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 351
- Downloads 16
An Overview of Introducing Various Laboratory Tests for Diagnosis of Human Brucellosis in the Republic of Macedonia
Aim. To present various laboratory tests introduced for diagnosis of human brucellosis in the Republic of Macedonia. Methods. Various laboratory tests were implemented in our lab, as screening or confirmatory tests, s...
Early Complications after Lung Resections at Patients Treated For Lung Cancer with and Without Neoadjuvant Hemiotheraphy
Background: Anatomical lung resection offers the best chance of cure for patients with localized lung cancer. Very often late diagnoses, advanced stage of the disease limit radical anatomical surgical resection. Use of...
MICA Polymorphism, Association with Diseases and the Role of Anti-MICA Antibodies in Organ and Stem Cell Transplantation
Major histocompatibility complex class 1 chain-related genes (MIC) are part of the non-classical MHC genes located on the short arm of chromosome 6. MICA comprises of approximately 11 kb DNA and encodes polypeptide of...
Heroin Maintenance Treatment - Are the Further Investigation Needed?
The aim of this review is to give new emphasis to key aspects of the proposed treatment of drug addiction. Surveys for so called “second-line†treatment of drug addiction, with heroin (diacetylmorphine) as a pharma...
Protective Effects of Aliskiren, Enalapril and Valsartan on Hypertension Target Organs in Spontaneously Hypertensive Rats
Aim: Aliskiren is the first orally active renin inhibitor approved for treatment of essential hypertension. There are as yet no clinical data regarding the ability of aliskiren to prevent clinical end-points or reduce...