Shanghai Chiangning District health commission
Shanghai, Shanghai Municipality, China
NCT Number: NCT04073732
In June 2016, the Health Reform Office in the State Council released "the Announcement about Guiding Opinions of Promoting Family Physician Contract Services". Family Physician Contract Service is an important tool to change the health service models in primary care organizations in China. The relationship between patients and physicians can be regarded as principles and agents.
Physician agency theory has been used to study physician behaviors in economics and management. Family physician contract services regulate the principle-agent relationship between patients and physicians using a formal contract, and there are lots of potentials to employ the physician agency theory to study family physician contract services in China. In theoretical aspects, the present project will study the analysis frameworks and methods of family physician contract services in China under the capitation and global budget payment mechanisms after systematically reviewing Chinese and English literatures about the physician agency theory. In empirical aspects, the present project will collect data from family physician contract services and examine the effects of specific contract forms, incentives, and fees on family physician behaviors and their impacts on health status and medical expenditures of hypertensive and diabetic patients.
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Observational
Shanghai, Shanghai Municipality, China
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Time frame: 2018.1-2019.6
Health-care quantity
Time frame: 2018.1-2019.6
Health-care quality
Time frame: 2018.1-2019.6
Health outcome
Time frame: 2018.1-2019.6
Health-care cost
Time frame: 2018.1-2019.6
Health-care quantity
Time frame: 2018.1-2019.6
Health outcome
Peking University
Other
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