Use of spirometry for both diagnosis and monitoring was highest over time in the blended capitation group and lowest over time in the fee-for-service group.
At the time of the study, Capitation-based models, FFS clinics, and Community Health Centres serve roughly 50%, 40%, and 5% of the population of Ontario, respectively.
Physicians who favour capitation were 5.5 times more likely to report that they intended to join the Network by 2004.
Physicians who favour capitation were 5.5 times more likely to report that they expected to join the Network by 2004, although these practices comprise 5% of the sample.
The main factor associated with a physicians intent to join by 2004 was related to method of payment – physicians who favour capitation were 5.5 times more likely to report that they expected to join the Network by 2004 (O.R. = 5.5, 95% C.I.s 3.5 8.7).
Public providers are paid by capitation, which, at the time of the study, was fixed at LAK 80,000 (US$9.400) per insured person per year [ 16].
However, this study cannot determine whether Capitation's lower encounter times and less frequent encounters among vulnerable groups represent improved efficiency or reduced accessibility.
Under capitation conditions, an extra time-investment just generates more work for the same income, whereas under FFS-conditions, there might be more of an incentive to conclude the consultation properly without regarding the time investment.
We found that over time government moved away from the original capitation funding model as the result of (a) a macro-allocation problem arising from system disturbance and professional opposition, and (b) a micro-allocation problem that emerged when local budgets were not shared equitably.
Imposing a capitation tax for the first time (the vadin-aina, or "price of secure life"), he was able to establish the first standing Merina royal army and established units of blacksmiths and silversmiths to equip them.
