The purchasing of health care by primary care organizations : an evaluation and guide to future policy
Author(s)
Bibliographic Information
The purchasing of health care by primary care organizations : an evaluation and guide to future policy
(The state of health series)
Open University Press, in association with the King's Fund, 2001
- : pb
- : hb
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Note
Includes bibliographical references (p. [298]-307) and index
Description and Table of Contents
Description
Governments in a number of Western countries are attempting to improve the efficiency, appropriateness and equity of their health systems. One of the main ways of doing this is to devolve purchasing responsibility from national and regional to more local agencies based in primary care. These primary care organisations are allocated budgets that span both primary and secondary services. This book draws on an extensive government-funded evaluation of the UK primary care led total purchasing experiment to shed light on important questions raised by these policies. In particular, it attempts to answer these questions:
* Can general practitioner led primary care organisations successfully use an ability to purchase health services to achieve either more efficient or better health care for their patients?
* What are the ingredients of more or less successful primary care purchasing organisations?
* What lessons can be drawn from the experience of such a large and complex evaluation?
Table of Contents
Preface
Notes on Contributors
List of Tables, Figures and Boxes
Health Service Development
what can be learnt from the United Kingdom Total Purchasing Experiment?
Designing the evaluation of the total purchasing experiment
problems and solutions
Developing primary care organisations
What did TPPs achieve?
How was change achieved?
Purchasing maternity care, mental health services and community care for older people
Managing emergency hospital activity
The management and transactions costs of total purchasing
Budget setting and its influence on the achievements of TPPs
Managing budgets and risk
Holding total purchasing pilot projects to account
Evaluating complex policies
what have we learnt from total purchasing?
The total purchasing experiment
interpreting the findings
The total purchasing experiment
a guide to future policy development?
References
Index.
by "Nielsen BookData"