Effects of a fixed-payment method on demand for imaging tests in a university hospital

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dc.authoridInandi, Tacettin/0000-0002-6837-7432
dc.contributor.authorInandi, Tacettin
dc.contributor.authorOzer, Cahit
dc.contributor.authorBalcı, Ali
dc.contributor.authorKarazincir, Sinem
dc.date.accessioned2024-09-18T20:25:09Z
dc.date.available2024-09-18T20:25:09Z
dc.date.issued2008
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground In 2006, a new medical payment framework such as fixed-payment method was implemented in Turkey and then cancelled 5 months later. The aim of this study was to explore the effects of this payment method on the demand for imaging tests. Methods Data were obtained retrospectively from electronic medical records. The main outcome measures were the number of imaging tests, the payment per outpatient and the rate of negative results of imaging tests. Results The overall mean number of imaging tests per outpatient was 0.75 +/- 0.13. This value decreased significantly after implementation of the fixed-payment method, and then increased after its cancellation (P < 0.01). The overall mean payment per outpatient was $14.1 +/- 2.3. For patients with social security, there was a significant decrease in the mean payment after implementation of the new method, followed by an increase after its cancellation (P = 0.02); in contrast, no significant changes were observed in patients not covered by social security (P > 0.05). No significant differences were observed in the rate of negative results for imaging tests (P > 0.05). Conclusions The use of a fixed-payment method reduces the demand for imaging tests when there is a strong financial relationship between the hospital and its personnel.en_US
dc.description.sponsorshipMustafa Kemal Universityen_US
dc.description.sponsorshipFacilities of the Mustafa Kemal University were used for this study.en_US
dc.identifier.doi10.1093/pubmed/fdn038
dc.identifier.endpage326en_US
dc.identifier.issn1741-3842
dc.identifier.issue3en_US
dc.identifier.pmid18495685en_US
dc.identifier.scopus2-s2.0-54249130280en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage322en_US
dc.identifier.urihttps://doi.org/10.1093/pubmed/fdn038
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10106
dc.identifier.volume30en_US
dc.identifier.wosWOS:000259375100018en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherOxford Univ Pressen_US
dc.relation.ispartofJournal of Public Healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectfixed-payment methoden_US
dc.subjecthospitalsen_US
dc.subjectimaging testsen_US
dc.subjectoveruseen_US
dc.titleEffects of a fixed-payment method on demand for imaging tests in a university hospitalen_US
dc.typeArticleen_US

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