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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

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Co-payments for general practitioners in Denmark: an analysis using two policy models.

Camilla Hansen¹, Despena Andrioti²

¹Centre for Evidence-Based Medicine, Odense University Hospital, University of Southern Denmark, Sdr. Boulevard 29, 5000, Odense, Denmark. camilla.hansen3@rsyd.dk.

BMC Health Services Research

|January 7, 2017

Summary

Implementing out-of-pocket payments for general practitioners (GPs) in Denmark could reduce health spending but increase inequalities. Public and political opposition currently hinders this healthcare financing reform.

Keywords:

Cost sharing General practice Health Policy Triangle Kingdon Model Out-of-pocket payments Policy window

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Published on: August 1, 2019

Area of Science:

Health economics
Health policy analysis
Public health

Background:

Rising healthcare expenditures for general practitioners (GPs) in Denmark necessitate exploring alternative health system financing models.
This study investigates the feasibility of introducing out-of-pocket payments for GP services in Denmark.

Purpose of the Study:

To analyze the potential implementation of out-of-pocket payments for general practitioners (GPs) in Denmark.
To assess the policy implications and public perception of cost-sharing in primary healthcare.

Main Methods:

A literature review of 11 articles was conducted.
The Health Policy Triangle and Kingdon Model were utilized for analysis.
Focus was placed on the implementation of out-of-pocket payment policies.

Main Results:

Danish Parliament holds mixed views, while the public, GPs, and media oppose co-payments.
Public accustomed to free healthcare and ongoing debate present barriers to implementation.
International examples (Sweden, Norway, OECD countries) suggest potential benefits but risk decreased accessibility for vulnerable groups.

Conclusions:

Out-of-pocket payments could decrease health expenditure but exacerbate health inequalities in Denmark.
Lack of policy actor support and a suitable policy window make short-term implementation unlikely.
Further research is needed to balance financial goals with equitable access to primary care.