Variations in budgets of fundholding practices.
نویسندگان
چکیده
منابع مشابه
The impact of budgets for gatekeeping physicians on patient satisfaction: evidence from fundholding.
Between 1991 and 1998 English general practices had the option of holding budgets for prescribing and elective secondary care. Fundholding was reintroduced in 2005. We examine the effect of fundholding on patients' satisfaction with their practice, using a cross section of 4441 patients from 60 practices in the last year of fundholding (1998). We employ instrumental variables to allow for the e...
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BACKGROUND Current methods of risk adjustment rely on diagnoses recorded in clinical and administrative records. Differences among providers in diagnostic practices could lead to bias. METHODS We used Medicare claims data from 1999 through 2006 to measure trends in diagnostic practices for Medicare beneficiaries. Regions were grouped into five quintiles according to the intensity of hospital ...
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BACKGROUND The ratio of percutaneous coronary interventions to coronary artery bypass graft surgeries (PCI:CABG ratio) varies considerably across hospitals. We conducted a comprehensive study to identify clinical and nonclinical factors associated with variations in the ratio across 17 cardiac centres in the province of Ontario. METHODS In this retrospective cohort study, we selected a popula...
متن کاملCare of patients with selected health problems in fundholding practices in Scotland in 1990 and 1992: needs, process and outcome.
BACKGROUND At the time of the introduction of fundholding, a number of potential benefits and concerns about fundholding were debated. AIM A study was undertaken to compare process and outcome of care in patients with different levels of physical, social and psychological need in 1990 and 1992 in six fundholding groups in Scotland. METHOD Patients aged 16 years and over consulting with a ra...
متن کاملFundholding in the south Thames Region.
BACKGROUND The general practice fundholding scheme is now at the forefront of the National Health Service (NHS) reforms and should lead to the more efficient use of services by making general practitioners more aware of the financial consequences of their clinical decisions. However, there is a concern that adverse effects may also occur. AIM To monitor the changes occurring in a sample of fu...
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ژورنال
عنوان ژورنال: BMJ
سال: 1991
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.303.6795.168