Macedonia, Nov. 12-14, 2009, and to summarize t...