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[Primary health services, financing and research].
Summary
The capitation payment model in Belgian health centers faces evaluation challenges. Action research is proposed to assess costs and involve stakeholders, but the study is currently stalled.
Area of Science:
- Health economics
- Primary health care research
- Action research methodology
Context:
- Capitation payment model implemented in five Belgian health centers.
- Operates under the 1963 health insurance law.
- Primary health care setting with direct impact on patient experience.
Purpose:
- To evaluate the capitation payment method in Belgian primary health care.
- To propose an action research methodology for evaluation.
- To present the study protocol developed by the Federation of Health Centres.
Summary:
- The study protocol focuses on the parameter 'mean total cost by insured person'.
- Action research methodology is recommended, emphasizing change and stakeholder involvement.
- Current progress of the study is stalled, with reasons for the lack of advancement being examined.
Impact:
- Highlights the need for appropriate evaluation methods in primary health care.
- Addresses the complexities of assessing healthcare payment models.
- Informs future research on healthcare financing and delivery in Belgium.