This publication is a comprehensive review of health care policy issues. It contains a calendar of events from August 2000 to January 2001 and articles on areas of health policy such as: setting targets for health spending; allocating resources to reduce health inequalities; health policy developments in Europe; the politics ...
This paper reconsiders the meaning and impact of projects, the most common device for spending development monies. They argue that projects can distort the priorities of the host organisation. There are four aspects to this problem: the disruption caused to an organisation by the existence of a project; the project ...
Total purchasing is potentially the most significant development in NHS purchasing of health services since the introduction of general practitioner fundholding in 1991. It offers fundholding practices the opportunity to purchase all of the health care not included in fundholding for patients on their lists. The study of 53 total ...
This is the third edition of this publication which was published for the first time in 1994. This edition is structured in three parts. The first is a calendar of events in London's health care during 1995, followed by a commentary by the editor. The second section presents the relevant ...
This briefing paper aims to contribute some background analysis and data to inform a debate in the House of Commons on 28 April 1994 about London's health care system. It begins with comparative considerations; whether high needs and poor community based care lead to greater pressure on hospitals; and key ...
This report is based on a seminar held in Southampton in October 1991 which explored an alternative approach to health rationing from that of the Oregon experiment. A specially designed simulation exercise examined the dilemmas facing purchasers in the new NHS. Organised over 24 hours, the simulation centred on three ...
This paper traces the origins of the Oregon plan, explains how it works and passes judgment on its worth. The Oregon plan is a controversial health rationing plan for the poor under America's Medicaid system. Over 700 services have been ranked in priority order and the state legislature has said ...
The principal objective of this investigation is to produce specific recommendations about the distribution of administrative resources to family health services authorities (FHSAs). There are two basic aims to the report: to examine actual variations in FHSA expenditure and relate those to characteristics of FHSAs and their areas where there ...
The report attempts to review the main issues surrounding the funding and management of units providing dialysis services to people suffering from end-stage renal failure in the UK for the benefit of health service managers, renal physicians and other staff. The objective is to review the experience and information currently ...