Controversies in primary care Setting prescribing budgets in general practice Capitation based prescribing budgets will not work
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چکیده
منابع مشابه
Capitation based prescribing budgets will not work
General practice prescribing costs have risen rapidly in recent years, and there are wide variations between practices in rates and costs of prescribing. Setting general practice prescribing budgets with a capitation based formula seems to offer a solution to these problems. However, capitation based formulas may unfairly penalise legitimate variations and increases in prescribing costs. We the...
متن کاملAnalysis of the ability of the new needs adjustment formula to improve the setting of weighted capitation prescribing budgets in English general practice.
“wrong” sign, but the variable seems counterintuitive only if considered in isolation. Consideration of other variables in the model makes the reason clear. Variables with counterintuitive sign compensate for the excess effects of other variables in the model, so that excluding them removes this opportunity for negative feedback. The result is a model that is both less subtle and less predictiv...
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In April 1999 major changes will start to take place in the organisation and delivery of health services in England. 2 For general practitioners, the most important changes will be the formation of primary care groups and the implementation of unified, cash limited budgets for health services. How will current methods of allocating NHS budgets in England change, and what can be learnt from expe...
متن کاملSetting budgets for general practice in the new NHS.
The introduction of unified budgets for primary care groups will have major implications for general practitioners. Key objectives for primary care groups will include greater interpractice working, improved financial and information systems, and methods of sharing data among practices. For many general practitioners, the most unpopular aspect of the changes will be that they will have to take ...
متن کاملDerivation of a needs based capitation formula for allocating prescribing budgets to health authorities and primary care groups in England: regression analysis.
OBJECTIVE To develop a weighted capitation formula for setting target allocations for prescribing expenditures for health authorities and primary care groups in England. DESIGN Regression analysis relating prescribing costs to the demographic, morbidity, and mortality composition of practice lists. SETTING 8500 general practices in England. SUBJECTS Data from the 1991 census were attribut...
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ژورنال
عنوان ژورنال: BMJ
سال: 1998
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.316.7133.748