Economic incentives and the distribution of extracorporeal shock wave lithotripters and linear accelerators in Spain.
We studied the role of economic incentives for private providers in explaining Spain's disproportionately large number of extracorporeal shock wave lithotripters (ESWLs) and low number of linear accelerators (linacs) per million population (pmp) in comparison to other countries of the Organization for Economic Cooperation and Development (OECD).
We found that the reimbursement policy for 1990 allowed an average profit per private ESWL of $732,000, but no profit for linacs.
Regional per-capita income was positively correlated with ESWLs pmp in Spain (R2=049 ; p=001), but not with linacs.
Sixty-nine percent of ESWLs were privately held versus only 16% of linacs.
To avoid these types of distortions, financial incentives should be based on a reasonable relationship between cost and charges and should be associated with the appropriateness of medical care.
Mots-clés Pascal : Lithotripsie, Appareil, Onde choc, Etude comparative, Accélérateur linéaire, Incitation, Financement, Prise décision, Médecin, Espagne, Europe, Equipement biomédical, Secteur privé, OCDE, Personnel sanitaire, Traitement instrumental, Lithotriteur
Mots-clés Pascal anglais : Lithotripsy, Apparatus, Shock wave, Comparative study, Linear accelerator, Incentive, Financing, Decision making, Physician, Spain, Europe, Biomedical equipment, Private sector, OECD, Health staff, Instrumentation therapy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0239534
Code Inist : 002B30A01C. Création : 11/06/1997.