One of the major goals of the recent NHS reforms has been to makethe NHS more responsive to the needs of patients by offering morechoice. DHAs and budgetholding GP practices have been given anincentive to obtain better value for money in purchasing health careservices. In doing so they will have to take account of the existing GPreferral patterns for as key advisers GPs can have majorinfluence on patients choice of hospitals and consultants. Until nownot much has been known about the structure, development and change ofreferral patterns and the factors responsible for changes. A studyconcerning these issues, conducted in The Netherlands, provides relevantinformation for the British situation. The results nonspecificity ofreferrals, the role of tradition and distance in building up referredrelationships and patients influence on breaking up relationshipssuggest that GPs decisions in building up and changing referralnetworks take place implicitly. Concludes that GPs need more informationin order to choose the best option. Information exchange within GPpractices or localregional GP groups is a means of improving the basisfor decision making. At the same time there is a growing need forresearch into costquality ratios of care offered by health careproviders. In Britain, DHAs could play an important role in initiatingand intensifying this research.
Journal of Management in Medicine – Emerald Publishing
Published: Mar 1, 1992
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera