Pay in the British NHS: a local solution for a national service?

abstract：OBJECTIVE:Our aim was to evaluate whether the involvement of health care managers in research projects improves the quality and relevance of research, and whether collaboration builds capacity in the managerial community. METHODS:The NIHR Service Delivery and Organization Management Fellowship programme supports the d...

journal_title：Journal of health services research & policy

authors： Bullock A,Morris ZS,Atwell C

更新日期：2012-04-01 00:00:00

abstract：:We review the foundations of resource allocation rules based on cost-effectiveness information. Comprehensive approaches, where a total budget is allocated in one go, require estimation of the costs and effects of all available health care programmes, which is unlikely to be practical. A common alternative is to asses...

journal_title：Journal of health services research & policy

authors： Lord J,Laking G,Fischer A

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:Access to cardiac treatments has been documented to vary with patients' age. It is unknown whether these variations reflect patients' treatment preferences. We aimed to investigate patients' preferences for cardiology treatments and develop a Patients' Preferences Questionnaire. METHODS:Semi-structured inte...

journal_title：Journal of health services research & policy

authors： Bowling A,Reeves B,Rowe G

更新日期：2008-10-01 00:00:00

abstract：OBJECTIVES:To critically evaluate the quality of hospital medical care at the beginning, during and shortly after regionalization of health boards in Newfoundland and Labrador, and aggregation of hospitals in the St John's region. METHODS:Retrospective chart audits for the years 1995/96, 1998/99 and 2000/01 (at the be...

journal_title：Journal of health services research & policy

authors： Curtis B,Gregory D,Parfrey P,Kent G,Jelinski S,Kraft S,O'Reilly D,Barrett B

更新日期：2005-10-01 00:00:00

abstract：:It has previously been suggested that the English Department of Health seems, wittingly or not, to have drawn on the experiences of Stalinist Russia in devising policies for the National Health Service. The development of general practitioner fundholding during the 1990s could be compared to the Soviet support for the...

journal_title：Journal of health services research & policy

authors： Clegg K

更新日期：2000-07-01 00:00:00

abstract：:Health services researchers have an important role to play in helping health care systems around the world provide high quality, affordable services. However, gaps between the best evidence and current practice suggest that researchers need to work in new ways. The production of research that meets the needs and prior...

journal_title：Journal of health services research & policy

authors： Barratt H,Shaw J,Simpson L,Bhatia S,Fulop N

更新日期：2017-10-01 00:00:00

abstract：OBJECTIVE:Effective use of staff is a major aim in all health-care systems both to maximize their impact and to minimize costs. In England, a few general practitioners (GPs) have been recruiting physician assistants (PAs) to work in their practices, independent of any pilot schemes. Our objective was to study the motiv...

journal_title：Journal of health services research & policy

authors： Drennan V,Levenson R,Halter M,Tye C

更新日期：2011-04-01 00:00:00

abstract：:Research can contribute to resolving some of the workforce challenges that all heath care systems face. In an attempt to identify the research agenda, key stakeholders in the UK were brought together and background papers were presented by academics with expertise in seven related but distinct areas: global issues; pr...

journal_title：Journal of health services research & policy

authors： Black N,Rafferty AM,West E,Gough P

更新日期：2004-01-01 00:00:00

abstract：:Health services research must continually address the question: Under what conditions may data not collected specifically for research, such as primary medical data, be re-used for research without compromising the privacy of the data-subjects? For secondary use of data in research there are basically three options. O...

journal_title：Journal of health services research & policy

authors： Lowrance W

更新日期：2003-07-01 00:00:00

abstract：:People with serious and persistent mental illness require a range of community services typically provided by different specialized agencies. At the clinical level, assertive team case management is the strategy commonly used to achieve integration of services across specialized sectors. The USA also has used various ...

journal_title：Journal of health services research & policy

authors： Mechanic D

更新日期：1997-04-01 00:00:00

abstract：:Patients are increasingly using the internet to access information on health care and services, as well as writing reviews of their own experiences. With patient choice increasing in many health systems, payers, purchasers and providers are attempting to take control of this trend by designing and managing their own p...

journal_title：Journal of health services research & policy

authors： Trigg L

更新日期：2011-04-01 00:00:00

abstract：OBJECTIVES:To explore patients' and carers' views on what constitutes high-quality communication and information provision during diagnostic assessment in memory clinic services in three areas of England. METHODS:Interviews with 27 people with cognitive impairment (13 with confirmed dementia) and 26 carers (20 matched...

journal_title：Journal of health services research & policy

authors： Abley C,Manthorpe J,Bond J,Keady J,Samsi K,Campbell S,Watts S,Robinson L

更新日期：2013-07-01 00:00:00

abstract：OBJECTIVES:To illustrate the complexity of setting up evaluative research when it is perceived to threaten professional and financial interests. METHODS:A case study based on participatory observation of attempts to study the delivery and health consequences of in vitro fertilization (IVF). Two research projects were ...

journal_title：Journal of health services research & policy

authors： Hemminki E

更新日期：2002-01-01 00:00:00

abstract：OBJECTIVES:To evaluate whether the Clinical Priority Assessment Criteria (CPAC), used to prioritise access to elective surgery, was associated with: (a) patients' access to surgery in practice; (b) patients' level of need; and (c) patients' ability to benefit from surgery. Patients' perceptions of the 'booking system' ...

journal_title：Journal of health services research & policy

authors： Derrett S,Paul C,Herbison P,Williams H

更新日期：2002-07-01 00:00:00

abstract：:Policy-makers and managers have always used a wide range of sources of evidence in making decisions about policy and the organization of services. However, they are under increasing pressure to adopt a more systematic approach to the utilization of the complex evidence base. Decision-makers must address complicated qu...

journal_title：Journal of health services research & policy

authors： Mays N,Pope C,Popay J

更新日期：2005-07-01 00:00:00

abstract：:This paper analyses likely implications of two recent European Court rulings on the provision of health care across borders within the European Union. We argue that the two cases have fundamental implications for the provision of health services as free access to care across borders conflicts with the principle of sub...

journal_title：Journal of health services research & policy

authors： Kanavos P,McKee M

更新日期：2000-10-01 00:00:00

abstract：OBJECTIVE:Limited resources mean that decision-makers must set priorities among competing opportunities. Programme budgeting and marginal analysis (PBMA) is an economic approach that focuses on optimizing benefits with available resources. Accountability for reasonableness (A4R) is an ethics approach that focuses on en...

journal_title：Journal of health services research & policy

authors： Gibson J,Mitton C,Martin D,Donaldson C,Singer P

更新日期：2006-01-01 00:00:00

abstract：:Though the science of medicine subscribes to learning from best practices and the transmission of superior treatment regimens across national boundaries, the same ethos does not inform political debates surrounding health system reform. The Canadian and English health systems have been used - and, more frequently - ab...

journal_title：Journal of health services research & policy

authors： Ehlke D

更新日期：2011-07-01 00:00:00

abstract：OBJECTIVES:To examine the influence of the English National Health Service (NHS) South and West (S&W) region Development and Evaluation Committee (DEC) technology appraisal reports on purchasing and clinical decisions in the S&W and elsewhere in the NHS, and to estimate the cost of the DEC process. METHODS:Two postal ...

journal_title：Journal of health services research & policy

authors： Dixon S,Coleman P,Nicholl J,Brennan A,Touch S

更新日期：2003-01-01 00:00:00

abstract：:'Integrated care' is pitched as the solution to current health system challenges. In the literature, what integrated care actually involves is complex and contested. Multi-disciplinary team case management is frequently the primary focus of integrated care when implemented internationally. We examine the practical app...

journal_title：Journal of health services research & policy

authors： Stokes J,Checkland K,Kristensen SR

更新日期：2016-10-01 00:00:00

abstract：OBJECTIVES:To assess whether it is feasible to elicit patients' preferences for treatments and then to proceed with randomisation which may allocate those with preferences to their less preferred treatment; and to describe which prognostic variables were associated with such preferences within the context of a randomis...

journal_title：Journal of health services research & policy

authors： Torgerson DJ,Klaber-Moffett J,Russell IT

更新日期：1996-10-01 00:00:00

abstract：OBJECTIVES:To evaluate the effect of a risk factor checklist and training video for general practitioners in reducing inter-practice variation and improving the appropriateness of referrals (assessed by their positive predictive value or PPV) of patients with suspected otitis media with effusion (OME or 'glue ear') to ...

journal_title：Journal of health services research & policy

authors： Bennett K,Haggard M,Churchill R,Wood S

更新日期：2001-07-01 00:00:00

abstract：OBJECTIVES:To assess the role of economics, in combination with clinical judgement, for setting research priorities, using osteoporosis prevention (and, as a result, hip fracture prevention) as an example. METHODS:Modelling the cost and effectiveness of each of six potential interventions to prevent hip fractures over...

journal_title：Journal of health services research & policy

authors： Torgerson D,Donaldson C,Reid D

更新日期：1996-07-01 00:00:00

abstract：:Hospitals are awash with patient experience data, much of it collected with the ostensible purpose of improving the quality of patient care. However, there has been comparatively little consideration of the nature and capacities of data itself. Using insights from actor-network theory, we propose that paying attention...

journal_title：Journal of health services research & policy

authors： Desai A,Zoccatelli G,Adams M,Allen D,Brearley S,Rafferty AM,Robert G,Donetto S

更新日期：2017-04-01 00:00:00

abstract：OBJECTIVES:To explore the relationship between ethnicity, socioeconomic deprivation and utilization of general practice. METHODS:Data routinely collected by New Zealand general practices in 2001 were analysed using generalized linear regression. RESULTS:The mean number of doctor consultations for registered individua...

journal_title：Journal of health services research & policy

authors： Health Utilisation Research Alliance (HURA).

更新日期：2006-07-01 00:00:00

abstract：:The purpose of this paper is to expand understanding of academic-practitioner knowledge-sharing in the service of enhanced knowledge creation in health care. To this end, we describe the tacit and explicit knowledge of academics and practitioners and how this knowledge exists within their communities of practice. We a...

journal_title：Journal of health services research & policy

authors： Bartunek J,Trullen J,Bonet E,Sauquet A

更新日期：2003-10-01 00:00:00

abstract：OBJECTIVES:To establish current guidance and practice in UK on presentation of indirect comparison and mixed treatment comparison analyses; to provide recommendations to improve indirect comparison/mixed treatment comparison reporting and to identify research priorities for improved presentation. METHODS:Existing inst...

journal_title：Journal of health services research & policy

authors： Tan SH,Bujkiewicz S,Sutton A,Dequen P,Cooper N

更新日期：2013-10-01 00:00:00

abstract：:This paper deals with three concerns about the evaluative framework that is currently dominant within health economics. These concerns are: that the evaluative framework is concerned entirely with health; that the evaluative framework has an individualistic focus on patients alone; and that the methods used to estimat...

journal_title：Journal of health services research & policy

authors： Coast J,Flynn T,Sutton E,Al-Janabi H,Vosper J,Lavender S,Louviere J,Peters T

更新日期：2008-10-01 00:00:00

abstract：OBJECTIVES:The introduction of an internal market in the British National Health Service (NHS) has highlighted the importance of developing appropriate, valid and timely measures of hospital activity, both for the purposes of specifying and monitoring contracts and for evaluating the success of the NHS reforms in gener...

journal_title：Journal of health services research & policy

authors： Söderlund N,Gray A,Milne R,Raftery J

更新日期：1996-01-01 00:00:00

abstract：OBJECTIVES:To determine whether geographical areas with relatively low overall hospitalization rates have higher population-based rates of admission of patients with advanced stages of disease. METHODS:Age- and sex-standardized hospital admission rate were calculated for the residents of the 80 Local Health Units in L...

journal_title：Journal of health services research & policy

authors： Taroni F,Repetto F,Louis DZ,Moro ML,Yuen EJ,Gonnella JS

更新日期：1997-10-01 00:00:00