منابع مشابه
The role of NICE technology appraisal in NHS rationing.
OBJECTIVE This article examines the role of National Institute of Health and Clinical Excellence (NICE) technology appraisal in detail, focussing on the process itself and the methods used to establish cost-effective practices for the National Health Service (NHS). AREAS OF AGREEMENT Approaches to identifying both effective and cost-effective practices have become central to rationing decisio...
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An investigation by The BMJ has shown stark local variation in the number of exceptional funding requests that doctors in England are having to make on behalf of their patients, and the types of treatment being restricted. The analysis shows that the overall number of individual funding requests (IFRs) received by clinical commissioning groups in England increased by 47% in the past four years ...
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We construct a model of the determinants of the rate of admission of patients from general practices for elective surgery in public sector hospitals where public patients face positive waiting times and distance costs but a zero money price. The model is tested with data on general practice admission rates for cataract procedures in an English Health Authority. We find that admission rates are ...
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zolam on 261 occasions (this combination may increase the central depressant effects of alprazolam) and with carbamazepine on 240 (this combination may cause serious toxic effects by increasing plasma concentrations of carbamazepine). Cisapride was dispensed with erythromycin on five occasions, with clarithromycin on three, fluconazole on 24, and itraconazole on one; any of these combinations m...
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Since its establishment in 1948, the history of the National Health Service (NHS) has been characterized by organisational turbulence and system reform. At the same time, progress in science, medicine and technology throughout the western world have revolutionized the delivery of healthcare. The NHS has become a much loved, if much critiqued, national treasure. It is against this backdrop that ...
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ژورنال
عنوان ژورنال: BMJ
سال: 2007
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.39218.599109.80