منابع مشابه
Gaming and Targets in the English NHS
Process-driven performance targets were used in the English NHS in the late 1990s and early 2000’s to drive improvement. There have been clear successes, and well-documented instances of perverse incentives leading to negative behaviours, such as data manipulation and resource diversion. Recently, policy in England has moved away from targets, focusing more on locally-negotiated metrics. The li...
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Given the determination of the opposition to present the review of the National Health Service as a revelation of the cloven hoof of Thatcherism and the government's determination to present it as a millenarian vision, it is all too easy to lose sight of its true importance. Its immediate impact is likely to be less dramatic than expected, apart from the demands on the negotiating time of every...
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Many services provided by the NHS in England and Wales have improved over the past year, but others, including mental health, sexual health, maternity, and dental services, have “been left behind,” according to an annual report on the state of health care. The report, presented to parliament this week, said that a lack of targets or requirement to collect information in these areas may underlie...
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The United Kingdom’s National Health Service (NHS) is investing considerable resources in reducing patient waiting times for elective treatment. This paper describes the development of a waiting list model and its use in a simulation to assess management options. Simulation usually assumes that waiting is adequately described by simple queuing disciplines, typically first-in-first-out. However,...
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effectively even in remote areas and if repeated will eliminate the virus from wildlife.7 Furthermore, in such areas these campaigns rapidly become cost effective through the amounts of money saved by the veterinary and medical services. The gene for the main protective protein of rabies virus has been introduced into the vaccine virus by genetic manipulation, and this can also act as an oral v...
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ژورنال
عنوان ژورنال: BMJ
سال: 1989
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.298.6677.890-a