Journal ArticleDOI
NHS resource allocation after the 1989 white paper: a critique of the research for the RAWP review.
TLDR
The research carried out for the RAWP review, on which its principal proposals for change to the need indicators were based, is inadequate for developing a new method of resource allocation after RAWP.Abstract:
The Government White Paper on the NHS, 'Working for Patients', abolished the Resource Allocation Working Party (RAWP) formula in name, but retained its general approach of ensuring geographical equity through funding health authorities by a system of weighted capitation. As a result, the longstanding debate about the appropriate need indicators to include in RAWP, which was tackled afresh in the recent NHS Management Board review of RAWP, will remain highly pertinent to NHS resource allocation in the 1990s. Yet, the research carried out for the RAWP review, on which its principal proposals for change to the need indicators were based, is inadequate for developing a new method of resource allocation after RAWP. The paper describes the research and sets out its main conceptual limitations and problems of method.read more
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Journal ArticleDOI
Assessing population health care need using a claims-based ACG morbidity measure: a validation analysis in the Province of Manitoba.
TL;DR: The ACG morbidity index had a strong positive linear relationship with the subsequent rate of premature death in the small areas of Manitoba and was able to explain the majority of the relationships between mortality and both socioeconomic status and physician utilization.
Journal ArticleDOI
Allocating resources to health authorities: development of method for small area analysis of use of inpatient services
R A Carr-Hill,Trevor A Sheldon,Peter C. Smith,Stephen Martin,Stuart Peacock,Geoffrey Hardman +5 more
TL;DR: The development of a method to determine the health needs for small geographical areas using data from the hospital episodes statistics and 1991 census and information on vital statistics and supply of health care facilities was used.
Journal ArticleDOI
Allocating resources to health authorities: results and policy implications of small area analysis of use of inpatient services.
TL;DR: The model for the psychiatric sector contains mortality, self reported morbidity, and social variables indicating deprivation and the level of care at home, and the non-acute model contains mortality and several socioeconomic variables.
Journal ArticleDOI
The threat of 'cream skimming' in the post-reform NHS.
TL;DR: The paper explores the potential for protection against 'cream skimming' offered by incorporating chronic health factors into the formula and concludes that the formula should be modified to reflect current patient needs.
Journal ArticleDOI
Second thoughts on the Jarman index.
TL;DR: The Jarman index was introduced in 1983' as the latest of a series of attempts to identify underprivileged areas for the purposes of health care planning and it has been treated as a marker of deprivation in the consideration of social inequalities in health.