| Description |
1 online resource (165 pages) |
| Contents |
Intro; Title Page; Copyright Page; Contents; List of contributors; Participants; Foreword; Preface; 1 The international context; Oregon; The Netherlands, New Zealand and Sweden; United Kingdom; Issues arising; 2 The Southampton experience; Simulation seminar of 1991; The growth of commissioning; Rational planning and decision making -- 1994; Trial run; Development of the health strategy; Stakeholder consultation; Identifying criteria; Views of experts; Determining importance of criteria; Preliminary ranking of 49 options; Ranking of the options; Purchasing plan; Rankings compared |
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Comparison with GP rankingsApproach to disinvestment; Overview of procedure; 3 Lessons learned; Relevance of the Southampton experience; No quick fix; Coping with many options; Rational planning; Limited cost-utility data rule out marginal analysis; Needs assessment essential; Clearer definition of criteria; Assigning weights to criteria; Health gain versus equity; No clear way to relate criteria to choices; Pragmatic criteria strongly influence rankings; Protection for chronic sick and deprived groups; Stakeholder consultation necessary and needs more care; The public's role |
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GPs can help decide prioritiesMore involvement by provider groups; Efficiency before exclusions; Disinvestments cannot always be ignored; 4 Emergent themes; Health economics and priority setting: nonsense on stilts?; How not to ration health care: the moral perils of utilitarian decision making; The strengths and limitations of programme budgeting; Reflections on a brief return to strategic planning; The view from a small plane over Hampshire; Promoting equity and avoiding prejudice; The future strategic role of commissions; When the elephants fight, it is the grass which suffers |
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Reflections of the non-executive members5 Outstanding issues; National direction or local discretion?; How to involve stakeholders; How to involve providers; How to make better use of economic evaluation; Protection for the chronic sick and vulnerable groups; How to guard against age and lifestyle discrimination; Appendix A Local health problems; Appendix B Options for change and indicative costs; Appendix C Marginal value; Appendix D Health benefits; Appendix E Other benefits; Appendix F Stakeholder consultation results; Appendix G Expert panel: personal profiles; Index |
| Notes |
Print version record |
| Subject |
Medical care-England
|
| Form |
Electronic book
|
| Author |
Richards, John
|
|
Ham, Chris
|
| ISBN |
9781315345833 |
|
1315345838 |
|
9781498792431 |
|
149879243X |
|
9781315326849 |
|
1315326841 |
|
9781315375663 |
|
1315375664 |
|
