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Aims to evaluate the acceptability of commissioning to improve clinical effectiveness in secondary care and explore the conditions under which fundholders would be willing to use commissioning in this way. Describes how fundholders in two contrasting districts in North Thames Region were...
As part of an ongoing study developing and evaluating the use of programme budgeting (PB) and marginal analysis (MA) within purchasing organizations, conducts a survey of a health authorities’ requirements of a decision‐making tool based on PBMA. PB is a management decision‐making system....
Explores the stresses of seven women GPs and the impact of these on their work and home life. It is a qualitative study which uses a free flowing interview approach. The aim is to reflect the perceptions of these women GPs rather than the assumptions of the researcher. It is an in‐depth...
Critiques of the implementation of a market in health care have so far concentrated on conceptual, practical and ethical objections. it is not a real market, say the theorists; it is not delivering say the realists; it does not have public consent, say the moralists. Argues, from a more...
Surgical treatment can be planned well in advance or arrive in a near emergency. If careful control is not exercised there is always the possibility that patients may suffer as a result. Discrete event simulation is an effective tool which can be used to find the most efficient ways of managing...
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