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Capitation and integrated health care systems
J A Rice1, L Isakova, R Zelckovich
1Abt Associates Inc., Moscow, Russia.
The Journal of Health Administration Education
|January 2, 1997
Summary
This study clarifies integrated health care systems and capitation payments, crucial for advancing health reform in Russia and the NIS. It highlights the need for provider behavior change and leadership preparedness for these integrated health care models.
Area of Science:
- Health Services Research
- Health Policy and Management
Background:
- Integrated health care systems are a growing global and Russian discussion.
- The concept has multiple applications and interacts confusingly with capitation payments.
- Health reform in Russia and the NIS requires conceptual clarity.
Purpose of the Study:
- To explore the concepts of integrated health care systems and capitation payments.
- To identify leadership challenges for Russian health sector managers.
- To prepare for 21st-century healthcare challenges.
Main Methods:
- Conceptual analysis of integrated health care systems.
- Examination of capitation payment models.
- Discussion of leadership and provider behavior changes.
Main Results:
- Integrated health care systems have diverse applications.
- Capitation payments present complexities within integrated models.
- Significant changes in provider behavior are necessary.
Conclusions:
- Clarity on integrated health care and capitation is vital for health reform.
- Medical leaders must adapt to new system demands.
- Preparedness for system changes is essential for future healthcare management.