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医院与社区卫生服务成本:英格兰与苏格兰之比较

Hospital and community health service costs: England and Scotland compared.

作者信息

Glen A C, Hulbert J K

机构信息

Victoria Infirmary, Glasgow.

出版信息

Br Med J (Clin Res Ed). 1987 Sep 19;295(6600):707-10. doi: 10.1136/bmj.295.6600.707.

Abstract

In publications which have compared the health expenditure in the component parts of the United Kingdom by applying the Resource Allocation Working Party (RAWP) formula to the health budget of England, Scotland, Wales, and Northern Ireland it has been previously concluded that Scotland's hospital and community health services expenditure is more than 19% above what would be a fair distribution. It has also been implied that Scotland's allocation should be cut substantially to improve services in England. On the assumption that the purpose of examining the distribution of the health and community health service budget is to ensure "equal opportunity of access to health care for people at equal risk" it is concluded that simple RAWPing of the United Kingdom budget is flawed and a conclusion based on this is therefore untenable.

摘要

在一些出版物中,通过将资源分配工作组(RAWP)公式应用于英格兰、苏格兰、威尔士和北爱尔兰的卫生预算,对英国各组成部分的卫生支出进行了比较。此前得出的结论是,苏格兰的医院和社区卫生服务支出比公平分配水平高出19%以上。还有人暗示,应该大幅削减苏格兰的拨款,以改善英格兰的服务。假设审查卫生和社区卫生服务预算分配的目的是确保“风险相同的人有平等的医疗保健机会”,那么得出的结论是,简单地对英国预算应用RAWP公式是有缺陷的,基于此得出的结论因此是站不住脚的。

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引用本文的文献

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Funding and patient care in Scotland.
BMJ. 1988 Jul 9;297(6641):132. doi: 10.1136/bmj.297.6641.132.

本文引用的文献

1
Technical deficiencies in RAWP.
Br Med J. 1977 May 21;1(6072):1367. doi: 10.1136/bmj.1.6072.1367.
2
Applying resource allocation formulae to constituent parts of the U.K.
Lancet. 1980 Jan 12;1(8159):85-7. doi: 10.1016/s0140-6736(80)90505-x.
3
The RAWP review: pious hopes. Resource Allocation Working Party.
Lancet. 1986 Nov 8;2(8515):1087-90. doi: 10.1016/s0140-6736(86)90479-4.
4
Scottish health authorities revenue equalisation. A community medicine view of SHARE report.
Scott Med J. 1978 Jul;23(3):207-12. doi: 10.1177/003693307802300303.
5
Mortality, morbidity, and resource allocation.
Lancet. 1977 May 7;1(8019):997-8. doi: 10.1016/s0140-6736(77)92291-7.

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