Objective. To develop and evaluate alternative methods of adjusting primary medical care capitation payments for variations in relative need for health care among enrolled practice populations. Methods. We developed alternative needs-based capitation formulae and applied them to a sample of...

Geographically decentralized planning and management is an emerging theme within the health sector in many OECD countries. Advocates of decentralization argue that providing greater authority to local decision-making bodies can improve both the technical and allocative efficiency with which...

Background - The geographic distribution of health care funding in Canada has traditionally been based on past allocations and the distribution of health care facilities and providers. Whether this approach has succeeded in distributing resources among populations in keeping with relative health...