This report is a case study of primary-secondary substitution as an achievable means of reconfiguring health care in London and the UK more generally. It systematically reviews the available local, national and international evidence on the potential for cost-effective primary-secondary substitution of emergency care. The evidence relating to substitution and ...
This book describes the trend towards more diverse and devolved forms of purchasing and combinations of purchaser organisations within health authorities in the NHS. It presents a multi-dimensional profile of each of the current models of purchaser organisation. Trends and policy developments are discussed in relation to the likelihood that ...
Medical technology, defined broadly to include drugs, procedures and equipment used singly or in combination, has been of enormous benefit in improving the quality of health care. It has, however, raised many issues about how society can afford to pay for these often expensive developments and about associated ethical problems ...