July 3, 2019 at 15:00
Capitation is a system of regular fees for health services provided by clinics or doctors over a period of time. The model already applied in Switzerland, the United Kingdom and the United States rewards the quality of care and preventive measures. Although none of the ten Germans know "caption", 75% agree with the idea that patients should be helped to stay healthy as long as possible.
The better their own health condition and the younger the respondents, the greater the approval. Nine out of ten Germans would also be prepared, in principle, in cooperation with their doctor, to preserve their own health. This is the result of a representative survey of 1,000 respondents from the Toluno Institute on behalf of Asklepios Clinic.
Recently, the Association of German Private Clinics has proposed such a compensation model for rural areas so that it can adapt medical care more to the patient's needs.
"Model Capitation is still largely unknown, but offers new opportunities that are obvious to many people as soon as they know about it," says Kai Hankeln, CEO of Asklepios Kliniken GmbH & Co. KGaA.
Is there a fault in the system or with a doctor?
"On the one hand, resources can be used more flexibly in the care," Hankeln continued, "Another advantage is the incentive for prevention, supported by nine out of ten respondents." Experts and clinics to improve the quality of treatment, the demand for more money for health care for the examinees priority.
Only one person of two agrees with the statement that doctors are actively looking after their patients to be healthy. On the contrary, 82 percent believe that doctors have more benefits than sick patients than healthy patients. Three quarters complain that doctors are only concerned with acute condition, not cause, and even 58 percent sometimes feel that doctors prescribe unnecessary treatments.
Women and older people are more prepared for prevention
Of the Capitation model, 38 percent hope to avoid unnecessary treatment and 30 percent to focus on the patient's well-being, but 37 percent fear it could be harmed by chronic illnesses. Fear is particularly pronounced in 44 percent of respondents who rate their own health as "bad".
Openness to model capitation decreases with age: while 85 percent of people under the age of 30 expect more positive effects, older than 60 are only 65 percent. Two thirds of respondents also suspect Capitation appealing to people who are particularly aware of their health. 36 percent sees first of all the people with higher education as the target group, and 35 percent of the elderly – and even as mentioned – are rather skeptical.
At 60 percent, women are obviously more likely than men (45 percent) to "actively deal with prevention" in each case. Only a minority of 7 percent of women and 10 percent of men "do not want" or "definitely not". The tendency to prevention significantly increases with age: while the age group below 30 confirms this at 47 percent, in the 60th generation it is 62 percent. 61 percent estimates the physician's influence on motivation as quite large or very large.
Health reviews, vaccination and preventive feedback are the most popular
Free health reviews, vaccinations, preventive training and personal nutrition counseling are considered particularly suitable for improving the health of the population. Even massages enjoy a certain popularity. Less interest in lectures, meetings, and addiction counseling. After all, every second suggests that he himself should undertake preventive feedback.
Women who show greater interest for prevention would be much more likely to be men than men for medical examinations, massages, and relaxation procedures. Although the willingness to talk about addiction is very low, at least 38 percent of smokers would be interested in quitting courses. With 72 percent, the clear majority sees the competence of preventive measures at family physicians.
More than every second, it pays attention to a healthy lifestyle
Younger people here also see the competencies of the hospital. While a total of 61 percent of respondents say they pay close attention to healthy lifestyle, they are considerably lower in Hamburg to 54 percent. While half of the respondents said they had to do sports at least twice a week, many complained of regular back pain.
While on average 41 percent reported regular stress, the proportion is higher than the younger respondents. There are as many as 58 percent of people under the age of 30, with only one fourth of the elders reporting about it. In Hamburg, the average of 47 percent is even higher, with the difference in extreme ages (68 vs. 21 percent). Women are also feeling significantly more stressed by 57 percent than men with 36 percent.