Consultation fees and some key indices of healthcare
| Australia | Belgium | Canada (British Columbia) | Canada (Manitoba) | Canada (Ontario) | Canada (Quebec) | France | Germany | Japan | Korea | Taiwan | USA | |
| Consultation fee differs according to time spent | Yes | No | Yes | Yes | Yes | Yes | No | No | No | No | No | Yes |
| Consultation fee* | 17.50–111.05 | 22.61–27.06 | 31.61–77.15 | 26.99–86.15 | 45.9–217.15 | 49.15–99.4 | 23–25 | 4.66–15.15 | 720–2880 | 11 780–16 480 | 234–322.2 | 75.08–208.45 |
| Consultation length† | 14.7 | 15 | 15.8 | 15.8 | 15.8 | 15.8 | 16.0 | 7.6 | 6.1 | 6.3 | 5 | 21.07 |
| Hourly minimum wage | 20 | 9.67 | 14.6 | 11.9 | 14.25 | 13.1 | 10.15 | 9.35 | 901 | 8590 | 158 | 7.25 |
| Ratio of representative consultation fee per hourly minimum wage‡ | 1.94 | 2.80 | 5.28 | 7.24 | 5.93 | 7.59 | 2.46 | 0.99 | 0.80 | 1.37 | 1.48 | 10.34 |
| Average salary of GP/average general salary | 1.9 | 2.5 | 2.9 | 2.9 | 2.9 | 2.9 | 2.9 | 4.4 | NA | NA | NA | 3.19 |
| Physicians, density per 1000 population | 4.67 | 6.11 | 2.97 | 2.97 | 2.97 | 2.97 | 3.2 | 6.43 | 2.4 | 2.95 | 2.1 | 2.6 |
| Remuneration of primary care physicians§ | FFS+other | FFS+Cap | FFS+Cap+Salary +Other | FFS+Cap+Salary +Other | FFS+Cap+Salary +Other | FFS+Cap+Salary +Other | FFS +Other | FFS | NA | FFS | FFS | FFS+Cap+Salary +Other |
| Remuneration of provider setting§ | FFS+P4P | FFS+Cap | FFS+Cap | FFS+Cap | FFS+Cap | FFS+Cap | FFS+P4p +Other | FFS | FFS | FFS+P4P | FFS | FFS+Cap+P4p +other |
| Predominant mode of primary care§ | private group | private solo | private group | private group | private group | private group | private solo | private solo | group | private solo | NA | private group |
| Average annual no of physician visits per capita | 7.3 | 7.3 | 6.6 | 6.6 | 6.6 | 6.6 | 5.9 | 9.8 | 12.5 | 17.2 | 12.3 | 4.0 |
| No of consultation per doctor | 2095 | 2271 | 2568 | 2568 | 2568 | 2568 | 1944 | 2330 | 5191 | 7080 | 6150 | 1624 |
| Doctor spending enough time (%) | 91.6 | 97.5 | 79.9 | 79.9 | 79.9 | 79.9 | 83.7 | 85.8 | 42.1 | 80.8 | NA | 81.5 |
| Doctor providing easy to understand explanation (%) | 93.5 | 97.7 | 89.1 | 89.1 | 89.1 | 89.1 | NA | 84.3 | 94.2 | 82.9 | NA | 89.8 |
| Doctor involving patient in decision (%) | 87.8 | 95.2 | 84.8 | 84.8 | 84.8 | 84.8 | NA | 87.2 | NA | 82.4 | NA | 85.2 |
| Ambulatory sensitive condition admission rate per 100 000 | ||||||||||||
| Asthma | 63.1 | 21.3 | 13.7 | 13.7 | 13.7 | 13.7 | 29.6 | 31.5 | 34.7 | 65 | NA | 37.1 |
| Diabetes | 153.2 | 154.8 | 96 | 96 | 96 | 96 | 150.6 | 206.1 | 162.3 | 224.4 | NA | 226 |
| Hypertension | 39.2 | 14.1 | 13.9 | 13.9 | 13.9 | 13.9 | 33 | 254.5 | 22.5 | 73.9 | NA | 57.5 |
| Average length of stay in hospital (days) | 5.2 | 6 | 8.2 | 8.2 | 8.2 | 8.2 | 8.8 | 8.9 | 16.2 | 17.9 | 8.4 | 4.8 |
*Currencies are Australian dollar for Australia, Euro for Belgium, France and Germany, Canadian dollar for Canada, Japanese Yen for Japan, Korean Won for Korea, New Taiwanese dollar for Taiwan and US dollar for the USA.
†Adapted from Irving G, Neves AL, Dambha-Miller H, et al. International variations in primary care physician consultation time: a systematic review of 67 countries. BMJ Open 2017;7:e017902 except for Korea and Taiwan. For Korea, 의과 의원의 외래 진료 질 담보 및 비용 관리를 위한 진찰료 수가모형 at https://repository.hira.or.kr/handle/2019.oak/2429 (last access, 31st March, 2021). For Taiwan, 健保給付中逐年下降的醫師費，會帶來什麼影響？ at https://www.twreporter.org/a/health-insurance-system-diagnostic-fee (last access, 31st March, 2021).
‡Representative consultation fees were chosen as follows. Australia : item number 23, level B, Belgium : item number 101076, Consultation au cabinet par un médecin généraliste accrédité, Canada : Item number 00100, Consultation - in office: (age 2–49), Item number 8540, Complete History and Physical Examination, Item number A005, Consultation and Item number 15 801 Clientèle inscrite de 500 patients ou plus, En cabinet ou à domicile en lien avec les activités du médecin en cabinet for British Columbia, Manitona, Ontario and Quebec, respectively. France : G : consultation au cabinet majorée de la majoration pour le médecin généraliste, Germany : Item number 7 Vollständige körperliche Untersuchung mindestens eines der folgenden Organsysteme, Japan : Item number Ａ００１再診料, Korea : Item number AA254 재진 진찰료, Taiwan : Item number 00101B, 00102B, 00105B, 00106B, 00107B, 00108B. 一般門診診察費－醫院門診診察費, USA : Item number 99202, level2.
§Adapted from Payment primary care at .https://www.oecd.org › els › Payment-Primary-CareXLS.
Cap, capitation; FFS, fee-for-service; GP, general practitioner; NA, not available; P4P, pay for performance.