Variations in general practice prescribing costs and implications for budget setting
作者:
Andrew T. Healey,
Brian F. Yule,
John P. Reid,
期刊:
Health Economics
(WILEY Available online 1994)
卷期:
Volume 3,
issue 1
页码: 47-56
ISSN:1057-9230
年代: 1994
DOI:10.1002/hec.4730030107
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: General practice;prescribing costs;budget setting
数据来源: WILEY
摘要:
AbstractIndicative prescribing amounts, and the equivalent prescribing element of funds in the case of fundholding practices, are now an established part of UK general practice. This paper examines the implications of variations in GP prescribing behaviour for the determination of prescribing budgets. Using regression analysis, the extent to which variations in total practice prescribing costs can be explained by factors suggested for inclusion in a weighted capitation formula is established. The results indicate that 97% of the variation in practice prescribing costs can be explained by differences in practice list size, the proportion of patients aged 65 years and over, the proportion of patients living in ‘deprived areas’ and whether or not the practice qualifies for ‘inducement payments’. The implications of the results for budget setting are discussed. A resource allocation formula based on regression analysis of expenditures can be used to promote horizontal equity in terms of equal budgets for equal need. However, its implications for vertical equity and efficiency are more am
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