منابع مشابه
Drug shortages derail CCGs' budgets.
Financial plans of clinical commissioning groups are being derailed by emergency hikes in prices of generic drugs, which have led to soaring costs, The BMJ has learnt. Last month The BMJ reported that ongoing shortages of generic drugs cost the NHS £38m in November 2017, as the government agreed more emergency price increases to boost stocks. An examination of board papers by The BMJ has found ...
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Recent years have seen dramatic shifts, in theory and practice, both in the area of public sector management and reform, and in the area of development assistance. The ideas and practices of the ‘New Public Management’ have reshaped thinking about public policy and management both in developed and in developing countries. The restructuring of public services in order to enhance their efficiency...
متن کاملGlobal budgets and provider incentives: hospitals' drug expenditures in Taiwan.
PURPOSE This chapter examines how drug prescribing behavior in Taiwanese hospitals changed after the government changed reimbursement systems. In 2002, Taiwan instituted a system in which hospitals are reimbursed for drug expenditures at full price from a fixed global budget before the remaining budget is allocated to reimburse all other expenditures, often at discounted prices. Providers are t...
متن کاملWorking for Patients: NHS reform and drug budgets
20 z Prescriber 5 September 2014 prescriber.co.uk After 12 months of secret planning, the Conservative’s plans for reforming the NHS were outlined in Working for Patients, published in January 1989.1 The white paper voiced government concerns over public spending on drugs: ‘Expenditure on medicines has grown on average by 4 per cent a year above the rate of inflation over the past five years’, ...
متن کاملThe Effects of Pond Management Strategies on Nutrient Budgets: Honduras
Semi-intensive shrimp production in Honduras is based upon use of formulated diets to supply nutrients for shrimp growth. Unconsumed feed contributes nutrients to pond water, which when discharged may deteriorate water quality in receiving waters. Estuaries are the water source and sink for shrimp farms in Honduras, and many farms have been established along individual estuaries. A key element ...
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ژورنال
عنوان ژورنال: BMJ
سال: 1999
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.318.7187.874