Financiamento por capitação ajustada pelo risco : conceptualização e aplicação

TitleFinanciamento por capitação ajustada pelo risco : conceptualização e aplicação
Publication TypeArtigo de Periódico
Year of Publication2008
AuthorsCosta, C, Santana, R, Boto, P
JournalRevista Portuguesa de Saúde Pública
VolumeTemático
Pagination67-102
Keywordsajustamento pelo risco, capitação, financiamento, integração vertical
Abstract

The capacity of healthcare financing to create institutional and individual incentives provides this subject with a central importance in healthcare management. Capitation is the payment unit which better adapts to an integrated context of healthcare provision. Using the information available in Portugal (years of potential life lost, complexity, severity of illness and ambulatory drug prescription), this study proposes an empirical model of a risk adjusted capitation system, which aims to reflect the mortality and morbidity levels in a vertically integrated healthcare structure.

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