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According to these groups the capitation system would adversely affect patient health outcomes because the financial risk transferred to providers may lead to under-provision of services and thereby reducing quality (Dodoo, 2013).
This incentivises under-provision of services by doctors because the more services they actually provide, the more a patient is costing them.
A limitation of this study was that needs were only assessed at discharge so it was not possible to determine whether under-provision of services reflected unmet needs or changing levels of need.
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The lack of priority attached by PCOs to allergy services reflects the concern expressed by the House of Commons Health Committee report on the current under-provision of allergy services in the UK [ 31].
Economic incentives, while appropriate to addressing externalities involving under-provision of environmental services such as biodiversity conservation (Pannell 2008), need to be careful not to crowd out pastoralists' intrinsic conservation ethics (Greiner and Gregg 2011) and altruistic behaviours (see Reeson and Tisdell 2008).
A weakness of this study was that needs were not re-assessed at each time point, so we cannot determine whether under provision of services with respect to predicted needs reflected unmet or changing levels of need.
To prevent under-provisions of services, some high cost interventions can be singled out from closed end payment, and pay on an agreed fee schedule.
The current under-provision of public health services in China mainly resulted by the lack of government funding since the financial reform was applied in the 1980s [ 43].
The difficulties with under-provision of doctors mean that alternative ways of providing services need to be developed.
Eye care professionals suggest there is an under provision of these services, and are often unsure who provides information and/or support [ 5].
To prevent potential under-provisions of the services, some high cost interventions were unbundled from closed end payment and paid on an agreed fee schedule.
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