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[Contract for improving professional practices: What is the impact perceived by GPs?]
F Laurent1, J Sicsic2, O Saint-Lary1
1Département de médecine générale, UFR des sciences de la santé Simone-Veil, université Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France.
Revue D'Epidemiologie Et De Sante Publique
|March 31, 2015
Summary
General practitioners (GPs) in France perceived the contract for improving professional practices (CAPI) as impacting drug prescription, with non-participants citing ethical concerns and practice restrictions.
Area of Science:
- Health Services Research
- Medical Economics
- Primary Care Policy
Context:
- Voluntary pay-for-performance (PFP) schemes aim to improve healthcare quality.
- The contract for improving professional practices (CAPI) was implemented in French primary care in 2009.
- Understanding physician perceptions is crucial for PFP scheme design and effectiveness.
Purpose:
- To analyze general practitioners' (GPs) perceptions of the impact of the CAPI on their healthcare practices.
- To identify factors influencing GP participation and non-participation in a PFP scheme.
- To explore the ethical considerations and perceived consequences of PFP in primary care.
Summary:
- A 2011 survey of 1050 GPs revealed 31% participated in the CAPI, primarily for drug prescription changes.
- Non-participating GPs raised ethical concerns, including potential conflicts of interest and patient selection.
- Concerns were also raised about restricted practice freedom due to relationships with health insurance funds.
Impact:
- GP involvement in indicator design could balance economic goals with care values.
- Further research is needed on patient perspectives and the impact of renewed PFP schemes.
- Findings inform the design and implementation of future pay-for-performance initiatives in healthcare.
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