国民保健制度资金在基金持有型医疗机构与非基金持有型医疗机构之间的分配。
Distribution of NHS funds between fundholding and non-fundholding practices.
作者信息
Dixon J, Dinwoodie M, Hodson D, Dodd S, Poltorak T, Garrett C, Rice P, Doncaster I, Williams M
机构信息
North Thames West Regional Health Authority, London.
出版信息
BMJ. 1994 Jul 2;309(6946):30-4. doi: 10.1136/bmj.309.6946.30.
OBJECTIVES
To estimate the amount spent on specific hospital care by health agencies in 1993-4 and compare it with the resources allocated to patients registered with fundholding practices for the same type of care. To investigate whether fundholding practices and health agencies pay different amounts for inpatient care.
DESIGN
Examination of hospital episode statistics, 1991 census data, and family health services authority and health agency records.
SETTING
Health agencies and fundholding practices in the former North West Thames Regional Health Authority.
MAIN OUTCOME MEASURES
Amount per capita allocated to inpatient and outpatient care for patients registered with fundholding and non-fundholding practices. Average specialty cost per finished consultant episode for health agencies and fundholding practices.
RESULTS
The ratio of per capita funding for patients in non-fundholding practices to those in fundholding practices ranged from 59% to 87% for inpatient and day case care and from 36% to 106% for outpatient care. Average specialty costs per episode were similar for fundholding practices and health agencies.
CONCLUSIONS
Fundholding practices seem to have been funded more generously than non-fundholding practices in North West Thames.
目的
估算1993 - 1994年卫生机构在特定医院护理方面的支出，并将其与分配给参与基金持有计划的患者用于同类护理的资源进行比较。调查基金持有计划机构和卫生机构在住院护理方面的支付金额是否不同。
设计
对1991年人口普查数据、医院病历统计数据以及家庭健康服务机构和卫生机构记录进行审查。
背景
原西北泰晤士地区卫生局的卫生机构和基金持有计划机构。
主要观察指标
分配给参与基金持有计划和未参与基金持有计划的患者的住院和门诊护理人均费用。卫生机构和基金持有计划机构每个完整顾问诊疗病例的专科平均费用。
结果
未参与基金持有计划的患者与参与基金持有计划的患者的人均资金比例，住院和日间病例护理为59%至87%，门诊护理为36%至106%。基金持有计划机构和卫生机构每个诊疗病例的专科平均费用相似。
结论
在西北泰晤士地区，参与基金持有计划的机构似乎比未参与的机构获得了更慷慨的资金支持。
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