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The Purchasing of Health Care By Primary Care Organizations : State of Health - Nicholas Mays

The Purchasing of Health Care By Primary Care Organizations

State of Health

By: Nicholas Mays (Editor), Sally Wyke (Editor), Gill Malbon (Editor), Nick Goodwin (Editor)

Paperback Published: 10th January 2001
ISBN: 9780335209002
Number Of Pages: 348

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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 organizations 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 practioner led primary care organizations 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 organizations?; and what lessons can be drawn from the experience of such a large and complex evaluation?

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?
Table of Contents provided by Publisher. All Rights Reserved.

ISBN: 9780335209002
ISBN-10: 0335209009
Series: State of Health
Audience: General
Format: Paperback
Language: English
Number Of Pages: 348
Published: 10th January 2001
Publisher: Open University Press
Country of Publication: GB
Dimensions (cm): 21.6 x 13.5  x 2.2
Weight (kg): 0.47