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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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