Doctor-patient Partnership Incentive Mechanism
Doctor-patient Partnership Incentive Mechanism
- In order to build a good doctor-patient relationship, encourage patient active engagement in the treatment process, and follow the advice of their family doctor to achieve better health outcomes and status, the scheme has built-in collaborative doctor-patient partnership incentive mechanism.
- Incentive payment calculation will start from the second participant programme year onwards.
-
To be eligible to receive incentive payment, family doctors must fulfil the
pre-requisite requirement by meeting a pre-defined percentage of patients who
satisfactorily controlled their levels of blood sugar and blood pressure. The
calculation of incentive payment is 15% of the total amount derived from the number
of actual subsidised visits in the treatment phase attended by the patients who have
achieved their incentive targets, the Government subsidy and the reference
co-payment amount.
= No. of actual subsidised visits × (Government subsidy + reference co-payment amount) × 15% - For details, please refer to the "Terms & Conditions".
Incentive Health Targets
Category | Parameter | Diagnosis | |||
---|---|---|---|---|---|
HT + Pre-DM | HT | DM + HT | DM | ||
Patient Empowerment | 1) Self-report - BP Scheme Participants have home BP monitoring and report in eHealth App at least once per month. |
✓ | ✓ | ✓ | ✓ |
Compliance to CDCC Pilot Scheme | 2) Consultation interval (for Subsidised Visits
only) during
the Treatment
Phase Out of a maximum of 6 Subsidised Visits per Scheme Participant within each 12-month participant programme year (PPY), attended at least 4 Subsidised Visits with attendance at least once per quarter within the 12-month PPY |
✓ | ✓ | ✓ | ✓ |
3) DM/HT management: Patient Empowerment Programme
(PEP) Completed PEP including post-assessment as arranged by District Health Centre (DHC) within the 12-month PPY |
✓ | ✓ | ✓ | ✓ | |
4) DM management: retinal photography Completed retinal photography examination as arranged by DHC within the 12-month PPY. |
✓ | ✓ | |||
Patient Achieve Target Requirement | 2 out of 3 | 3 out of 4 |
Pre-requisite Requirement for Eligibility of Incentive Payment to Doctor
- Measured by pooled achievement rate of the below 3 parameters (% of patients enrolled who achieve target, where applicable)
- Achievement rate ≥ 70%
Category | Target Parameters |
---|---|
Pooled
Service Outcome must be ≥ 70% for all 3 targets |
1) DM management: HbA1c < 7%
|
2a) DM management: BP < 130/80
|
|
2b) HT management: BP < 140/90
|