Izvorni znanstveni članak

https://doi.org/10.3325/cmj.2025.66.360

The impact of Croatia’s 2013 Primary Care Payment Reform: an exploratory case study of a rural family practitioner group practice

Tatjana Prenđa Trupec ; Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands *
Milena Pavlova ; Maastricht University, Maastricht, the Netherlands
Tetiana Chernysh ; Maastricht University, Maastricht, the Netherlands
Wim Groot ; Maastricht University, Maastricht, the Netherlands

* Dopisni autor.

Sažetak

Aim To explore the effect of Croatia’s 2013 Primary Care
Payment Reform on patient care.
Methods The performance of one rural family practitioner
group practice in Breznica was assessed one year before
and one year after implementation. Using an exploratory
case study design with quantitative methods, we exam
ined outcome variables linked to the new payment model.
Drawing on publicly available activity reports, we conduct
ed linear regression analyses to identify potential associa
tions.
Results We observed changes in most incentivized out
comes, notably increases in preventive check-ups and de
creases in hospital referrals. Some indicators, such as the
increase in prescribing despite financial disincentives, re
main inconclusive and highlight the need for further in
vestigation.
Conclusions These findings are preliminary but provide
valuable hypotheses for guiding more rigorous, longitudi
nal, and multi-site studies.

Ključne riječi

Hrčak ID:

352551

URI

https://hrcak.srce.hr/352551

Datum izdavanja:

22.10.2025.

Posjeta: 0 *