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%
  • Number of Scheme Participants who have achieved the HbA1c target over the number of Scheme Participants from DM+HT and DM disease groups
2a) DM management: BP < 130/80
  • Number of Scheme Participants who have achieved the BP target over the number of Scheme Participants from DM+HT and DM disease groups
2b) HT management: BP < 140/90
  • Number of Scheme Participants who have achieved the BP target over the number of Scheme Participants from HT+Pre-DM and HT disease groups