Published Work

Purchasing dilemmas : special report

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  • 1873883307
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  • London
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  • King's Fund College
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  • 1992
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  • 80
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  • 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 case studies: options for tackling coronary heart disease; the treatment of stroke in elderly patients; the balance of spending between different services and care groups. The aim of the simulation was to explore at an early stage in the development of the purchasing role the challenges facing health authorities in setting priorities. The intended outcome was not a set of actual decisions on the cases discussed, but rather to establish some criteria to guide decision making, to test out the information needs of the health authority and to identify lessons that could be incorporated as the Authority moved from simulation to taking decisions `for real'.
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  • Pagination: 80p.
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